KAROL JOHNSON RN CCMC

*** **** ******

Savannah, MO 64485

Cell phone: 816-***-****

ac50nr@r.postjobfree.com

EDUCATION:

University of Nebraska at Kearney Graduation Date: May 1994

Bachelor of Science, Nursing

Care Manager Certification in 2013 through CCMC.

SKILLS:

Acute care nursing; Case management; Cerner SME; Wellness exams for Medicare; Patient Centered Medical Home (PCMH); Fee for Service experience; Case Management Liaison to the physician; Medical necessity.

WORK EXPERIENCE:

Heartland Regional Medical Center/ Mosaic Life Care 07/1995 -02/2017

St. Joseph, Missouri

Case Manager:

Accomplishments:

o Interim Manager, outpatient;

o Piloted CCM program to obtain fee for service;

oExperience in prior authorizations;

oDischarge denials follow through to obtain payment

oAuditing of charts and documentation to obtain the maximum payable benefit for the organization

oSME for case management and the Cerner solution

Acute Nurse ( 8years experience)

Accomplishments:

oPatient admission and discharge education

oAcute care nursing skills as described by the Nurse Care Act

City Lights LLC - 02/2017 – 09/2017

Kansas City MO

Medicare Annual Wellness Visit Nurse Coordinator

Accomplishments:

oMaintaining HIPAA regulations performing outpatient visits to meet the Medicare requirements for patients.

oPatient Centered Medical Home

oDisplayed Cultural awareness and sensitivity in the client home

LEADERSHIP EXPERIENCE/ACTIVITIES:

INTERIM MANAGER FOR OUTPATIENT CASE MANAGERS

SUBJECT MATTER EXPERT FOR CERNER SOLUTION

PCMH

CARE MANAGER CERTIFICATION 2013

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