Shelia Ethridge

• Coordinate and manage care for nursing facility members in accordance with managed care requirements, individualized care plans, and regulatory standards.
• Conduct comprehensive assessments to identify members' medical, functional, behavioral, psychosocial, and long-care needs.
• Develop, implement, and monitor individualized care plans in collaboration with members, families, providers, facility staff, and interdisciplinary care teams.
• Performed ongoing care coordination and follow-up, enhancing quality outcomes and ensuring continuity of care while optimizing service utilization.
• Monitor changes in members' condition, level of care, service needs, hospitalizations, emergency department visits, and transitions between care settings.

*Coordinate Medicaid long-term support services for members with chronic medical conditions, disabilities, functional limitations, and other complex care needs.

*Conducted comprehensive in-person assessments to identify members' medical, functional, behavioral, social, environmental, and safety needs, ensuring tailored support.

*Coordinated Medicaid-covered LTSS services, including personal attendant services, nursing services, home health, durable medical equipment, respite care, and transportation, to enhance member care.

*Develop individualized, person-centered service plans based on member preferences, strengths, goals, and assessed needs.

*Monitor service delivery to ensure authorized services are being provided appropriately and continue to meet the member’s needs.

*Educated members and caregivers on available services, self-management strategies, preventative care, and community-based supports, empowering informed decision-making.

Coordinated Medicaid-covered LTSS services, including personal attendant services, nursing services, home health, durable medical equipment, respite care, and transportation, to enhance member care.

Conducted comprehensive in-person assessments to identify members' medical, functional, behavioral, social, environmental, and safety needs, while ensuring tailored support.

Conducted comprehensive in-person assessments to identify members' medical, functional, behavioral, social, environmental, and safety needs, ensuring tailored support.

Developed individualized, person-centered service plans that aligned with member preferences, strengths, goals, and assessed needs, enhancing service delivery.

Monitor service delivery to ensure authorized services are being provided appropriately and continue to meet the member’s needs.

Educated members and caregivers on available services, self-management strategies, and community-based supports to empower informed decision-making and improve care outcomes.