Teaira Johnson
Mentor,OH
Summary
Experienced ICU nurse with a strong background in critical care and a desire to transition into a remote utilization review role. Proven ability to deliver high-quality patient care, collaborate effectively with interdisciplinary teams, and navigate complex medical scenarios. Seeking to leverage clinical expertise, analytical skills, and attention to detail in a remote utilization review position to ensure optimal utilization of healthcare resources and improve patient outcomes. Strong critical thinking, communication, and documentation abilities, combined with a commitment to evidence-based practice and compliance with healthcare regulations. Eager to apply clinical knowledge and passion for quality care in a remote setting to support healthcare organizations in achieving efficient and cost-effective utilization of services.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Registered Nurse Case Manager
MetroHealth Medical Center
04.2023 - Current
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Responded promptly and professionally to patient questions and concerns.
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Worked with suppliers and vendors on provision of medical equipment, items and services.
- Managed care from admission to discharge.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
Registered Nurse, Cardiac Unit
MetroHealth Medical Center
04.2023 - Current
- Proficiency in assessing and managing critically ill patients with complex medical conditions. This includes understanding pathophysiology of various diseases, interpreting lab results, and implementing evidence-based interventions to optimize patient outcomes.
- Competence in mechanical ventilation and respiratory support, including ventilator settings, assessment of lung mechanics, interpretation of arterial blood gases, and collaboration with respiratory therapists to optimize oxygenation and ventilation.
- Ability to remain calm and focused in high-stress situations, such as medical emergencies or rapid changes in patient condition. Making quick decisions, prioritizing interventions, and initiating appropriate actions during critical events.
- Expertise in administering and titrating critical care medications, such as vasoactive drips, sedatives, analgesics, and antiarrhythmics. Knowledge of medication interactions, side effects, and potential complications.
- Developed and implemented patient care plans based on physicians' instructions and generally accepted nursing practices.
- Comprehensive assessment skills to evaluate multiple body systems simultaneously, including cardiovascular, respiratory, neurological, renal, and gastrointestinal systems. Recognizing subtle changes in patient conditions and intervening promptly.
- Accurate and thorough documentation of assessments, interventions, medications, and patient responses.
- Providing compassionate and supportive care to patients and their families during end-of-life situations. Understanding ethical considerations, facilitating difficult conversations, and providing emotional support.
- Administered medication, pain management and analysis of patient responses to interventions to improve individual performance.
- Conducted initial assessments, documented findings in patient records and notified physicians of abnormal findings.
- Prioritized and revised patient care activities based on acuity of symptoms and patient preferences.
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
- Assisted in diagnosis and treatment of conditions such as unstable angina, cardiomyopathy, coronary artery disease and cardiac dysrhythmia.
- Administered nursing care to cardiac patients undergoing diagnostic, therapeutic or emergency services.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Liaised with patients following cardiothoracic surgical procedures, providing support and education on post-surgical care.
Registered Nurse, ICU
UNIVERSITY HOSPITAL – TRIPOINT
03.2021 - 03.2023
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
HEDIS Review Nurse
314e
03.2022 - 09.2022
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
- Followed up with medical staff regarding missing information in patient records.
- Scanned and uploaded medical records into electronic medical records system.
- Transcribed and entered patient medical information into electronic medical records systems.
- Researched and resolved medical record discrepancies.
- Integrated decision support, clinical pathways and best practices into health information technology to enhance delivery of care and workflows.
Travel Registered Nurse, ICU
Maxim Healthcare Staffing
12.2020 - 02.2021
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
- Assessed patient conditions by taking vital signs and evaluating symptoms to determine appropriate treatment.
- Collaborated with interdisciplinary teams to develop impactful treatment plans.
- Documented all elements of care and updated patient charts and confidential files to reflect changes in care plans, interventions applied, and observations.
- Responded to emergency situations to provide rapid and accurate care.
- Utilized ventilators, monitors and infusion pumps following manufactures' guidelines.
