Christy L Sharman RN MSN

Discharge planner for Complex medical cases.

Work on an inpatient hospital team managing Members preadmission, inpatient admission and post discharge education and discharge planning needs. Ensure Member and families understand their resources, provide education, assist with discharge planning needs ensuring no gaps in care. Help Member's Navigate the Healthcare System. Present Complex cases to Leadership and Medical Directors. Ensure Members are moving thru the healthcare continuum appropriately providing education along the way.

Work PRN in the Hospital setting for Case Management and Discharge planning

Went to work full time in the Piedmont Columbus Ga area

Lead a care management team of approx 30 employees. Responsible for staff scheduling, payroll, performance evaluations as well as continuing education. Continue to manage a team thru the Covid Pandemic. Implemented new strategies for effective communication including daily huddles via email, and weekly newsletters. Assisted Team members in dealing with the stressors that Covid presented by implementing strategies to improve department morale. Promote a multidisciplinary approach to focus on team members strengths. Work with outlying facilities for transitions of care and improving community relations. Assist team members with complex patients and serve as a resource within the department.

• Manage a clinical case load for 20 to 30 patients in the ICU/IMCU setting
• Responsible for discharge screenings, High risk assessments, discharge planning/placement, organizing patient family conferences, and communicating with physician and multidisciplinary teams to ensure patient is receiving appropriate level of care. Facilitate progression of care. proficitient in ordering appropriate DME and HH services including recommending DME and HH services that may prevent futur readmissions. Recently arranged to have an uninsured undocumented patient flown back to their native country via charter plain with crew to accomodate mechanical ventilation and medical team awaiting to accept them
• Ensuring patients are placed in correct admission status
• Responsible for Medicare UM updates proficient using Interqual
• Assist in training new care managers
• Scheduling Case Managers daily assignmenst
• Ownership of case loads is essential as well as practicing in a proactive approach to ensure high quality outcomes for patients
• Discuss discharging options with patients and families including Hospice, rehab, home health, providing community resources to assist patient and family in remaining out of the hospital
• Facilitate Multidisciplinary rounds on units allowing for patient centered care
• Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system
• Collaborated with doctors to plan post-treatment home care and prevent return hospitalization due to complications

• Assisted in Opening a Clinic in March of 2016, Ensured CMS ready
• Responsible for Daily operation of Dialysis floor including managing staff members, and completing all patient assessments
• Addressing daily issues such as transportation needs, physician appointment, access intervention, medication reviews, Hepatitis tracking, monthly laboratory values and bimonthly physician follow ups
• Have worked with Braun, and Fresenius T machines, The CWP RO system, Competent in daily water checks, weekly disinfect of a Bicarb loop while ensuring all company Policy's and Procedures are being followed
• Assisted in developing policies to comply with CMS guidelines
• Developed and adapted individualized treatment plans according to patient recovery goals
• Educated patients, caregivers, and families on diagnoses, treatment and disease prevention

• Registered Nurse in Intermediate Care Unit with Cross Training in Intensive Care Unit. Managed a case load of 4 patients
• Cared for critically ill patients, post heart catheterization patients, Stable Ventilators, Monitored Laboratory Values, worked closely with all members of health care team to provide quality patient-centered care
• Served as preceptor and mentor for new employees including new graduate nurses
• Completed oncoming staff assignements

• Responsible for teaching New Hire Orientation weekly
• Case manager for critically ill children requiring home ventilation, Peg tube feedings, central line infusions, and Tracheostomy care. Average case load was 30+ patients
• Worked with parents and home nursing staff to ensure all patient needs were being met
• Supervised LPN's by making monthly home visits, and telephone calls
• Ensured GAPP paperwork was completed monthly for the appropriate hours as well as updated care plans monthly with a specific needs assessment and physcian collaboration
• Worked with physician to complete required paperwork for home supplies, DME, and therapies
• Prioritized monthly duties to meet deadlines and maintain quality standards
• Responded quickly to medical emergencies to promote best possible health outcomes. Ensured Staff were trained to respond to medical emergencies

• Trained patients and caregiver for Home hemodialysis with Nx Stage in a very intensive 12 week training program
• Provided 24/7 support to patients and family members
• Worked one on one with patients 5 days a week assisted setting up patients home for hemodialysis treatments including ensuring an appropriate water supply
• Monitored monthly labs and completed monthly assessments on home therapy patients

• DOPPS- Dialysis outcomes and practice patterns study
• Imputed quarterly data that has worked to improve dialysis outcomes for ESRD patients all across the world
• Worked to improve quality patient outcomes based of current research. Provided education to Staff on quality improvement issues
• Identified issues and provided timely resolutions

• Served as Charge Nurse for a 12 station hemodialysis clinic
• Restructured the process flow to minimize weight times for patients, improving employee satisfaction, while optimizing patient flow
• Worked with the Braun machines, responcibile for daily operations of the dialysis clinic ensuringcompliance with CMS guidelines
• Served as a preceptor for new employees
• Monitored monthly labs, rounded bi-monthly with multidisciplinary team to provide individualized patient-centered care
• Performed all monthly duties including care plans, assessments, served as anemia manager, foot checks, medication checks, scheduled appointments for access intervention
• The clinic received a five star rating and received a 97% patient satisfaction report during service time as charge nurse
• Interviewed new hires
• Trained and mentored new RNs on best practices, hospital policies and standards of care

• Worked in the Intensive Care and Cardiovascular Intensive Care
• Cared for Open heart surgery patients, balloon Pumps, SWAN catheters, Arterial Lines, Chest Tubes, Monitored patients in a critical setting
• Monitored labs and worked with all disciplines to provide individualized holistic care for patients
• Provide education to patients and family during a very critical process to ease the stress being felt
• Always kept patients updated as to the events taking place
• Served as a Charge Nurse and preceptor for new employees ensuring policy and procedures were being followed per institutional guidelines
• Assisted in finding new ways to provide quality patient care with new innovations
• Calibrated Art lines and SWAN equipment as needed to maintain proper operation

• Internal Medicine and Associates, Joplin Missouri Served as lead office nurse for a busy primary care practice, assisted with flexible sigmoidoscopies, stress testing, labs processing, billing, ICD 9 coding
• Scheduled appointments, obtained prior authorizations and referrals from insurance companies
• Followed up with patients in regards to lab or test results, scheduled referrals, provided ongoing education to patients
• Completed lab draws, hgb A1c monitoring, PT monitoring, lipid monitoring, provided educational information to patients and families
• Completed daily quality contol checks for all labratory monitors
• Educated patients in regards to office policies, medical procedure steps, recovery measures and medication instructions
• Inoculated and vaccinated patients to immunize against communicable diseases
• Measured average of 30 patients' weight, height, body temperature, pulse rate and blood pressure each day

• St. Johns Regional Medical Center, Joplin Missouri Served as a patient care technician while going to nursing school and then continued working as a Registered Nurse
• Cared for Neurology/Neurosurgical patients including CVA's, MVA's, head injuries, spinal cord injuries
• Cared for Tracheostomy patients and learned a basic understanding of the nursing process and cared for a highly intensive med/surgical Patients
• This is where I gained a basic understanding of how to be a nurse and understanding pathophysiology behind the disease processes
• Administered medications, tracked dosages and documented patient conditions
• Administered oral, intramuscular and IV medications to patients and monitored responses