TERRI STALEY
Chesapeake
Summary
Dependable Care Coordinator. Possesses strong communication and interpersonal skills. Creative problem solver with strong analytical and critical thinking skills.
Overview
35
35
years of professional experience
1
1
Certification
Work History
Home Health RN
Lake Prince At Home
01.2025 - Current
- Reviewed and reconciled medications accurately and safely, reducing medication errors and adverse reactions.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
LTSS Care Coordinator Temp
Aetna Better Health of Virginia
08.2024 - 01.2025
- Case Management for Aetna Medicaid
- Duties include phone calls to members and face to face home visits to complete health screenings and assess for member needs and barriers to health
- Competent using company specific software for documentation, provide health education and disease management for members, and refer to appropriate resources for member needs
- Duties also include participation in and presentation of members at interdisciplinary care team meetings
Integrated Care Coordinator
Sentara Health Plan
01.2016 - 05.2024
- Telephonic Case Management for a Medicaid MCO
- Duties include phone calls to members, face to face home visits, assessment of member needs using company specific computer software, education, disease management, referrals to appropriate resources to meet member needs, collaborating with team members
- Interacted with approximately 15 to 30 members per day, depending on the complexity of their needs
- Entered data, generated reports, and produced tracking documents
RN Utilization Review and Case Management
Universal American/TexanPlus HMO
09.2013 - 08.2015
- Worked in a combination of UR and case management
- Reviewed authorization requests for medical services and evaluated for medical necessity and CMS criteria
- Worked in ICM (Intensive Case Management) telephonically to help members overcome barriers in access to healthcare
- It resulted in improved access to health care, improved outcome for members, reduced hospital readmissions, and closed gaps in Medicare Star measures
School Nurse
Dallas ISD
03.2010 - 06.2013
- School nurse at ED Walker Middle School in Dallas Texas
- Maintained immunization compliance, screened for vision, hearing, and scoliosis per state requirements
- Screened and cared for all students with the goal of removing barriers to classroom learning, and provided health promotion for staff members as well
- Administered medications and special procedures for students with doctor orders
- Monitored the 2 AED devices in my school for battery life and reported monthly
- Complete SHARD forms every grading period for Medicaid reimbursement of special needs students
Temp
Blue Cross Blue Shield
11.2009 - 02.2010
- Worked as a nurse temp for All Medical Personnel
- Assigned to Blue Cross Blue Shield as a telephonic RN
- Made follow-up phone calls for 24 hour nurse hotline, phone calls to clients with certain conditions to teach and answer any questions
Contract PRN Nurse
Home Health and Hospice Agencies
06.2009 - 09.2009
- Worked per diem for local home health and hospice agencies while looking for a long term job option
- Home visits to complete the OASIS forms for admission, recertification, and discharge of home health patients
- Visits include skilled care such as physical assessment, wound care, venipuncture, and more
RN Service Coordinator
UnitedHealthGroup
11.2007 - 06.2009
- Case management; home visits for assessment of needs and coordination of long term care (in home) services for Medicaid recipients
- Primary responsibilities include monitoring care, developing treatment plans with cost evaluation, working with physicians and family members, and meeting office demands
Home Health RN
Interim Home Health
12.2006 - 04.2007
- Home visits to complete the OASIS forms for admission, recertification, and discharge of home health patients
- Visits included skilled care such as physical assessment, wound care, venipuncture, coordination of care with other team members
Stay at home mom/homemaker
Staley family
07.1995 - 11.2006
- Time off from nursing career to raise my children and keep the home fires burning
Public Health Nurse
Virginia Health Department
04.1990 - 07.1995
- Home visits to low income elderly patients in my community
- Performed skilled nursing care such as wound care, IV medications, urinary catheterizations, physical assessment, reviewed medications and provided patient teaching if any knowledge deficits noted
- Hired, oriented, and supervised certified nurses aides to assist nursing home eligible patients in the patients homes
- Interfaced with the Medicaid representative to plan the care of these patients
Graduate RN
Maryview Medical Center
11.1989 - 04.1990
- Provided skilled nursing care on a medical-surgical unit which included (but is not limited to) physical assessment, medication administration, IV care, wound care, NG intubation and care, urinary catheterizations, patient and family teaching, communicating and working with physicians, and charting
Education
Bachelor of Science - Nursing
Old Dominion University
01.1989
Skills
- Nursing Utilization Review
- Basic math
- Communication skills
- EMR systems
- Home health
- Hospital experience
- Microsoft Word
- Discharge planning
- Case management
- Computer skills
- Patient care
- Acute care
- Care plans
- Documentation review
- Microsoft Office
Certification
- CPR Certification
- Driver's License
- RN License
Timeline
Home Health RN
Lake Prince At Home
01.2025 - Current
LTSS Care Coordinator Temp
Aetna Better Health of Virginia
08.2024 - 01.2025
Integrated Care Coordinator
Sentara Health Plan
01.2016 - 05.2024
RN Utilization Review and Case Management
Universal American/TexanPlus HMO
09.2013 - 08.2015
School Nurse
Dallas ISD
03.2010 - 06.2013
Temp
Blue Cross Blue Shield
11.2009 - 02.2010
Contract PRN Nurse
Home Health and Hospice Agencies
06.2009 - 09.2009
RN Service Coordinator
UnitedHealthGroup
11.2007 - 06.2009
Home Health RN
Interim Home Health
12.2006 - 04.2007
Stay at home mom/homemaker
Staley family
07.1995 - 11.2006
Public Health Nurse
Virginia Health Department
04.1990 - 07.1995
Graduate RN
Maryview Medical Center
11.1989 - 04.1990
Bachelor of Science - Nursing
Old Dominion University
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