Angela Johns
Beulah,MI
Summary
“The Nurse Who Sees Around Corners.”
Clinical Case Management • Pediatric Critical Care • Complex Care Coordination • Insurance Navigation
Experienced Registered Nurse with 17 years in nursing, including seven years in Level I Trauma Center Neonatal and Pediatric Intensive Care and ten years in case management for medically complex child. Skilled in critical thinking, care coordination, and navigating healthcare systems to enhance patient outcomes. Collaborated effectively with multidisciplinary teams and providers to streamline care and address patient needs.
Overview
1
1
Certification
3
3
years of post-secondary education
19
19
years of professional experience
Work History
Independent RN Case Manager & Family Care Coordinator
Independent RN Case Manager & Family Care Coordinator
01.2016 - Current
- Provide comprehensive clinical case management and care coordination for a medically complex pediatric patient requiring long-term specialty care.
- Directed all aspects of long-term care management for a child with tracheostomy, gastrostomy tube, chronic respiratory disease, and complex medical needs.
- Coordinated transition from home mechanical ventilation to complete ventilator independence by age four and a half, overcoming initial poor prognosis.
- Strategically coordinate appointments and procedures to minimize unnecessary sedation, travel, and disruption to care.
- Acted as primary liaison among physicians, specialists, insurance companies, pharmacies, durable medical equipment providers, and home health agencies to streamline care.
- Advocate for insurance authorizations, appeals, coverage determinations, medical necessity documentation, and procurement of specialized equipment and supplies.
- Anticipate healthcare needs proactively while identifying opportunities to prevent complications and hospitalizations.
- Coordinate transitions of care, educate caregivers, and ensure continuity across multiple healthcare settings.
Licensed Health & Accident Insurance Producer
Assurance
Beulah, Michigan
06.2024 - 06.2026
- Developed working knowledge of health insurance policies, benefits, eligibility requirements, and healthcare coverage.
- Guided individuals in understanding insurance options and navigating healthcare benefits to enhance informed decision-making.
- Acquired in-depth knowledge of insurance terminology and claims processes, enriching clinical case management capabilities.
- Conducted thorough risk assessments to identify client coverage gaps.
- Performed comprehensive risk assessments to identify client coverage gaps, ensuring tailored insurance solutions.
- Collaborated with underwriters to ensure policy compliance and accuracy.
Registered Nurse
Hurley Medical Center
Flint, USA
01.2009 - 01.2016
- Delivered high-acuity nursing care to critically ill neonatal and pediatric patients in one of Michigan’s busiest Level I Trauma Centers.
- Coordinated patient assignments, unit workflow, and staff collaboration as Charge Nurse to ensure optimal care delivery.
- Performed comprehensive patient assessments and developed individualized nursing plans of care.
- Coordinated patient assignments, unit workflow, and staff collaboration as Charge Nurse.
- Functioned within NICU, PICU, Pediatrics, and Float Pool while adapting quickly to changing patient acuity and staffing needs.
- Educated families on complex diagnoses and care needs, enhancing understanding and support for patients during treatment.
- Educated families regarding complex diagnoses, ventilators, medications, feeding tubes, discharge planning, and home care needs.
- Established NICU Lactation Support Team to enhance patient and family support, promoting better feeding practices.
- Worked in Level I Trauma Center's NICU, PICU, and Pediatrics units to provide specialized care.
Nurse Extern
Hurley Medical Center
Flint, USA
01.2008 - 12.2008
- Completed nurse externship in Level I NICU, providing direct patient care and supporting nursing staff while pursuing Bachelor of Science in Nursing.
- Assisted nursing staff with patient care activities and daily living tasks.
- Observed patient conditions and reported changes to registered nurses.
- Maintained cleanliness and organization of patient rooms and equipment.
Education
Bachelor of Science - Nursing
University of Michigan–Flint
Flint, USA 09.2006 - 12.2009
Skills
- Clinical Case Management
- Chronic Care Management
- Care Planning
- Complex Care Coordination
- Telephonic Clinical Assessment
- Patient Advocacy
- Patient and Family Advocacy
- Crisis Intervention
- Clinical Decision Making
- Transition Planning
- Medical Documentation
- Resource Coordination
- Referral Management
- Medication Management
- Case Evaluation
- Palliative Services
- Insurance Navigation
- Clinical Assessment
- Service Coordination
- EMR / EHR
- EMR Documentation
- Medical Documentation
- ICD-10 Coding
- Healthcare Compliance
- HIPAA Compliance
- Insurance Navigation
- Insurance Navigation
- Assistive Technology Coordination
- Return-to-Work Awareness
- Communication Skills
- Problem Resolution
- Team Collaboration
- Organizational Skills
- Time Management
- Time Management
- Family Education
- Collaborative Approach
- Equitable Healthcare
- Ethical Considerations
- Chronic Care
- Pediatric Care
- Team Collaboration
- Collaborative approach
- HIPAA compliance
- Medication management
Certification
- Registered Nurse, Michigan, License in Good Standing
- Licensed Health & Accident Insurance Producer, Michigan, Former
Credentials
BSN, RN
Additional Qualifications
BSN, RN
Timeline
Licensed Health & Accident Insurance Producer
Assurance
06.2024 - 06.2026
Independent RN Case Manager & Family Care Coordinator
Independent RN Case Manager & Family Care Coordinator
01.2016 - Current
Registered Nurse
Hurley Medical Center
01.2009 - 01.2016
Nurse Extern
Hurley Medical Center
01.2008 - 12.2008
Bachelor of Science - Nursing
University of Michigan–Flint
09.2006 - 12.2009