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Constance Johnson Email & Phone Number
Quality Specialist II
at
CareFirst BlueCross BlueShield
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Profile completeness 100%
Current company
Role
Quality Specialist II
Location
Pocomoke City, Maryland, United States
Who is Constance Johnson? Overview
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Quick answer
Constance Johnson is listed as Quality Specialist II at CareFirst BlueCross BlueShield, based in Pocomoke City, Maryland, United States. AeroLeads shows a matched LinkedIn profile for Constance Johnson.
Constance Johnson previously worked as Medical Records Reviewer at Professional Services Network, Inc and RN Care Manager at Humana. Constance Johnson holds Bs, Ms, Nursing from Salisbury University, Salisbury, Md.
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CareFirst BlueCross BlueShield
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Profile bio
About Constance Johnson
Registered Nurse with over 30 years of experience working in various healthcare settings. Trained to identify and assist with closing gaps in healthcare. Utilization Review | HEDIS Data Abstraction johnsoncld4@gmail.comCompassionate and self motivated registered nurse passionate about ensuring that patients receive the best care possible. My background in education, patient education, home health and rehabilitation/geriatrics has given me the foundation needed in remote healthcare by utilizing excellent communication, time management and critical thinking skills.Trained to assist in detecting and closing care gaps and to use evidence based guidelines to ensure patients receive the appropriate level of care.CORE COMPETENCIES• Preauthorization• Concurrent Review• Appeals/Denials• Utilization Review• Utilization Management• HEDIS Data AbstractionContact me at johnsoncld4@gmail.com for any Utilization Review and HEDIS opportunities.
Listed skills include Emr/Ehr Various Systems, Knowledge Of Claims/Billing, Bls Instructor, School Nurse, and 28 others.
Current workplace
Constance Johnson's current company
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12 roles
Constance Johnson work experience
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Medical Records Reviewer
Professional Services Network, Inc
Reviewed and analyzed patient medical records, ensuring compliance with relevant regulations and guidelines.Assessed the quality and appropriateness of medical care provided, identifying areas for improvement and adherence to best practices.Ensured that healthcare providers maintained proper documentation, including diagnosis, treatment plans, and progress.
Jun 2024 - Sep 2024
Rn Care Manager
Provided telephonic outreach to assess and support member’s health, offering education, identifying resources and helping remove barriers to achieving health and independence, identified and closed gaps in patient care. Addressed HEDIS/Star measures to ensure appropriate care.
Apr 2023 - Jul 2024
Nurse Aide Instructor/Program Coordinator
Coordinated and implemented policies and procedures to maintain a successful Nursing Assistant programManaged all aspects of a nurse aide program including administration, development, planning and organization of the program Utilized various methods of educational delivery such as Google Meet, Zoom and other learning platforms
Jan 2008 - Apr 2023
School Nurse
Coordinated and implemented care for over 700 students and staff
Jan 2004 - Jan 2008
Adjunct Faculty Instructor
Under the direct supervision of the Administrator, provided instruction and maintained program documentation for the Nursing Assistant programManaged all aspects of a nurse aide program including administration, development, planning and organization of the programUtilized various methods of educational delivery such as Google Meet, Zoom and other learning.
Aug 2006 - Apr 2023
Staff Nurse
As a staff nurse fulfilled role of primary bedside nurse in a 73 bed skilled facilityMaintained health records and reportsObserved and monitored resident’s health and collaborated with health care professionals as needed to coordinate and manage appropriate patient care
Jan 2018 - Jul 2019
Home Health Nurse
Intrepid Usa
Provided one on one care to patients in their homes. Provided nursing care, education and supportProvided case management and patient care coordination for home care patientsProvided care so that patients/clients had the necessary tools to manage care at home
Dec 1994 - Sep 2006
Diabetes Educator/Patient Education
Shore Memorial Hospital
Part of the patient education team responsible for educating patients and the public on various topics especially diabetes Established a diabetes self-management program
Jul 2002 - Aug 2004
Nurse Aide Clinical Instructor
Planned, implemented and evaluated the clinical experiences for nurse aide studentsAssisted the lead instructor with classroom/laboratory instruction
Sep 1999 - May 2002
Staff Nurse-Heart Unit
Provided pre-op and post-op care for patients undergoing cardiac procedures
Jan 2000 - May 2001
Rn- Float/Ccu Nurse
Performed physical assessments, patient monitoring and patient educationWorked collaboratively with an interdisciplinary team to care for critically ill patients
Dec 1990 - Jan 1993
1 education record
Constance Johnson education
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Salisbury University, Salisbury, Md
FAQ
Frequently asked questions about Constance Johnson
Quick answers generated from the profile data available on this page.
What company does Constance Johnson work for?
Constance Johnson works for CareFirst BlueCross BlueShield.
What is Constance Johnson's role at CareFirst BlueCross BlueShield?
Constance Johnson is listed as Quality Specialist II at CareFirst BlueCross BlueShield.
Where is Constance Johnson based?
Constance Johnson is based in Pocomoke City, Maryland, United States while working with CareFirst BlueCross BlueShield.
What companies has Constance Johnson worked for?
Constance Johnson has worked for Carefirst Bluecross Blueshield, Professional Services Network, Inc, Humana, Accomack County Public Schools, and Eastern Shore Community College.
How can I contact Constance Johnson?
You can use AeroLeads to view verified contact signals for Constance Johnson at CareFirst BlueCross BlueShield, including work email, phone, and LinkedIn data when available.
What schools did Constance Johnson attend?
Constance Johnson holds Bs, Ms, Nursing from Salisbury University, Salisbury, Md.
What skills is Constance Johnson known for?
Constance Johnson is listed with skills including Emr/Ehr Various Systems, Knowledge Of Claims/Billing, Bls Instructor, School Nurse, Excellent Customer Service, Patient Assessment, Direct Patient Care, and Teaching.
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