Cardiac Stepdown Registered Nurse
Cleveland Clinic
06.2020 - 06.2021
- Ability to respond effectively to cardiac emergencies such as chest pain, cardiac arrest, or acute decompensation. Understanding advanced cardiac life support (ACLS) protocols and participating in code blue situations.
- Accurate and timely documentation of patient assessments, interventions, medications, and progress notes. Adhering to legal and regulatory requirements for documentation and maintaining confidentiality of patient information.
- Administration of cardiac medications, such as antiarrhythmics, anticoagulants, vasodilators, and beta-blockers. Understanding the actions, side effects, and potential complications associated with these medications, as well as monitoring their effectiveness and adjusting dosages as necessary.
- Collaborating with cardiologists, cardiac surgeons, nurse practitioners, respiratory therapists, physical therapists, and other healthcare professionals to provide coordinated care to patients. Communicating effectively to ensure seamless transitions and continuity of care.
- Expertise in caring for patients recovering from cardiac procedures such as coronary artery bypass grafting (CABG), valve replacements, or pacemaker insertions. Knowledge of post-operative protocols, including monitoring vital signs, assessing incisions, managing drainage systems, and providing pain management.
- Proficiency in monitoring and interpreting cardiac rhythms, including identifying arrhythmias and changes in EKG patterns. This involves using telemetry systems, understanding common cardiac medications, and promptly recognizing and responding to any abnormal cardiac rhythms or changes.
- Providing comprehensive education to patients and their families regarding their cardiac condition, medications, lifestyle modifications, and self-care techniques. Supporting patients in understanding their treatment plans and promoting adherence to cardiac rehabilitation programs.
LPN
Cleveland Clinic
05.2019 - 05.2020
- Assisting patients before, during, and after procedures, including colonoscopies, flexible sigmoidoscopies, and endoscopic procedures. This involves explaining the procedure, and ensuring patients are comfortable.
- Providing education to patients and their families about the surgical procedure, post-operative care instructions, and any necessary lifestyle changes. Addressing questions and concerns to ensure patients understand their treatment plans.
- Administering medications as prescribed by the physician, including pre- and post-operative medications, pain management medications, and antibiotics. Ensuring accurate documentation of medication administration.
- Accurately documenting patient information, including assessments, vital signs, medication administration, and any changes in condition. Maintaining organized and detailed patient records in EPIC.
- Adhering to all safety protocols and infection control measures. Ensuring compliance with regulatory guidelines and maintaining a safe environment for patients and staff.
- Cared for wounds, provided treatments, and assisted with procedures.
- Assisted with admissions, appointments, transfers, and discharges.
LPN
Pleasant Lake Villa
03.2012 - 03.2019
- Providing direct care to residents, including assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, and toileting. Monitoring vital signs, observing and reporting changes in residents' conditions, and administering medications as prescribed.
- Administering medications according to prescribed orders and ensuring accurate documentation. Understanding medication interactions and side effects, and monitoring residents for any adverse reactions.
- Responding appropriately to emergencies and crisis situations, such as falls, cardiac events, respiratory distress, or other medical emergencies. Knowing facility protocols and taking prompt action to ensure resident safety and well-being.
- Trained and supervised a team of nursing assistants, providing comprehensive instruction on patient care techniques, safety protocols, and communication skills.
- Coordinated patient transfers to other facilities.
- Helped patients complete bathing, dressing and eating.
EMR Consultant
Leidos Health
06.2014 - 09.2018
- Responded to customer inquiries and provided technical assistance over phone and in person.
- Diagnosed and troubleshot hardware, software and network issues.
- Researched and identified solutions to technical problems.
- Configured hardware, devices, and software to set up work stations for employees.
- Created user accounts and assigned permissions.
- Broke down and evaluated user problems, using test scripts, personal expertise, and probing questions.
- Installed, configured and maintained computer systems and network connections.
- Configured and tested new software and hardware.
- Generated reports to track performance and analyze trends.
- Offered assistance in implementing and developing training programs.
- Tested new software and hardware prior to deployment.
- Monitored system performance to identify potential issues.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Supported medical staff by providing organized and accurate medical records.
