Lorie Johnson
Selma,TX
Summary
Accomplished Nurse Care Manager with a proven track record at Aetna, adept in care coordination and quality improvement, significantly reducing hospital readmissions. Skilled in clinical judgment and effective communication, I excel in developing patient-centered care plans that enhance patient outcomes. My collaborative approach and adaptability ensure seamless care transitions and optimized patient health.
Overview
11
11
years of professional experience
Work History
Nurse Care Manager
Aetna
09.2017 - 07.2024
- Coordinated and analyzed sustainable person-centered care plans involving internal and external providers.
- Reduced hospital readmissions by closely monitoring patients'' progress and adjusting care plans as needed.
- Educated and evaluated clinical and support staff regarding care quality management regulations and standards of care.
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services for patients.
- Collected and aggregated data to identify problems or trends, such as turnaround time and issues with physician offices.
- Facilitated assessment of individual physiological, psychological, financial, cultural and family situation and coordinated social services to address individual and family needs.
- Assessed healthcare needs and monitored effectiveness and progress plans to achieve desired outcomes.
- Identified opportunities to optimize communication within inpatient and cross-continuum teams to drive effective patient flow and sustainable care transitions from hospital and home, within community care settings and implement supplemental care and services for high-risk patients.
- Improved patient outcomes by implementing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- Managed complex caseloads for high-risk patients, ensuring timely delivery of appropriate interventions and services.
- Streamlined workflow efficiency by collaborating with team members to optimize utilization of resources and prevent gaps in care.
- Actively participated in quality improvement initiatives for nursing practices within the organization.
RN Floor Nurse
Metropolitan Methodist Hospital
10.2013 - 01.2017
- Utilized software to document nursing assessments, treatments, medications, and discharge instructions.
- Provided effective patient education, ensuring understanding of medical conditions and treatment protocols for better self-management.
- Promoted a safe environment by consistently adhering to infection control policies and procedures.
- Collaborated with healthcare team members to assess, implement, and evaluate nursing care plans.
- Strengthened relationships between patients, families, and healthcare providers through clear communication and active listening skills.
- Examined and treated patients' injuries and pressure wounds to promote healing.
- Collaborated with interdisciplinary teams to develop optimal care plans, resulting in improved patient outcomes.
- Administered medication such as insulin and monitored patients' responses to detect problems.
- Facilitated timely discharges through efficient coordination with case managers, social workers, and physicians.
- Advanced critical thinking skills for prompt identification of potential complications or deteriorating conditions, leading to timely interventions that prevent further health decline.
- Collected and documented vital signs to maintain current records of patient's conditions.
- Improved patient care by providing compassionate and comprehensive nursing support on a busy hospital floor.
- Managed patients recovering from medical or surgical procedures.
- Delivered a high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
Education
Associate of Applied Science - Registered Nurse
San Antonio College
San Antonio, TX03.2013
Skills
- Clinical judgment
- Nutrition counseling
- Health Promotion
- Care Coordination
- Quality Improvement
- Diabetes management
- Discharge Planning
- Compassionate Care
- Electronic Charting
- Teamwork and Collaboration
- Problem-Solving
- Time Management
- Attention to Detail
- Multitasking
- Critical Thinking
- Strong Clinical Judgment
- Team Collaboration
- Active Listening
- Effective Communication
- Adaptability and Flexibility
- Patient and family advocacy
- Patient Education
- Microsoft Office
- Task Prioritization
- Goal Setting
- Documentation
- Case Management
Additional Information
Have unrestricted registered nursing licenses in the following states: Texas (compact), New York, Michigan, California, and the District of Columbia.
Timeline
Nurse Care Manager
Aetna
09.2017 - 07.2024
RN Floor Nurse
Metropolitan Methodist Hospital
10.2013 - 01.2017
Associate of Applied Science - Registered Nurse
San Antonio College