Manager Medical

NATALIE JOHNSON, MSN, RN

410-***-**** • ******************@*****.***

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CASE MANAGER

Collaborate with interdisciplinary team to develop, implement and evaluate a plan of care, prioritize goals, coordinate discharge planning, and the efficient use of resources to manage costs and length of stay.

PROFESSIONAL AFFILIATIONS: Sigma Theta Tau Nursing Honor Society; Case Management Society of America–Chesapeake chapter

KEY SKILL AREAS

Case Management

Utilization Review

External Provider Relations

Clinical Reviews Quality Management

Disease Management

Staff Training

Direct Patient Care Readmission Prevention

Interqual Criteria

Medical Chart Reviews

Microsoft Office

PROFESSIONAL EXPERIENCE

Care Manager, BALTIMORE WASHINGTON MEDICAL CENTER, Baltimore, MD May 2012-Present

• In collaboration with interdisciplinary team, implemented plan of care and provided discharge planning coordination through teamwork and timely communication.

Care Manager, SINAI HOSPITAL, Baltimore, MD January 2012-May 2012

• Interacted with various members of healthcare teams to coordinate appropriate discharge plans.

• Utilized health services to improve patient care outcomes, and minimized denials of payment for patients with complex health needs.

• Assessed and prioritized patient care needs, identified barriers to discharge, reduced length of stay, and made recommendations to avoid readmissions.

Utilization Review/Case Manager, MERCY MEDICAL CENTER, Baltimore, MD 2000-2011

• Performed comprehensive review of medical records in acute care hospital setting to determine medical necessity and appropriateness of utilization in accordance with pre-established criteria. Performed chart reviews for all new admissions and continued stay.

• Identified barriers to timely and efficient discharge of patients, designed a structured plan to reduce hospital readmission rate, implemented action plan of care to decrease benchmark length of stay, and improve patient satisfaction.

GOOD SAMARITAN HOSPITAL, Baltimore, MD

Patient Care Manager 1998 - 2000

• 24-hour accountability for 36-bed Medical–Surgical unit, including budgeting, staffing, and payroll.

• Restructured staffing template to implement 12-hour work shift.

RN Staff Nurse-Med/Surg Unit 1994-1998

LPN Staff Nurse-Med/Surg Unit 1988-1994

LPN Staff Nurse, UNION MEMORIAL HOSPITAL, Baltimore MD 1987-1988

EDUCATION

Master of Science in Nursing, Notre Dame of Maryland University, Baltimore, MD

Bachelor of Science in Nursing, Notre Dame of Maryland University, Baltimore, MD

Associate of Arts Degree in Nursing, Essex Community College, Essex, MD

Diploma, Johnston School of Practical Nursing, Baltimore, MD

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