Pamela Williford
Knoxville,TN
Summary
RN Certified Case Manager with extensive clinical experience in high-risk populations. Dedicated to enhancing health outcomes through personalized care plans and effective communication strategies. Recognized for reliability and compassion in delivering exceptional patient care.
Overview
16
16
years of professional experience
1
1
Certification
Work History
RN Case Manager
Somatus
Knoxville, TN
09.2025 - Current
- Conducted patient assessments and developed and coordinated DSNP/MOC care plans tailored to individual needs. Educated patients on effective medication management and disease management, monitored progress and modified care plans accordingly, and advocated for necessary healthcare access alongside ICT team. Ensured adherence to CMS/NCQA regulatory standards.
LTSS RN Clinician
Elevance Health
Knoxville, TN
01.2023 - 09.2025
- Engaged and supported ECF/CHOICES individuals in completing comprehensive needs assessment, developing and implementing person centered care plans to address needs including management of chronic health conditions, health promotion, social determinants of health, medication management and safety, collaborate with interdisciplinary teams, and address and facilitate physical and behavioral health needs.
RN Case Manager
Blue Cross Blue Shield
Knoxville, TN
03.2011 - 01.2023
- Assessed and managed clinical and non-clinical needs of individuals with chronic illnesses, comorbidities, and disabilities resulting in improved health outcomes. Build and maintain relationships with providers to provide optimal care and treatment. Participate in collaborative team meetings to identify opportunities for cost effective alternatives to care. Consult with the Medical Director and interdisciplinary teams to troubleshoot difficult or complex cases.
Registered Nurse
Quality Home Health
05.2010 - 03.2011
- Administered treatments, procedures, IV infusion, wound care, and medications ordered by the physician. Provided patient education on disease management and processes.
Education
Associate Of Applied Science - Nursing
Walters State Community College
05-2005
Skills
- Certified Case Manager (CCM)
- LTSS/DSNP/MCO experience
- Critical thinking and delegation
- Care plan development
- Discharge planning and management
- Disease management strategies
- Effective communication skills
- Independent work capabilities
- Integrated care coordination
- Medical case management
- Motivational interviewing techniques
- Patient education initiatives
- Proficiency in Microsoft Office/EHR
- Chronic disease management
Certification
Certified Case Manager (CCM)
Timeline
RN Case Manager
Somatus
09.2025 - Current
LTSS RN Clinician
Elevance Health
01.2023 - 09.2025
RN Case Manager
Blue Cross Blue Shield
03.2011 - 01.2023
Registered Nurse
Quality Home Health
05.2010 - 03.2011
Associate Of Applied Science - Nursing
Walters State Community College