Sheila Nelson, MSN, RN, CCM

Sheila Nelson is a Registered Nurse and Clinical Practice Specialist for Kaiser Permanente Washington. As a member of the Care Management Programs and Strategies Team, she collaborates with leadership to
direct and facilitate clinical practice innovation and best practices to achieve cost, quality, safety and
service outcomes through the development and delivery of clinical education.

Ms. Nelson has focused her nursing career on patient advocacy and improving patient outcomes in
medical case management with managed care serving in leadership roles including Director of
Utilization Management for Arcadian Health Plan, CM Manager and Program Manager for United
Healthcare and Sr. Clinical Trainer for Optum.

Sheila is a Board-Certified Case Manager and has achieved a Master of Science in Nursing degree from
Western Governors’ University and a Bachelor of Science in Nursing degree from Washington State
University. Prior to moving into leadership roles, Ms. Nelson focused her case management career on
providing support and advocacy to high-risk populations within the Medicaid, Medicare, HIV and
oncology communities.

Ms. Nelson participated in the 2019 New World Symposium Panel Discussion and has contributed to
multiple professional case management articles and continuing education offerings. She has been an
active volunteer for the CCMC since 2009 serving as Item Writer/Test Development and Reviewer, Role
and Function Study subject matter expert, Programs and Services Committee Chair, Finance Committee
voting member, and New World Symposium 2018-2020 participant. She has served as a CCMC
Commissioner since 2018 and is currently serving as Secretary on the Executive CCMC Board of
Commissioners.

Personal Statement:

“My commitment to patient advocacy, patient engagement, and medical management aligns with the
standards of practice of Case Management. I truly believe it is through case management that we can
change the way society utilizes health care to live better lives. Anyone who struggles with health care
should seek the advocacy of a Certified Case Manager. As an elected Commissioner and Secretary of the
Commission, I am honored to contribute my experience and enthusiasm to the CCMC with the goal to
ensure the future of case management to meet the ever-increasing need.”