Shelia M Ethridge
Cedar Hill,TX
Summary
Dedicated Case Manager with experience in Medicaid managed care/long term care. Proven ability to coordinate care for member's residing in nursing homes and service coordination for members living in the community. Expertise in developing and implementing individualized care plans that meet diverse member needs. Successfully managed diverse client caseloads, improving service outcomes by utilizing resource coordination and data management skills. Committed to enhancing client support and operational efficiency.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Nursing Facility Care Manager
Molina Healthcare
07.2020 - Current
- Coordinated patient care plans, ensuring compliance with established protocols and guidelines.
- Assessed client needs and developed tailored interventions to enhance overall health outcomes.
- Collaborated with interdisciplinary teams to streamline communication and improve service delivery.
- Manage a caseload of 150 members monthly, boosting efficiency.
- Utilized electronic health records systems proficiently for efficient documentation of clinical information according to regulatory standards.
LTSS Service Care Manager
Molina Healthcare
11.2010 - 01.2020
- Managed 120 client cases monthly, boosting efficiency.
- Conducted face-to-face home visits to complete comprehensive assessments for medical necessity.
- Develops and implements a case management plan, including a waiver service plan, in collaboration with member, caregiver, physician and support staff to address member needs and goals.
- Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.
Home Health Nurse
Raytex Home Health
06.2009 - 11.2010
- Provided direct patient care, administering medications and treatments as prescribed by healthcare providers.
- Assessed patient conditions, documenting changes and communicating effectively with interdisciplinary teams.
- Educated patients and families on health management, promoting adherence to treatment protocols.
- OASIS knowledge/EMR documentation
Education
Bachelor of Science - Nursing
Grambling State University
Grambling, LASkills
- Case Management
- Client Advocacy
- Crisis Intervention
- Conflict Resolution
- Supportive Counseling
- Resource Coordination
- Care Plan Development
- Assessment and Documentation
- Service coordination
- Electronic Medical Records
- Data Management
- Empathy and compassion
Certification
- Texas Board of Nurses - Registered Nurse, expires 12/25/2026.
Timeline
Nursing Facility Care Manager
Molina Healthcare
07.2020 - Current
LTSS Service Care Manager
Molina Healthcare
11.2010 - 01.2020
Home Health Nurse
Raytex Home Health
06.2009 - 11.2010
Bachelor of Science - Nursing
Grambling State University