Nikole Johnson Email and Phone Number

Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.acute and chronic condition education in all conditions but specialized in renal , heart failure diabetes.

Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.Works closely with the care team to craft personalized and thorough care plans addressing the clinical and non-clinical needs of each patient.Conducts regular assessments virtually to detect undisclosed medical or social issues and changes in the home environment that could pose risks, promptly referring such matters to the appropriate channels for resolution.Initiates proactive outreach to patients and/or clinics as outlined in program guidelines to evaluate their status, offer assistance, and address inquiries promptly.Manages a diverse patient panel, swiftly and accurately evaluating individual needs while adhering to NCQA standards for complex case management.Communicates updates to the care team and family members, identifying gaps in patient understanding of their health status and delivering tailored education and resources to promote informed decision-making.Acts as a liaison with dialysis facilities, conveying care plan updates to facilitate smooth transitions in care, and maintains accurate program software records.Generates and evaluates reports using Strive data platforms to identify trends, anomalies, and areas requiring focus.Provides culturally sensitive care to meet the diverse needs of Strive patients, fostering collaboration and communication among all clinical team members to enhance care provision.Utilizes clinical judgment, analytical skills, regular and predictable attendance, and comprehensive knowledge of case management programs to deliver high-quality care.

Taught family members and caregivers various ways to manage patients' pain, how to check for vital signs and proper methods for dressing changes.Recognized and understood specific stages of dying process, providing comfort-based care during vulnerable times.Established and maintained successful relationships with patients, families and physicians by utilizing exemplary communication and active listening skills.Provided high level of quality, compassionate care to patients and caregivers during each nursing shift.Communicated with healthcare team members to plan, implement and enhance treatment strategies.Developed and implemented individualized care plan for each hospice patient while following physician instructions

Monitored surgical patients and delivered quality level of care before, during and after operations to promote positive outcomes.Assisted surgeons with cutting of tissue, clamping and suturing during operational procedures.Educated patients and families on illnesses, medications and treatment plans.Collaborated with members of patients' healthcare team to deliver appropriate level of care.Kept count of all surgical instruments and sponges used during operations and procedures.Provided direct support to surgical team during procedures.

Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.Monitored patient reactions after administering medications and IV therapies.Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.Educated family members and caregivers on patient care instruction

Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems. Facilitated individual and group sessions to promote positive behavior change for clients.Developed and implemented training programs for staff. Provided leadership, guidance and support to staff members.Researched best practices and developed strategies to improve program outcomes.Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.

Facilitated individual and group sessions to promote positive behavior change for clients.