Summary
Overview
Work History
Education
Skills
Timeline
Generic

Doris Lohman

Westland,MI

Summary

Skilled and highly trained healthcare professional with 18 years of practical nursing experience and the proven ability to provide quality, evidence-based patient care within dynamic and high-pressure environments. Excellent and sound communication skills established with strong emphasis on being adaptable within complex and challenging situations. Excellent time management skills with a self-directed, reliable, and positive attitude expected. Adept as charge nurse while managing a heavy patient volume. Established as a preceptor and for both new and experienced RNs hired to the unit. Experienced in managing the direct care of patients requiring skilled sub-acute rehabilitation. Seasoned in the direct care of both the acute and long-term ventilated patient. Proficient in medical record documentation to ensure accuracy and patient confidentiality, including experience with EPIC medical record system, Kinnser software, Microsoft Office Suite, and OASIS documentation. Applied extensive knowledge of patient care, medical treatments, and hospital procedures for informed clinical review. Analyzed clinical data utilizing InterQual criteria in making clinically appropriate medical utilization decisions regarding approvals, denials, secondary review, and appeals for acute and post-acute admissions. Oriented to the role of Case Manager for the Medicare insured senior population for one of the largest health insurers in Michigan. Overall, a hardworking employee with customer service, multitasking and time management abilities.

Overview

18
18
years of professional experience

Work History

Nurse Care Manager

Blue Cross Blue Sheild of Michigan
03.2023 - 03.2024
  • Tracked referrals from primary care providers to specialty services in order to ensure timely follow up appointments were scheduled.
  • Participated in interdisciplinary meetings to discuss individual cases and devise appropriate interventions for complex patients.
  • Provided education to patients on self-management of chronic conditions, as well as health promotion and disease prevention strategies.
  • Actively participated in weekly team meetings by sharing ideas and offering solutions when needed.
  • Conducted comprehensive patient assessments telephonically and identified health risks and potential barriers to treatment utilizing motivational interviewing strategies.
  • Assisted with the coordination of post-discharge services such as home health care visits or community resources.
  • Collaborated with case managers, social workers, pharmacists, registered dieticians and other team members to facilitate transitions between levels of care and optimize patient outcomes.
  • Utilized electronic medical records and Microsoft Office for accurate charting and reporting.
  • Developed strong rapport with patients and caregivers telephonically through active listening skills.

Home Health Care Nurse

The Medical Team
04.2019 - 03.2023
  • Conducted educational sessions with patients and family members on topics such as chronic disease management, medications and self-care techniques.
  • Provided wound care management including changing dressings, applying topical ointments, creams, gels., as prescribed by physicians.
  • Coordinated with other healthcare providers involved in patient care to ensure continuity of service delivery.
  • Completed initial assessments of patients and family to determine and address individual home care needs.
  • Answered patient calls, identified issues and determined how best to provide assistance within agency parameters
  • Participated in on-call rotations and delivered after-hours care.
  • Instructed patients on how to use medical equipment such as ventilators or oxygen tanks safely and correctly at home.

Utilization Review Nurse

Blue Cross Blue Shield of Michigan
Detroit
07.2017 - 06.2018
  • Maintained up-to-date knowledge of Medicare health plan benefits, policies, procedures, and regulations.
  • Reviewed patient admissions to determine medical necessity as directed by InterQual criteria and referred cases for secondary review when appropriate.
  • Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
  • Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.

Staff Nurse

Beaumont Hospital-Farmington Hills
Farmington Hills
01.2006 - 01.2017
  • Provided emotional support to family members during difficult times or end-of-life situations.
  • Utilized EPIC electronic medical record system
  • Implemented infection control measures to reduce the spread of contagious diseases.
  • Provided direct patient care including wound dressing, administering medication and IV therapy.
  • Facilitated transition to home care by providing patients with continued care information and discharge instructions.
  • Addressed rapid response and code situations by strategically organizing and delegating tasks.
  • Educated nursing students on proper care procedures and prioritization strategies.

Staff Nurse

Regency of Ann Arbor
01.2014 - 01.2015
  • Provided direct patient care including wound dressing, blood draw, administering medication and IV therapy.
  • Assessed patients to determine their physical condition, health status and rehabilitative needs.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.

Education

Associate of Applied Science - Nursing

Henry Ford College
Dearborn
05-2006

Associate of Arts - General Studies

Schoolcraft College
Livonia, MI
06-2003

Some College (No Degree) - Bachelor of Science in Nursing

Chamberlin University
Addison, IL

Skills

  • Counseling/Education on Disease Prevention
  • Wound Care
  • Discharge Planning/Case Management
  • Geriatric Care
  • Home Health Care
  • Chronic Disease Management
  • Tracheostomy/Ventilator Care
  • Patient and family advocacy
  • Colostomy care familiarity
  • Task Prioritization/Problem-Solving
  • Patient Care/Unit Oversight
  • Medication and IV administration
  • Blood Draw and Sample Collection
  • Sub-acute and rehabilitative care

Timeline

Nurse Care Manager

Blue Cross Blue Sheild of Michigan
03.2023 - 03.2024

Home Health Care Nurse

The Medical Team
04.2019 - 03.2023

Utilization Review Nurse

Blue Cross Blue Shield of Michigan
07.2017 - 06.2018

Staff Nurse

Regency of Ann Arbor
01.2014 - 01.2015

Staff Nurse

Beaumont Hospital-Farmington Hills
01.2006 - 01.2017

Associate of Applied Science - Nursing

Henry Ford College

Associate of Arts - General Studies

Schoolcraft College

Some College (No Degree) - Bachelor of Science in Nursing

Chamberlin University
Doris Lohman