Sharon Shari Carson
Natrona Heights
Summary
Dynamic registered nurse with over 20 years of expertise in case management, assessment, and department supervision, eager to leverage a comprehensive skill set in a challenging new role. Demonstrated success in driving patient-centered care, enhancing operational efficiency, and fostering team collaboration. Committed to providing valuable insights and cultivating a supportive environment that promotes excellence in healthcare delivery. Seeking to join an organization that prioritizes dedication and innovation in nursing practice.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Complex Case Manager
Highmark Inc.
01.2006 - Current
- Maintain oversight over specified panel of members by performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or training members to appropriate resources for additional support
- For assigned case load, create care plans to address members' identified needs, remove barriers to care, identify resources and conduct a number of other activities to help improve the health outcomes of members both long and short term with plan for regular contacts for reassessment
- Ensure targeted percentage of patient goal achievement
- Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards
- Maintain current knowledge and adheres to applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by the organization
Workman's Compensation Telephonic Case Manager
Health Direct
01.2005 - 01.2006
- Effectively manage assigned caseload of medical/disability cases within company and regulatory guidelines
- Communicate with claimants, medical professionals, claims staff and others to obtain information necessary to make sound medical decisions
- Respond to various written and telephonic inquiries regarding status of cases
- Complete initial case evaluation by assessing injury/disability severity, treatment plans, functional abilities and physical job requirements and establish case-specific target return-to-work dates
RN Liaison/Supervisor
Medi Home Health Agency
01.2003 - 01.2005
- Develop and establish new business referral sources consistently
- Maintain knowledge of Medicare and State specific home health care regulations
- Obtain physician orders for specified treatments and participate in the referral process
- Promote entire umbrella of services across the home health continuum of care
- Successfully maintain current relationships with referral sources
- Maintain a cooperative relationship among health care teams by communicating information, responding to requests, build rapport and participate in team problem solving methods
- Maintain documentation of patient care services by auditing patient and department records
- Resolve patient needs by utilizing multidisciplinary team strategies
- Accomplish nursing human resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining of employees
- Communicate job expectations, planning, monitoring, appraising job contributions, recommending compensation actions, adhering to policies and procedures
- Navinet data entry
RN
Concordia Visiting Nurses
01.2001 - 01.2003
- Complete admission, re-certification and discharge assessments
- Evaluate members needs and coordinate their patient care – develop plan of care with physician, the patient and their family
- Take and carry out orders from the patient's physician as directed
- Supervised and evaluated care given by the home health aide vs. the patient biweekly
Pediatric/Internal Medicine RN
Russellton Medical Group
01.1998 - 01.2001
- Provide patient care by conducting patient assessments while recording medical history and symptoms
- Administering treatment and medications
- Perform diagnostic testing
- Appointment scheduling, coordinate patient care
- Completing documentation in medical chart
- Provide patient education before and after procedures/tests/use of medical equipment and prescriptions
Education
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Citizens School of Nursing
Tarentum, PAPenn State University, New Kensington Campus
New Kensington, PAundefined
Freeport High School
Sarver, PASkills
- Process improvement methods
- Strong technical capabilities
- Healthcare management
- Comprehensive case assessment
Certification
- Healthcare Provider CPR/AED, Adult, Child and Infant and First Aid
Timeline
Complex Case Manager
Highmark Inc.
01.2006 - Current
Workman's Compensation Telephonic Case Manager
Health Direct
01.2005 - 01.2006
RN Liaison/Supervisor
Medi Home Health Agency
01.2003 - 01.2005
RN
Concordia Visiting Nurses
01.2001 - 01.2003
Pediatric/Internal Medicine RN
Russellton Medical Group
01.1998 - 01.2001
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Citizens School of Nursing
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Freeport High School
Penn State University, New Kensington Campus
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