Open To Work
KRYSTAL JOHNSON
Seattle
Work Preference
Summary
Healthcare professional with strong background in patient care management and coordination. Consistently delivers high-quality care through effective communication and collaboration with medical teams. Well-versed in patient assessments, care planning, and adapting to changing healthcare needs.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Licensed Practical Nurse, Triage
Providence Health Services
11.2019 - Current
- Remotely Assisted with admissions, appointments, transfers, and discharges.
- Collaborated with interdisciplinary healthcare teams to ensure continuous quality improvement in patient care delivery.
- Collaborated with multidisciplinary teams to enhance patient outcomes and streamline care processes.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Educated patients and families on health promotion, disease prevention, and self-care management strategies.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
LPN Case Manager
CDWA State of Washington
02.2017 - Current
- Administered medication and treatments as prescribed by healthcare providers.
- Monitored patient vital signs and reported changes to nursing staff promptly.
- Assisted in the development and implementation of individualized care plans.
- Educated patients and families on health management and disease prevention strategies.
- Collaborated with interdisciplinary teams to enhance patient care quality and safety.
- Coordinated interdisciplinary team meetings to discuss patient progress and modify care strategies.
- Managed patient care plans to ensure optimal health outcomes and compliance with regulatory standards.
LPN School Nurse
Maxim Health Care Tacoma School District
09.2017 - 10.2019
- Administered immunizations and health screenings to students, ensuring compliance with state health regulations.
- Developed and implemented individualized health care plans for students with chronic conditions.
- Educated students, parents, and staff on health issues, promoting wellness and preventive care practices.
- Collaborated with multidisciplinary teams to address student health needs and enhance school safety protocols.
- Conducted health assessments to identify student health needs and develop appropriate interventions.
- Administered medications and treatments according to established protocols and individual care plans.
- Collaborated with educators and parents to promote student wellness and optimal learning environments.
- Developed and implemented health education programs tailored to student populations and community needs.
LPN Charge Nurse
Bridgeport Place Assisted Living
09.2015 - 11.2017
- Supervised nursing staff to ensure high-quality patient care and compliance with health regulations.
- Developed and implemented individualized care plans based on resident assessments and preferences.
- Coordinated medication administration and monitored residents for adverse reactions or changes in condition.
- Trained and mentored new LPNs, fostering a collaborative team environment focused on patient outcomes.
- Collaborated with interdisciplinary teams to optimize resident care through effective communication and problem-solving.
- Achieved successful unit leadership by providing quality nursing care to 80 to 100 patients per day in Medicaid-bed unit.
- Supervised nursing staff to ensure compliance with care protocols and regulatory standards.
- Administered medications and treatments as prescribed, monitoring patient responses effectively.
Triage Nurse
Hematology Oncology Northwest Medical Specialties
06.2014 - 09.2015
- Conducted patient assessments to prioritize care based on clinical needs.
- Collaborated with multidisciplinary teams to develop effective treatment plans.
- Utilized electronic health record systems to document patient interactions accurately.
- Streamlined communication processes between departments to improve patient outcomes.
- Evaluated and updated triage guidelines based on emerging best practices and patient feedback.
- Assessed patient conditions to determine urgency and appropriate care pathways.
- Collaborated with healthcare teams to enhance patient triage processes and improve outcomes.
Utilization Management, Concurrent Review LPN
Sound Path Health Plan
08.2013 - 06.2014
- Conducted comprehensive Medicare concurrent reviews to ensure compliance with clinical guidelines.
- CMS, EHR InterQual , Internet Fax Server
- Collaborated with healthcare teams to optimize patient care plans and treatment protocols via CMS guidelines.
- Analyzed patient data for quality assurance, identifying areas for improvement in care delivery.
- Implemented process enhancements that streamlined review workflows, increasing efficiency across departments.
- Evaluated all clinical information to support decision-making criteria regarding patient admissions and continued stay criteria.
- Managed complex cases effectively, coordinating with multidisciplinary teams to ensure seamless delivery of care across the continuum.
- Streamline the utilization review process for more efficient case management and improve resource allocation.
- Serve as a liaison between healthcare providers, insurers, patients, and families to facilitate communication and resolve issues related to care coordination or coverage determinations.
- Collaborated with healthcare teams to develop and implement individualized care plans.
- Assesses services for members to ensure optimum outcomes
- Cost-effectiveness and compliance with all state/federal regulations and guidelines.
- Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
- Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
- Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
- Processes requests within required timelines.
- Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
- Requests additional information from members or providers as needed.
- Makes appropriate referrals to other clinical programs.
