Meet Our Team

Certified Care Managers coordinate resources to meet the immediate and long-term care needs of your loved ones facing challenges with aging or disabilities.

Don’t navigate the healthcare maze alone.

Patricia Shelton, RN, CCM


Patricia Shelton is a Registered Nurse with over 20 years of extensive nursing and care management experience. Her varied nursing background is one of the strengths she brings to the Care Management industry. Patricia has worked in various Medical Intensive Care Units in the Central Valley. She has worked in Oncology and as a Poison Information Specialist and has a strong knowledge of medications including their side effects and interactions. Patricia’s experience in working with cancer patients grew her compassion and resources, specific to those clients who have long-term diseases.

Through caring for her own parents’ extensive illness’ and bouts with cancer, she has experienced firsthand what it is like to attempt to navigate the medical maze, obtain financial support and balance personal time constraints in caring for our aging loved ones. This led her to open her own company in an effort to assist the many others who may be overwhelmed identifying resources for our aging loved ones.

She holds national certifications in Case Management (CCM) and also she is a current member of the Case Management Society of America (CMSA) and is nationally Certified as a Geriatric Care Manager (GCM).

Barbara Dauria, RN


Barbara is an RN with over 40 years of experience in the Senior Care Services, Home Health, Hospice, Oncology, and Behavioral Health arenas. Her expertise includes Community Outreach involvement in Northern Nevada. Barbara has been a local in the Reno area for over 12 years. Her invaluable skillset is an asset to the aging community. Her positive outlook and compassionate communication style is key to her success in handling challenging situations. Her passion for improving the quality of life for her clients is undeniable and she is a true asset to our team.

Nathan Brimm, RN, BSN


Nathan Brimm RN, BSN

Nathan is a highly skilled registered nurse, a native of Reno, and Veteran of the US Navy. Nathan’s adult life began in the US Navy aboard an aircraft carrier in Japan. After 6 years in the Navy and world travels, Nathan landed in Louisiana where he began his career in law enforcement. There his compassion for helping others flourished, including spending weeks in New Orleans during hurricane Katrina performing countless search and rescue missions.

In 2008 he relocated back home to Nevada and shortly thereafter began his exciting new career in nursing. Nathan’s nursing background started in children’s behavioral health before turning to the geriatric community in the field of Hospice.

Nathan’s empathy for others, outstanding assessment, and communication skills enhanced his excellent bed-side manner to assist countless families navigate through the most emotionally trying times of their lives. Nathan found his niche in working for the elderly population and wanted to expand his skills to provide guidance for our seniors long before Hospice will be needed.

Utilizing his extensive knowledge of our community resources fuels his determination to find a solution for every problem. His dedication, excellent mediation skills, and positive attitude have led him to be a wonderful asset to our SCM team.    

Helena Class, RN


Helena has been a nurse in both Nevada and California for over ten years and is licensed with public health and holistic health specialties. Her experience includes step-down ICU, cardiac telemetry, general surgical, in-patient palliative care and hospice nurse case manager. Helena was accepted into the 2018 Master’s program to peruse her Acute Care Gerontological Nurse Practitioner Degree.

Helena is a strong case manager, advocate and skilled nurse. She has the knowledge and compassion to assist any individual struggling to navigate the healthcare system. She was inspired to pursue her nursing degree after her brother was diagnosed with a long-term and debilitating disease almost 16 years ago. She is personally and professionally versed in the dynamic and changing needs of adult populations and believes that the care we provide others is our highest and greatest calling. 

Toni Hanna

Marketing Executive

Toni’s extensive professional experiences have contributed to her compassion for seniors and expertise in marketing.  She spent ten years in the hospitality industry which included managing accommodations and special requests for conventions in a Four-Star Luxury Las Vegas, NV hotel.  She also enjoyed a tenure as the Federal Campaign Director with United Way of Las Vegas and became the driving force that established the first Family Resource Center and food bank in Mesquite, Nevada. She is very knowledgeable and aware of the services and resources needed that can be provided to enhance the quality of life for our most vulnerable population.

Toni’s passion is with community involvement and is currently participating in the Dementia Friendly America initiative in Reno, NV. Her extensive knowledge of the local resources available to seniors in northern Nevada makes her an invaluable member of the Specialized Care Management, Inc. team.