Ashlei Crump
Katy
Summary
Results-driven healthcare professional with 8+ years of experience in long-term care coordination, case management, and healthcare operations. Proven ability to support and guide care management teams, resolve complex member and provider issues, and ensure compliance with federal and state regulations. Experienced in caseload coordination, staff training, and interdisciplinary collaboration to improve care delivery and member outcomes. Recognized for strong leadership support, attention to detail, and commitment to high-quality, compliant care management.
Overview
10
10
years of professional experience
Work History
LTSS Service Coordinator
Community Health Choice
Houston, TX
02.2024 - Current
- Coordinate and manage care plans for long-term care members, ensuring delivery of appropriate services aligned with medical, behavioral, and social needs
- Conduct comprehensive telephonic assessments to evaluate member eligibility, risks, and care requirements
- Monitor and maintain accurate, compliant documentation in accordance with HIPAA, state regulations, and contractual standards
- Collaborate with providers, community resources, and internal teams to resolve care coordination issues and improve member outcomes
- Support resolution of member and provider concerns, escalating complex issues as appropriate to leadership
- Assist with onboarding and training of new team members on workflows, documentation standards, and member engagement strategies
- Prioritize and manage caseload effectively based on member acuity and program requirements
Program Coordinator
Centene
Houston, Texas
08.2023 - 03.2024
- Coordinated care management program activities across departments to improve service delivery and member engagement
- Educated members on case management services and facilitated enrollment, improving participation in care programs
- Managed referral queues and conducted outreach to members identified for care management, ensuring timely follow-up
- Acted as a liaison between members, providers, and internal teams to address service gaps and care needs
Case Management Representative
Methodist Healthcare
Houston, Tx
01.2022 - 08.2023
- Delivered Medicare Notices of Discharge, captured required signatures, and addressed patient and representative questions regarding appeal rights.
- Assisted with clerical and clinical functions for patients, physicians, and staff.
- Coordinated follow-up appointments and confirmed timely delivery of post-acute services and equipment to support continuity of care.
- Documented insurance authorizations, approvals, and denials while assisting with appeals processes.
Medical Management Specialist
Anthem, Inc
Houston, Tx
03.2016 - 01.2022
- Provided non-clinical support to the Medical Management and Operations teams to support daily workflows and service delivery.
- Coordinate care with multidisciplinary teams, including providers, internal departments, and community resources, ensuring timely and appropriate services.
- Maintain accurate and compliant documentation of assessments, care plans, referrals, and communications in electronic health record systems.
- Support regulatory compliance, quality assurance initiatives, through record-keeping and adherence to HIPAA and state laws.
Education
Bachelor of Science - Health Administration
University of Phoenix
Phoenix, AZ10-2021
Skills
- Care Coordination & LTSS Management
- Team Support, Training & Mentorship
- Regulatory Compliance (HIPAA, State & Federal)
- Caseload & Workflow Management
- Performance Support & Quality Improvement
- Cross-Functional Collaboration
- EHR/EMR Systems
Timeline
LTSS Service Coordinator
Community Health Choice
02.2024 - Current
Program Coordinator
Centene
08.2023 - 03.2024
Case Management Representative
Methodist Healthcare
01.2022 - 08.2023
Medical Management Specialist
Anthem, Inc
03.2016 - 01.2022
Bachelor of Science - Health Administration
University of Phoenix