- Collaborates with multidisciplinary teams to promote the Molina care model.
- Adhered to utilization management (UM) policies and procedures
- Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
- Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
- Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
- Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
- Processes requests within required timelines.
- Refers appropriate cases to medical directors (MDs) and presents cases in a consistent and efficient manner.
- Requests additional information from members or providers as needed.
- Makes appropriate referrals to other clinical programs.
- Collaborates with multidisciplinary teams to promote the Molina care model.
- Adheres to utilization management (UM) policies and procedures.Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
- Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
- Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
- Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
- Processes requests within required timelines.
- Refers appropriate cases to medical directors (MDs) and presents cases in a consistent and efficient manner.
- Requests additional information from members or providers as needed.
- Makes appropriate referrals to other clinical programs.
- Collaborates with multidisciplinary teams to promote the Molina care model.
- Adheres to utilization management (UM) policies and procedures.
Care Transitions Nurse, First Touch Program Coordinator
Signature Home Health Care
04.2013 - 08.2013
- Developed and implemented individualized care plans in collaboration with healthcare providers.
- Educated patients and families on health management and disease prevention strategies.
- Led nursing staff in best practices for patient safety and infection control measures.
- Streamlined patient intake process, improving efficiency of admissions by coordinating with interdisciplinary teams.
- Mentored new nurses, fostering skill development and adherence to clinical standards.
- Advocated for patient needs during multidisciplinary team meetings to enhance care quality.
- Performed accurate documentation of patient assessments, interventions, and outcomes in compliance with regulatory standards.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Performed routine wound care and dressing changes on schedule.
- Promoted a safe and comfortable healing environment by addressing patient concerns promptly and professionally.
- Collaborated with interdisciplinary teams for optimized patient treatment plans and outcomes.
- Mentored new nursing staff members, fostering teamwork and improving unit efficiency.
- Utilized strong clinical judgment in prioritizing patient needs during high-stress situations, ensuring optimal outcomes.
- Collaborated with multidisciplinary teams to enhance patient treatment protocols.
- Administered patient care plans to ensure optimal recovery outcomes.
- Educated patients and families on disease management and health maintenance strategies.
Concurrent Review Nurse, Nurse Case Manager
Centene Corporation, Coordinated Care Health Plan
05.2012 - 04.2013
- Conducted Medicaid concurrent reviews to assess medical necessity and appropriateness of patient care.
- Collaborated with healthcare teams to ensure compliance with regulatory standards and policies.
- Utilized clinical judgment to evaluate treatment plans and recommend adjustments as needed followed CMS guidelines and recommendations working closely with the Medical Director.
- Mentored junior nurses on best practices for concurrent review processes and documentation techniques.
- Implemented quality improvement initiatives that enhanced review accuracy and reduced turnaround times.
- Analyzed case data to identify trends in patient care outcomes and inform clinical decision-making.
- Developed training materials for staff on concurrent review methodologies and criteria application.
- Led interdisciplinary meetings to discuss complex cases, fostering collaboration among healthcare providers.
- Provided ongoing education to nursing staff regarding best practices in concurrent review processes, enhancing overall team performance.
- Developed strong rapport with patients and families by demonstrating empathy, active listening skills, and a genuine commitment to their wellbeing.
- Achieved timely authorizations for services by maintaining strong relationships with insurance company representatives and advocating for patients' needs.
- Contributed to the development of evidence-based policies and procedures for the case management department, ensuring alignment with industry best practices and regulatory requirements.
- Supported effective care transitions by collaborating with healthcare providers, patients, and families to develop individualized discharge plans.
- Enhanced interdisciplinary collaboration by participating in daily rounds, discussing patient cases, and providing clinical input.
- Expedited patient throughput within the hospital setting by identifying barriers to timely discharges or transfers and working collaboratively with stakeholders to address them.
- Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
- Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
- Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
- Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
- Processes requests within required timelines.
- Refers appropriate cases to medical directors (MDs) and presents cases in a consistent and efficient manner.
- Requests additional information from members or providers as needed.
- Makes appropriate referrals to other clinical programs.
- Collaborates with multidisciplinary teams to promote the Molina care model.
- Adheres to utilization management (UM) policies and procedures.
Licensed Practical Nurse/Health Services Supervisor
Franke Tobey Jones
06.2011 - 04.2012
- Administered medications and treatments following physician orders and established protocols.
- Monitored patient vital signs and reported changes to nursing staff for timely intervention.
- Assisted in developing individualized care plans tailored to patients' needs and conditions.
- Provided compassionate care, fostering a supportive environment for residents, Staff and families.
