Holly Johnson
Oviedo,FL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Highly skilled in streamlining operations and improving throughput through continuous process improvement and cross-functional collaboration. Solid clinical, utilization review, and case management experience within the inpatient environment. Able to operate in high-pressure situations while recommending the best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Overview
14
14
years of professional experience
Work History
Emergency Room Nurse Case Manager
AdventHealth
04.2023 - Current
- Responsible for establishing, coordinating, and maintaining the process to increase patient through-put to the most appropriate level of care while facilitating interdisciplinary care across the continuum for the ED.
- Collaborates with the patient/family, multidisciplinary team, physicians, community resources and payers to ensure the patient’s progress and level of care is appropriately determined for the emergency episode of care and for the inpatient encounter to ensure that care is performed and facilitated in an efficient and cost-effective manner.
- Uses knowledge of pathophysiology, pharmacology, and clinical care processes to participate with other clinical staff and physicians in the development of clinical practice guidelines and physician order sets for the purpose of improving quality of care, changing practice, and reducing costs.
- Uses clinical expertise by analyzing patient records to determine legitimacy of hospital admission, treatment, and appropriate level of care.
- Identifies care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
- Interviews clients, families, or groups to assess situations, limitations and issues to implement services to address needs.
- Assists clients with navigating and accessing social services such as housing and medical care.
- Administers assessments to identify clients' needs and establish treatment plans.
- Intervenes with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs, finding sources and qualify for community assistance from a variety of special assistance programs and agencies, and/or require assistance with transitions of care or discharge planning.
- Coordinates and facilitates the development of a discharge plan of care for high-risk patients populations.
Case Management Operations Manager
AdventHealth
02.2021 - 04.2023
- Supports the daily operations of the Case Management departments (both Inpatient and Emergency Department settings) to include 26 direct reports.
- Ensures documentation compliance of the Case Management department (Discharge Planning Evaluation, IMM, MOON, Patient Choice, etc.).
- Assures staff documentation is completed per guidelines as evidenced by appropriate monitoring techniques, coaches staff as needed.
- Assures effective discharge planning to meet patient needs, meet regulatory requirements and achieve organization objectives related to readmission reduction and pace of care delays.
- Participates, as needed, in hospital/medical staff meetings to review patients meeting criteria related to high dollar/extended length of stay and/or difficult placement; maintains meeting minutes as appropriate.
- Assists in the development and oversees the implementation of Case Management policies, procedures, and standards.
- Plans, organizes and delegates activities as required for safe, efficient and effective operations of the unit/area including active participation with other hospital and leadership staff to accomplish this purpose.
- Monitors and meets productivity standards and staffing needs.
- Responsible for personnel functions including staffing, performance reviews and corrective action.
- Hires and retains individuals with appropriate skills and works to develop staff to their highest.
Lead Case Manager
AdventHealth
08.2018 - 02.2021
- Oversee and optimize work of over 15 employees performing high-quality case management work.
- Complete daily staffing and adjust job assignments and schedules to keep pace with hospital census, factoring in processes, employee knowledge and patient needs.
- Apply strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows to meet any daily demand.
- Partner with physicians, social workers, activity therapists, nutritionists and fellow case managers to develop and implement individualized care plans and document all patient interactions and interventions in electronic charting systems.
- Address disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability.
- Attend multi-disciplinary rounds to coordinate patient care, determine care priorities, establish daily goals, and plan for potential transfers or discharges.
- Attend weekly PRC meetings to improve HCAHPS scores, readmission rates, patient safety and length of stay management.
- Work directly with managed care insurance companies to ensure safe and appropriate discharge planning.
Transition Care Registered Nurse
AdventHealth
01.2017 - 08.2018
- Prevented health complications and readmissions in a specific patient population by providing them with comprehensive discharge planning and outpatient follow-up.
- Conducted a comprehensive assessment of the patient's health status, health behaviors, level of social support, and goals.
- Developed an individualized plan of care consistent with evidence-based guidelines, in collaboration with the patient and his/her doctors.
- Focused on patients' self-identified goals and help them develop self-management skills.
- Collaborated with nurses, physicians, patients, families, and case management to coordinate and arrange care in the post-acute care setting.
- Assisted patients with appropriate doctors' appointments prior to discharge.
- Provided close follow-up in the home setting including post-discharge telephone outreach and visits to the patient's home.
- Extensively educated patients and their families on the specific disease process, medications, and discharge instructions from admission through transition.
Cardiac PCU Registered Nurse
AdventHealth
11.2009 - 01.2017
- Provided care to patients requiring telemetry monitoring for various cardiovascular disorders, including cardiac arrhythmias, Acute Coronary Syndrome, hypertension and heart failure, as well as patients recovering from cardiac catheterizations through interpretation of advanced ECG recordings, management of cardiac drips, chest tubes, and pacemakers.
- Trained in the prompt detection of emergency conditions, and prevention of complications associated with cardiovascular disorders and interventional procedures.
- Coordinated nursing care using a collaborative, multidisciplinary approach of the healthcare team such as physicians, surgeons, respiratory therapists, physical therapists, social workers, case management, and pastoral care among others, to ensure the optimal care of each patient.
- Educated patients and families on life-style modifications, medications, procedures, and other pertinent information to minimize negative physical and psychological effects of disease processes.
- Mentored newly licensed nurses and helped them achieve independent, autonomous success through leadership and tailored learning.
- Assumed the role of relief charge nurse. Helped to maintain the safety and care of the patient and families on the unit, as well as, identified and evaluated problems, managed patient census, and allocated staff assignments.
Education
Bachelor of Science - Nursing
Adventist University of Health Sciences
Orlando, FL08.2015
Associate of Arts - General Studies
Valencia State College
Orlando, FL12.2010
Associate of Science - Nursing
Valencia State College
Orlando, FL08.2009
Skills
- Highly organized with well-regarded administrative and supervisory strengths
- Fully committed to adhering to facility policies and procedures to improve patient outcomes
- Excellent critical thinking with problem solving skills
- Utilization review
- Palliative care awareness
- Staff education and training
- Comprehensive assessment and cost-effective discharge planning
- Expert knowledge of Medicare/Managed Care guidelines including post-acute resources
- Patient advocate
License
- FL Nursing License #RN9300773
Timeline
Emergency Room Nurse Case Manager
AdventHealth
04.2023 - Current
Case Management Operations Manager
AdventHealth
02.2021 - 04.2023
Lead Case Manager
AdventHealth
08.2018 - 02.2021
Transition Care Registered Nurse
AdventHealth
01.2017 - 08.2018
Cardiac PCU Registered Nurse
AdventHealth
11.2009 - 01.2017
Bachelor of Science - Nursing
Adventist University of Health Sciences
Associate of Arts - General Studies
Valencia State College
Associate of Science - Nursing
Valencia State College
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