JOHANNA KANTROWSKI
Perry
Summary
Dependable healthcare professional with strong clinical abilities and sound judgment. Committed to enhancing patient outcomes through collaboration with multidisciplinary teams and effective communication. Focused on improving care quality and compliance with HEDIS standards in chronic care management and case management roles.
Overview
15
15
years of professional experience
Work History
LPN NCM
MedAssist USA
Perry
10.2025 - Current
- Collaborated with multidisciplinary teams for comprehensive patient care.
- Educated patients and families on health management and care plans.
- Maintained accurate medical records and documentation for compliance.
- Communicated effectively with patients, family members, healthcare team members, and other stakeholders regarding patient care plans or concerns.
- Educated patients on disease prevention and management strategies for their individual conditions.
HEDIS Reviewer II
CVS/Aetna
01.2025 - 06.2025
- Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter into the applicable software system ALL assigned abstracts.
- Completed abstraction and data entry tasks within deadlines to support accurate and timely reporting.
- Coordinated with provider offices to schedule appointments, confirm attendance, and facilitate timely medical record submissions.
- Maintained project productivity and accuracy standards for abstraction and data entry activities.
- Analyzed data to identify trends and documented opportunities for enhancement.
- Prioritize and accurately complete tasks within established times.
LPN Hedis Abstractor
Reveleer
02.2023 - 01.2024
- Responsible for accurate medical record review against HEDIS measures standards.
- Support organization in process and quality improvement initiatives.
- Adapt to flexibility in projects with variable client/project guidelines.
- Review and facilitation of IRR review.
LPN - HEDIS QUALITY ASSURANCE
HUMANA
01.2021 - 06.2022
- Assessed medical records according to HEDIS standards to verify compliance with key care metrics.
- Coordinated outreach to members pre-HEDIS to schedule preventative services, ensuring timely access to necessary care.
- Facilitated closure of care gaps through member outreach to schedule missed preventative services and provider follow-up for medication reconciliation.
- Enhanced member quality of care by conducting timely case reviews, collaborating with members to clarify outcomes of medical appointments, aiding in physician searches, and coordinating necessary diagnostic tests.
- Retrieved and reviewed EMRs for compliance with state, HEDIS, and CMS regulations while maintaining confidentiality of member protected health information.
- Conducted self-assessments of performance related to HEDIS and Star measures.
- Decreased readmission to the hospital through outreach efforts and active communication with members.
- Provided timely medication reconciliation via record review to ensure that all medications were documented properly in the member record.
- Record review to ensure primary care physician notification of admission and discharge information to ensure physicians had accurate and timely information needed to help reduce or prevent severe clinical outcomes and to facilitate health insurance claims submission.
HOSPICE NURSE
Teresa House
Geneseo
09.2019 - 05.2020
- Collaborated with physicians and nurse managers to assess patients and deliver appropriate treatment while managing changing conditions of residents during their last stage of life.
- Provided education to patients and families to promote independence and keep patients comfortable and pain-free.
- Coordinated care with a multi-disciplinary team to develop educational tools and reach patient goals while supporting the family/caregiver needs.
LPN
Home Care
Geneseo
04.2019 - 08.2019
- Responded to patient requests with appropriate clinical and personal assistance with the goal of enhancing the quality of life.
- Collaborated with doctors and other professionals to determine the best course of treatment for patients.
- Supported, educated, and coached patients to effectively manage their chronic conditions.
- Empathetically supported the emotional, and social needs of each patient.
MEDICAL TECH
Morgan Estates Assisting Living
Geneseo
12.2011 - 05.2018
- Provided accurate and timely medication administration for assisted living residents.
- Acted as resident advocate for obtaining, relaying, and interpreting the provider's instructions and orders for medical care.
- Evaluated resident and family medical, social, and residence issues, connecting residents to appropriate medical services and collaborating with management to ensure timely resolution of concerns.
- Facilitated resident mobility by efficiently assisting with transfers, organizing wheelchairs, and preparing assistive devices to enhance safety and comfort.
Education
Remote nursing
MARIE PEPPERS
01-2023
Licensed Practical Nursing -
GENESEE VALLEY BOCES
Batavia, NY01-2019
Skills
- Patient Assessment
- Patient Care Coordination
- Patient Advocacy
- Patient Safety
- Case Management
- Treatment Planning
- Care Planning
- Clinical Documentation
- Admission Review
- Preventive Health
- Telehealth Services
- Geriatrics
- EMR
- EHR
- HIPAA Compliance
- Health Education
Licensing And Certifications
Licensed Practical Nurse, NY, CURRENT
Timeline
LPN NCM
MedAssist USA
10.2025 - Current
HEDIS Reviewer II
CVS/Aetna
01.2025 - 06.2025
LPN Hedis Abstractor
Reveleer
02.2023 - 01.2024
LPN - HEDIS QUALITY ASSURANCE
HUMANA
01.2021 - 06.2022
HOSPICE NURSE
Teresa House
09.2019 - 05.2020
LPN
Home Care
04.2019 - 08.2019
MEDICAL TECH
Morgan Estates Assisting Living
12.2011 - 05.2018
Remote nursing
MARIE PEPPERS
Licensed Practical Nursing -
GENESEE VALLEY BOCES