- Trained new staff on best practices in patient care and safety procedures.
- Coordinated with multidisciplinary teams to enhance patient outcomes through effective communication.
- Implemented infection control measures to maintain a safe healthcare environment for all residents.
- Evaluated patient progress, adjusting care strategies based on observed outcomes and feedback.
- Collaborated with interdisciplinary teams to develop individualized care plans.
Assisted Living Supervisor LPN
Merrill Gardens
12.2009 - 05.2011
- Supervised daily operations, ensuring compliance with safety and health regulations.
- Coordinated training programs for new staff, enhancing team efficiency and service quality.
- Monitored compliance with safety regulations and quality standards within facility operations.
- Led team meetings to address challenges, improve workflows, and foster communication among staff.
- Evaluated resident needs to tailor services and enhance overall satisfaction levels.
- Managed scheduling and staffing to optimize resource allocation and coverage requirements.
- Collaborated with healthcare professionals to coordinate resident care plans effectively.
- Reduced staff turnover rate by creating a positive work environment, offering competitive compensation packages, and recognizing employee achievements.
- Collaborated with healthcare professionals to address residents' medical and emotional needs effectively.
- Led initiatives to enhance operational processes, increasing overall service delivery standards.
- Applied reason, logic and advanced problem-solving skills to resolve complex and sensitive issues.
- Led, directed and motivated others to innovate and excel.
- Developed and implemented training programs for staff to enhance service delivery.
- Supervised daily operations to ensure high-quality care for residents.
Education
Associate - Nursing
Clover Park Technical College
Lakewood, WA01.1994
Skills
- Thorough patient assessment
- Patient care coordination
- Proficient in catheter insertion
- Skilled in patient care coordination
- Skilled in EMR implementation
- Patient care proficiency
- Comprehensive vital signs monitoring
- Home health care
- Patient medication management
- HIPAA compliance knowledge
- Nutritional tube feeding
- Clinical hospital experience
- Electronic health record management
- Licensed practical nurse
- Clinical administrative experience
- Catheter maintenance
- Experience in pediatric medicine
- Critical care expertise
- Proficient in medical terminology
- Safe medication administration
- Patient-centered care
- Vital signs monitoring
- HIPAA compliance
- Wound care
- Compassionate care
- Comprehensive physical assessment
- Clinical documentation
- Geriatric care
- Vital signs
- Clinical judgment
- Compassionate patient assistance
- Patient assessments
- Documentation accuracy
- Immunization administration
- Diabetes management
- Medication dispensing
- Infection control
- Strong interpersonal skills in family settings
- Catheter care
- Documenting intake
- EMR / EHR
- Patient evaluations
- Health education
- Breathing treatments
- Care planning
- Patient relationship building
- Caregiving skills
- Patient intake
- Preventive care
- Healthcare software proficiency
- ADL assistance
- Transcribing orders
- Palliative care
- Staff supervision
- Pulse oximetry tracking
- Patient management
- Behavioral assessment
- Medical records management
- InterQual
- EPIC
- HCHB
- Microsoft
- Excel powerpoint
- TEAMS
- Care coordination
- Quality improvement
- Community engagement strategies
Certification
- LPN
- BLS Certification
- CPR Certification
- Driver's License
- State: WA
- PN Expires: January 2026
PERSONAL INFORMATION
- Title: LPN
- Driving License: Driver's License
- Availability: Willing to relocate: Anywhere
- Work Permit: Authorized to work in the US for any employer
Languages
English
Full Professional
Timeline
Licensed Practical Nurse, Triage
Providence Health Services
11.2019 - Current
LPN School Nurse
Maxim Health Care Tacoma School District
09.2017 - 10.2019
LPN Case Manager
CDWA State of Washington
02.2017 - Current
LPN Charge Nurse
Bridgeport Place Assisted Living
09.2015 - 11.2017
Triage Nurse
Hematology Oncology Northwest Medical Specialties
06.2014 - 09.2015
Utilization Management, Concurrent Review LPN
Sound Path Health Plan
08.2013 - 06.2014
Care Transitions Nurse, First Touch Program Coordinator
Signature Home Health Care
04.2013 - 08.2013
Concurrent Review Nurse, Nurse Case Manager
Centene Corporation, Coordinated Care Health Plan
05.2012 - 04.2013
Licensed Practical Nurse/Health Services Supervisor
Franke Tobey Jones
06.2011 - 04.2012
Assisted Living Supervisor LPN
Merrill Gardens
12.2009 - 05.2011
Associate - Nursing
Clover Park Technical College