Shelia Ethridge
Summary
An experienced case manager with 20 years experience in community nursing performing state required assessments and documentation for initation of services/treatment plans. Dependable professional with track record of success in field, attention to detail and proactive mindset. Seeks opportunities to improve processes and workflows for team benefit. Conscientious, hardworking and excels at multitasking in fast-paced environments.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Nursing Facility Service Coordinator
Molina Healthacare of Texas
Irving, TX
12.2021 - Current
- Coordinated care plans with clients and healthcare professionals for optimal service delivery.
- Maintained accurate case records and documentation according to agency guidelines.
- Collaborated with multidisciplinary teams to provide comprehensive support for clients' well-being.
- Advocated for clients' rights and needs within the healthcare system to enhance outcomes.
- Facilitated communication between members and healthcare teams effectively.
- Monitored service delivery to ensure adherence to company standards.
Long Term Care Service Coordinator
Molina Healthcare
Irving, TX
07.2020 - 12.2021
- Completes face-to-face comprehensive assessments of members per regulated timelines.
- Assess for medical necessity and authorize all appropriate waiver services.
- Develops and implements a case management plan, in collaboration with the member and members support network to address the member needs and goals.
- Promotes integration of services for members including behavioral health care and long term services and supports to enhance continuity of care of members.
Long-Term Care Service Coordinator
Molina Healthcare
Irving, Texas
11.2010 - 01.2020
- Completes face-to-face comprehensive assessments of members per regulated timelines.
- Assess for medical necessity and authorize all appropriate waiver services.
- Develops and implements a case management plan, in collaboration with the member and members support network to address the member needs and goals.
- Promotes integration of services for members including behavioral health care and long term services and supports to enhance continuity of care of members.
Home Health Nurse
Raytex Home Health
DeSoto, Texas
08.2009 - 11.2010
- Educated patients and families on care plans and health management strategies.
- Administered medications and treatments in accordance with physician orders.
- Coordinated with multidisciplinary teams to optimize patient care delivery.
- Documented patient progress and maintained accurate medical records.
Education
Bachelor of Science - Nursing
Grambling State University
1991
Skills
- RUG certified
- 10 years home health experience
- 15 years of managed care experience
Certification
Registered Nurse
Timeline
Nursing Facility Service Coordinator
Molina Healthacare of Texas
12.2021 - Current
Long Term Care Service Coordinator
Molina Healthcare
07.2020 - 12.2021
Long-Term Care Service Coordinator
Molina Healthcare
11.2010 - 01.2020
Home Health Nurse
Raytex Home Health
08.2009 - 11.2010
Bachelor of Science - Nursing
Grambling State University
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