Sharonda Williams
Pearland,TX
Summary
Experienced RN Case Manager with a strong focus on care coordination, quality improvement, and regulatory compliance. Proven ability to enhance patient satisfaction through collaborative care plans and streamlined processes.
Overview
1
1
Certification
29
29
years of professional experience
Work History
RN Case Manager
TIRR Memorial Hermann Rehab Hospital
Houston, TX
09.2024 - Current
- Coordinated interdisciplinary patient care plans at TIRR Memorial Hermann, enhancing collaboration and ensuring comprehensive care delivery.
- Collaborated with physicians, and other members of the multidisciplinary care team to ensure timely, appropriate patient care.
- Monitored patient progress throughout continuum, aligning services with care standards to optimize outcomes.
- Proactively identified and resolved delays or any barriers to discharge.
Manager of Utilization Review / Care Manageent
Kelsey-Seybold
Pearland, Texas
10.2017 - 04.2024
- Supervised daily operations, enhancing service delivery and improving patient satisfaction.
- Ensured compliance with state, NCQA, and internal standards, reducing risk of regulatory issues.
- Cultivated relationships with payors and external vendors to facilitate collaboration and resource access.
- Developed training materials, processes and workflows to promote effective quality outcomes.
- Worked with cross functional teams in the development of key performance indicators to identify inefficiencies or deviations from established goals.
- Supervised both internal and external communications by handling questions and customer complaints.
Concurrent Review Case Manager
Kelsey-Seybold
Pearland, Texas
07.2011 - 10.2017
- Collaborated with physicians and multidisciplinary team to facilitate timely discharge planning and continuity of care.
- Monitored resource utilization to ensure continued stays met medical necessity guidelines.
- Developed individualized service plans tailored to client goals and preferences.
- Supported development and implementation of disease management program to enhance client care.
- Acted as preceptor and resource for external and internal customers, fostering collaboration and knowledge sharing.
RN Case Manager
CHI St. Luke's Hospital
Houston, TX
01.2006 - 07.2011
- Collaborated with clinical staff to develop and execute effective care plans, facilitating goal achievement.
- Coordinated social services for patients and families to enhance support and resource access.
- Reviewed service utilization using InterQual criteria to ensure appropriate care from admission through discharge.
Registered Nurse
CHI St. Luke's Hospital
Houston, TX
01.2004 - 01.2006
- Delivered comprehensive nursing care to post cardiac interventional patients, ensuring recovery and monitoring for complications.
- Monitored telemetry patients and conducted EKGs to assess cardiac health and identify abnormalities.
Clinical Quality Audit Nurse
Moody Review
League City, Texas
01.2002 - 01.2004
- Conducted comprehensive audits of clinical records and claims to ensure compliance and billing accuracy.
- Developed audit tools, including checklists and questionnaires, to streamline staff processes.
- Served as liaison between customers and clinical audit department, resolving inquiries to enhance communication.
Registered Nurse
CHI St. Luke's Hospital
Houston, TX
07.1997 - 01.2002
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
- Collaborated with multidisciplinary teams to develop patient care plans.
- Received commendation from a patient to CEO for exceptional care and support during treatment.
Education
Bachelor of Science - Nursing
Prairie View A&M University, College of Nursing
Houston, TX06-1997
Skills
- Care coordination
- Quality improvement
- InterQual
- EPIC
- Microsoft Excel
- Microsoft Word
Certification
- Certified Case Manager (CCM) 2026
Timeline
RN Case Manager
TIRR Memorial Hermann Rehab Hospital
09.2024 - Current
Manager of Utilization Review / Care Manageent
Kelsey-Seybold
10.2017 - 04.2024
Concurrent Review Case Manager
Kelsey-Seybold
07.2011 - 10.2017
RN Case Manager
CHI St. Luke's Hospital
01.2006 - 07.2011
Registered Nurse
CHI St. Luke's Hospital
01.2004 - 01.2006
Clinical Quality Audit Nurse
Moody Review
01.2002 - 01.2004
Registered Nurse
CHI St. Luke's Hospital
07.1997 - 01.2002
Bachelor of Science - Nursing
Prairie View A&M University, College of Nursing