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Hi, I’m
Shannon Carlson
Solon Springs,WI
Work Preference
Summary
Results-oriented RN Case Manager specializing in care coordination and utilization review. Demonstrated success in managing complex cases and developing discharge plans that optimize patient outcomes and reduce hospital readmissions. 24+ years of acute nursing experience and knowledge with a passion for care coordination, utilization review, and team development.
Overview
1
Certification
24
years of professional experience
Work History
Aspirus St. Luke's HospitalDuluth, MN
RN Care Coordinator- Team Lead
01.2022 - Current
Job overview
- Led a diverse team of 25 members - RNs and Social Workers; fostering a collaborative and high-performance culture.
- Coordinated daily operations to streamline workflow among team members.
- Provided guidance, coaching, and feedback to team members.
- Developed strategies that enhanced team productivity and effectiveness.
- Created shift schedules and coordinated with team members to maintain sufficient staffing levels during employee absences.
- Recruited, trained, and supervised new RN Case Managers & Social Workers.
- Performed all tasks while serving as RN Care Coordinator in the Emergency Department. See RN Case Manager (below) for duties entailed in this role.
Aspirus St. Luke's HospitalDuluth, MN
Ethics Committee Member
01.2021 - Current
Job overview
- As a member of the hospital Ethics Committee, responsibilities include:
- Assisted in the development of educational materials for staff and patients on topics such as spirituality, ethics, values clarification.
- Attended lectures presented by professionals on ethics topics and diversity awareness.
- Ensured compliance with company policies related to safety standards, ethics, and legal regulations.
- Completed case reviews when questions of ethics were identified with acute hospitalized patients. Interviewed patients, family, health care team, etc. Information reviewed with on-call Ethics provider to determine need for formal ethics meeting.
- Provided guidance on ethics issues related to patient care.
St. Luke's HospitalDuluth, MN
RN Case Manager
01.2016 - 05.2022
Job overview
- Managed complex cases by assessing patient needs and resources effectively.
- Collaborated with healthcare providers to optimize patient outcomes.
- Advocated for patient access to services and community resources, ensuring optimal support for diverse patient needs.
- Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
- Educated patients on disease prevention strategies, wellness promotion techniques and lifestyle modifications.
- Assessed patient medical records to determine the appropriateness of requested services and procedures.
- Identified high-risk cases requiring intensive monitoring or specialized interventions.
- Utilized Interqual to evaluate patient needs and guide care level decisions.Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Actively participated in multidisciplinary rounds discussing complex cases with members of the healthcare team.
- Placed patients in appropriate community care settings, facilitating transitions that prevented unnecessary hospitalizations.
- Utilized EPIC electronic medical record system to manage patient information effectively.
- Provided expertise and support to staff regarding utilization review processes.
- Maintained current knowledge of health plan benefits, policies, procedures, regulations, and coding guidelines to enhance case management effectiveness.
- Ensured compliance with regulatory standards concerning utilization review, ethical decision making and legal aspects of case management practice.
- Assisted in developing policies to enhance utilization review procedures.
- Monitored regulatory changes affecting utilization management strategies.
St. Luke's HospitalDuluth, MN
Registered Nurse, Medical-Surgical Unit
06.2002 - 01.2016
Job overview
- In addition to being a staff RN, worked as Staff Development Facilitator on a 35 bed med-surg unit from 2012-2016. Job responsibilities included attending interviews, developing & managing orientation schedules, and functioned as preceptor for all new unit staff; RNs, LPN, CNAs, & HUCs. Updated and trained staff for use of new equipment, policies, and guidelines. Kept detailed documentation of yearly ream education & trainings.
- From 2002-2012 worked as unit RN Staff Nurse where duties included:
- Educated patients and families on health management and discharge instructions.
- Maintained accurate patient records using electronic health record systems.
- Guided nursing students during clinical rotations and training sessions.
- Provided direct nursing care to medical-surgical patients including assessments, treatments, medications and documentation of care.
Education
Wisconsin Indianhead Technical CollegeSuperior, WI
Associate of Science from Registered Nurse
05-2002
Superior Senior High SchoolSuperior, WI
High School Diploma
06-1996
Skills
- Care coordination
- Case management
- Discharge coordination
- Chronic care management
- Utilization review
- Interqual proficiency
- EPIC documentation
- Multidisciplinary collaboration
- Team management
- Staff supervision
- Team coordination
- Coaching and mentoring
- Time management
- Ethical practice
- Patient satisfaction and process improvement
Certification
- Registered Nurse
- Case Management Certification
- Med-Surg Certification
Accomplishments
- Daisy Award
Timeline
RN Care Coordinator- Team Lead
Aspirus St. Luke's Hospital
01.2022 - Current
Ethics Committee Member
Aspirus St. Luke's Hospital
01.2021 - Current
RN Case Manager
St. Luke's Hospital
01.2016 - 05.2022
Registered Nurse, Medical-Surgical Unit
St. Luke's Hospital
06.2002 - 01.2016
Wisconsin Indianhead Technical College
Associate of Science from Registered Nurse
Superior Senior High School
High School Diploma