Summary
Overview
Work History
Education
Skills
Certification
Affiliations
References
Personal Information
Accomplishments
Timeline
Generic

Sherley Jussome

Lawrenceville,GA

Summary

Dynamic, driven and ambitious Registered Nurse professional with 24 years of clinical experience with a strong background in nursing and case management, specializing in patient advocacy and care coordination. Adept at managing complex medical cases, and working collaboratively with multidisciplinary teams to achieve optimal patient outcomes. Known for adaptability, reliability, and results-focused approach in dynamic healthcare environments. Skilled in patient assessment, discharge planning, and resource utilization.

Overview

24
24
years of professional experience
1
1
Certification

Work History

RN Case Manager

Aetna
10.2018 - Current
  • Enrolling and engaging new potential members into Community Care Programs such as Standard Care Management, Aetna Compassionate Care and Admission Avoidance programs
  • Identified Hedis gaps in care or barriers in treatment plans, coordinate referrals to outside vendor sources
  • Assist member to address Smart Care Recommendations
  • Instructed members on disease management processes, implemented individualized care plans and performed telephonic outreach calls to assess compliance and effectiveness of treatment regimen
  • Ensure proper utilization of available resources to promote better health outcome

Staff Nurse RN WEO Charge (Preop/Phase II)

Northside Hospital Gwinnett
04.2015 - Current
  • Participates in overall Pre-Op/PACU Department functions
  • Follows appropriate Pre-op/PACU policies/procedures
  • Performed all duties of Registered Nurse including administering pre-operative medications and perform preoperative instruction and explanation of patients' rights and procedures
  • Directly assist physicians in performing invasive and non-invasive procedures
  • Served as a preceptor for orientation of new employees

RN Field Case Manager

Visiting Nurse Health System
04.2017 - 10.2018
  • Collaborate with patients, families and medical professionals to facilitate start of care admission and discharge processes
  • Performed transitional case management assessment including a review of discharge instructions, scheduling post hospitalization follow up appointment, medication Reconciliation
  • Review patients charts and collaborate with other disciplines to ensure patient receive appropriate services
  • Ensure proper utilization of services such as {Physical therapy, Occupational therapy, Home Health Aids, Medical Social Workers}
  • Implement a goal directed plan of care to return each patient to optimal functioning capability
  • Work holistically, ensuring that care and discharge plans meet the physical, social, and emotional needs of patients
  • Assist patients to allocate community resources

Certified Case Manager

United Health Group
02.2012 - 07.2016
  • Company Overview: Mercer Health Advantage
  • Identified gaps or barriers in treatment plans, and made referrals to outside vendor sources
  • Instructed members on disease management processes, implemented individualized care plans and performed monthly telephonic outreach calls to assess compliance with treatment plans and effectiveness of medication regimen
  • Consulted with P.C.P, specialists on members' behalf, and interacted with medical directors on challenging cases
  • Mercer Health Advantage

Staff Nurse RN WEO Charge (Surgical Short Stay Unit)

Gwinnett Medical Center-Lawrenceville, GA
04.2008 - 01.2015
  • Performed all duties of a Registered Nurse, including administering medications and treatments
  • Directly assist physicians in performing invasive and non-invasive procedures
  • Instructed patients and family members on disease management
  • Established positive relationships with customers and other staff members.
  • Assisted with onboarding new staff members, providing orientation and support.
  • Developed and improved time management and organizational skills to maximize personal productivity.
  • Supported the professional development of team members by regularly sharing best practices, encouraging ongoing learning, and promoting a culture of continuous improvement.

RN Field Nurse Care Manager

Amedisys Home Health Care
10.2010 - 01.2012
  • Admitted clients into programs, assessed needs, and implemented individualized care plans
  • Instructed patients and family members on disease process and management (acute and chronic), and performed medication reconciliation
  • Supervised LPNs and CNAs
  • Mentored new nursing staff, contributing to supportive work environment and improved retention rates.
  • Utilized advanced clinical skills such as wound care management or IV therapy administration, leading to faster recovery times for patients treated under my supervision.

Community Health Nurse-RN

Americare CSS/Homecare
03.2006 - 05.2008
  • Provided skilled nursing care to those in need of diabetes management, cardiac care, wound care, tube feeding, ostomy care, venipuncture, catheter care, and Picc line care
  • Clinical supervision and in service of LPNs and CNAs that ensured consistent team education and professional development
  • Conducted home visits for at-risk patients, providing necessary medical care and support for improved wellbeing.
  • Communicated with physicians and practitioners for patient care concerns to obtain orders and intervention protocols.
  • Led quality improvement initiatives within the nursing team, resulting in enhanced patient safety and satisfaction.

RN- Resident Care Coordinator/Supervisor

Four Season Nursing and Rehabilitation Center
12.2000 - 12.2005

Coordinated care for 45 residents of the Alzheimer/Dementia unit

  • Directed case management and risk assessment for all patients
  • Reviewed prescription medications with residents and suggested changes in care
  • Complied with JCAHO requirements concerning performance improvement plans
  • Handled Human Resource functions that involved recruiting and training clinical staff
  • Completed MDS assessment on active nursing home residents

Education

Masters of Science - Nursing Administration

Indiana State University
01.2016

Skills

  • Chronic Disease Management
  • Discharge Planning
  • HIPAA/ Regulatory Compliance
  • Healthcare Management

Certification

  • Georgia Nursing License, RN-194497
  • BCLS
  • ACLS
  • PALS
  • CCM Certification

Affiliations

  • AORN
  • ASPAN/GAPAN
  • CMSA

References

Furnished upon request

Personal Information

Title: MSN, RN, CCM

Accomplishments

    Daisy Award recipient

Timeline

RN Case Manager

Aetna
10.2018 - Current

RN Field Case Manager

Visiting Nurse Health System
04.2017 - 10.2018

Staff Nurse RN WEO Charge (Preop/Phase II)

Northside Hospital Gwinnett
04.2015 - Current

Certified Case Manager

United Health Group
02.2012 - 07.2016

RN Field Nurse Care Manager

Amedisys Home Health Care
10.2010 - 01.2012

Staff Nurse RN WEO Charge (Surgical Short Stay Unit)

Gwinnett Medical Center-Lawrenceville, GA
04.2008 - 01.2015

Community Health Nurse-RN

Americare CSS/Homecare
03.2006 - 05.2008

RN- Resident Care Coordinator/Supervisor

Four Season Nursing and Rehabilitation Center
12.2000 - 12.2005

Masters of Science - Nursing Administration

Indiana State University
Sherley Jussome