Johnette Somerville
Glen Burnie,MD
Summary
Nursing professional with comprehensive background in managing nursing teams and enhancing patient care and standards. Proven ability to lead, with collaborative efforts to adapt to dynamic healthcare environments. Known for effective communication and problem-solving skills that drive superior patient care and team performance.
Overview
7
7
years of professional experience
Work History
Utilization Review Nurse
UMMS Baltimore Washington Medical Center
Glen Burnie, MD
09.2022 - Current
- Conducted 10-15 comprehensive utilization reviews daily to assess medical necessity and appropriateness of services.
- Developed and implemented strategies for improving patient care outcomes through effective resource management.
- Monitored regulatory changes, adjusting practices to maintain compliance with state and federal guidelines.
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Assisted discharge planning efforts through prompt identification of medically stable patients who were ready for transition to alternate levels of care.
- Collaborated with interdisciplinary teams to develop patient-centered care plans.
Nurse Care Manager
Sharecare Inc.
Atlanta, GA
09.2021 - 05.2024
- Developed case load of 40, personalized care plans to meet diverse patient needs and improve health outcomes.
- Coordinated multidisciplinary team efforts to optimize patient care and resource utilization.
- Monitored patient progress and adjusted care strategies based on evolving health conditions.
- Educated patients and families on chronic disease management and preventive health measures.
- Mentored junior staff on best practices in care management and patient advocacy strategies.
- Developed strong relationships with patients and their families, providing emotional support during challenging medical situations.
Nursing Supervisor
Cadia Healthcare
Silver Spring, MD
05.2019 - 09.2021
- Supervised nursing staff, ensuring adherence to clinical protocols and standards.
- Oversaw admissions and discharges and scheduling of nursing staff.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Monitored and documented vital signs, ensuring accuracy in reporting changes.
- Monitored patient reactions after administering medications and IV therapies.
Education
Bachelor of Science - Nursing
Western Governors University
Salt Lake City, UT05-2021
Skills
- Utilization review
- Healthcare regulations
- Milliman guidelines
- Communication
- Teamwork and collaboration
Timeline
Utilization Review Nurse
UMMS Baltimore Washington Medical Center
09.2022 - Current
Nurse Care Manager
Sharecare Inc.
09.2021 - 05.2024
Nursing Supervisor
Cadia Healthcare
05.2019 - 09.2021
Bachelor of Science - Nursing
Western Governors University