CYNTHIA Y. JOHNSON
St. Louis,MO
Summary
Registered Nurse and Certified Managed Care Nurse with 17+ years of experience in case management, utilization review, managed care, chronic disease management, and patient advocacy. Skilled at coordinating complex care, improving patient access, and implementing patient-centered care plans. Founder of a patient transportation service enhancing community healthcare access.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Owner
Quik EspressElite LLC
St. Louis, MO
01.2020 - Current
- Founded and operate a patient transportation service, improving access for patients with mobility or transportation barriers.
- Apply clinical nursing expertise to ensure patient safety and quality care; coordinate with providers and case managers.
- Manage scheduling, communications, and operations for reliable service delivery.
Nurse Ambassador
United BioSource
St. Louis, MO
01.2015 - 01.2025
- Delivered remote case management, chronic disease education, and treatment adherence support.
- Facilitated insurance navigation and pharmacy coordination, achieving 100% performance metrics.
- Supported managed care initiatives, enhancing patient engagement and quality standards.
Case Manager I / Utilization Reviewer
Anthem
St. Louis, MO
01.2013 - 01.2015
- Conducted clinical utilization reviews to ensure medical necessity and optimize care delivery.
- Coordinated care plans with physicians, payers, and interdisciplinary teams to improve patient outcomes.
Rehabilitation Case Manager I
Coventry
St. Louis, MO
01.2012 - 01.2013
- Evaluated eligibility and coordinated rehabilitation services, improving continuity of care.
- Delivered patient education and staff cross-training, enhancing team efficiency and adherence to protocols.
Senior Nurse Care Manager
Anthem
St. Louis, MO
01.2007 - 01.2012
- Designed individualized care plans for chronic conditions (diabetes, COPD, cancer, MS) to improve outcomes and engagement.
- Conducted assessments, motivational interviewing, and patient education to increase adherence.
- Partnered with multidisciplinary teams and community resources to reduce hospital readmissions.
Education
MS - Management
Fontbonne University
BSN - RN
Goldfarb School of Nursing at Barnes-Jewish College
Skills
- Case Management
- Utilization Review
- Managed Care
- Chronic Disease Management
- Patient Advocacy
- Care Coordination
- Discharge & Transitional Care
- Risk Assessment
- Quality Improvement
- Interdisciplinary Collaboration
- Patient Education
- EMR/EHR Systems
- Microsoft Office
Certification
Registered Nurse (RN), Missouri, Active
Awards
- North Star Award - Outstanding Performance (2018)
- Nominated for Customer Service & Mentorship Excellence
- Champion Managed Care Expert & Culture/Inclusion Ambassador
- Contributor to Chronic Care Model Implementation
Personal Information
Title: RN, BSN, CMCN
Timeline
Owner
Quik EspressElite LLC
01.2020 - Current
Nurse Ambassador
United BioSource
01.2015 - 01.2025
Case Manager I / Utilization Reviewer
Anthem
01.2013 - 01.2015
Rehabilitation Case Manager I
Coventry
01.2012 - 01.2013
Senior Nurse Care Manager
Anthem
01.2007 - 01.2012
MS - Management
Fontbonne University
BSN - RN
Goldfarb School of Nursing at Barnes-Jewish College