- Maintained patient confidence by keeping patient records information confidential.
- Maintained patient records systems by archiving, scaning and indexing important documents and files.
- Reviewed charts and flagged incomplete or inaccurate information.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Analyzed complex medical records to identify discrepancies in accuracy and completeness.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
Medical-Surgical LPN
Metro Health System
03.2010 - 12.2011
- Conducting thorough assessments of patients, including physical assessments, vital signs monitoring, and obtaining a detailed medical history. Identifying changes in patients' conditions and promptly reporting them to the healthcare team.
- Administering medications orally, intramuscularly, subcutaneously, and intravenously (depending on the scope of practice). Ensuring accurate medication dosages, following medication administration protocols, and monitoring for any adverse reactions.
- Managed caseload of 5-6 patients simultaneously by providing bedside care, treatments, IV therapy, and wound care.
- Provided inpatient care to diverse population of adult medical and surgical patients.
- Performing wound assessments, dressing changes, and managing wounds under the guidance of the healthcare team. Implementing appropriate infection control measures and providing education on wound care management to patients and their families.
- Administered IV medications, monitoring and documenting patient responses to address complications.
- Assisted with wound care, dressing changes and NG tube placement to maintain stable patient conditions.
Education
Bachelor of Science - Nursing
Ohio University
Athens, OH12.2021
Associate of Science - Nursing
Lorian County Communitiy College
Elyria, OH05.2020
LPN Diploma IV/MED Cert - Nursing
ATS Institute
Cleveland, OH12.2008
Skills
- Strong clinical assessment skills honed in ICU setting, including ability to analyze complex medical information, interpret diagnostic tests and lab results, and make informed decisions regarding patient care and treatment plans
- Well-developed critical thinking skills to analyze information, identify patterns, and make sound judgments in evaluating medical necessity and appropriateness of requested services Ability to consider multiple factors, such as patient history, clinical guidelines, and health plan policies
- Proficiency in medical terminology and understanding of disease processes, treatments, and interventions relevant to utilization review role This enables effective communication with healthcare providers and accurate evaluation of medical records
- Excellent written and verbal communication skills to interact with healthcare providers, insurance companies, and other stakeholders Ability to articulate medical necessity determinations clearly and effectively, both in written reports and during discussions or appeals
- Experience working collaboratively with healthcare teams, including physicians, nurses, case managers, and other professionals, to ensure effective coordination of care, adherence to treatment plans, and optimal resource utilization
- Meticulous attention to detail when reviewing medical records, verifying information, and documenting findings Accurate and thorough documentation is essential in utilization review to support decision-making and maintain audit readiness
- Proficiency in reviewing medical records and documentation for accuracy, completeness, and adherence to regulatory requirements Ability to identify discrepancies, gaps in care, and potential areas for improvement
Certification
- ACLS Certification, AHA Expiration Date:10/2024
- BLS Certification, AHA Expiration Date:10/2024
- BLS Instructor, American Heart Association, 2022
Timeline
Registered Nurse Case Manager
MetroHealth Medical Center
04.2023 - Current
Registered Nurse, Cardiac Unit
MetroHealth Medical Center
04.2023 - Current
HEDIS Review Nurse
314e
03.2022 - 09.2022
Registered Nurse, ICU
UNIVERSITY HOSPITAL – TRIPOINT
03.2021 - 03.2023
Travel Registered Nurse, ICU
Maxim Healthcare Staffing
12.2020 - 02.2021
Cardiac Stepdown Registered Nurse
Cleveland Clinic
06.2020 - 06.2021
LPN
Cleveland Clinic
05.2019 - 05.2020
EMR Consultant
Leidos Health
06.2014 - 09.2018
LPN
Pleasant Lake Villa
03.2012 - 03.2019
Medical-Surgical LPN
Metro Health System
03.2010 - 12.2011
Bachelor of Science - Nursing
Ohio University
Associate of Science - Nursing
Lorian County Communitiy College
LPN Diploma IV/MED Cert - Nursing
ATS Institute
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