Meghan Hamby
Ethridge
Summary
Highly skilled and dedicated Registered Nurse (RN) with nineteen years of relevant experience caring for and coordinating care for patients across the continuum. Recognized as an exceptional team leader and problem solver with expertise in utilization review, discharge planning, education and transitions of care.
Overview
19
19
years of professional experience
Work History
Orthopedic Nurse Navigator
Maury Regional Hospital
09.2024 - Current
- Delivered written and verbal education biweekly through total joint education class, serving as primary educator for total hip and knee replacement candidates.
- Educated patients pre-operatively on surgery preparation, expectations during and after surgery, and prevention of post-operative complications.
- Determined patients at high risk for complications and return visits after surgery while guiding both preoperatively and postoperatively to mitigate risk of adverse outcomes.
- Assisted in developing educational materials for patients and families.
Nurse Clinical Liaison
Lifepoint Health Rehab
Lawrenceburg
01.2024 - 09.2024
- Coordinated patient admissions and ensured the patients met CMS criteria for Acute Rehab.
- Facilitated communication between medical staff, patient, and insurance companies.
RN Inpatient Care Manager
Optum Health
Remote
08.2021 - 01.2024
- Performed Utilization/Medical Necessity Review on Inpatient medical admissions for Tennessee Medicaid and DSNP members admitted to designated Tennessee facilities
- Efficiently and timely communicated medical determinations to Facilities regarding requested services
- Adhered to strict timeline requirements for determination notifications as designated by Medicaid contracts
- Identified members potentially requiring post-acute services and made appropriate referrals to Discharge planning and Behavioral Health Services for follow up
Clinical Care Coordinator
Evicore Healthcare
Remote
05.2021 - 08.2021
- Provided Care Coordination services for commercial Cigna members
- Assisted commercial members, Case Managers, and Providers with securing home health, DME, and Home Infusion services with emphasis on securing timely delivery of services and eliminating delay of care
Director of Case Management
STRHS Lawrenceburg
Lawrenceburg
01.2016 - 05.2021
- Coordinated all aspects of patient care by cultivating, overseeing, and managing team of case managers.
- Provided expertise with complex discharge planning needs and coordinated appropriate plan.
- Developed discharge plan for ED, Outpatient, Med-Surg, ICU, Rehab, OB, and Swing Bed patients.
- Implemented Interdisciplinary Rounds to decrease length of stay and improve communication for better patient outcomes.
- Implemented Readmission Reduction "Hospital to Home" program for high risk population and responsible for weekly calls to educate regarding chronic disease management, coordinate follow up appointments, and assist with medication education and management
- Swing Bed Coordinator for 6 skilled nursing beds for patients meeting CMS guidelines for post acute care. Coordinated family training.
- Established great rapport with Medical staff as well as Interdisciplinary Team
- PASRR (Pre-Admission Screening) completion prior to all SNF admissions for state of TN residents
Case Manager
STRHS Lawrenceburg
Lawrenceburg
08.2010 - 01.2016
- Collaborated with various healthcare providers to facilitate delivery of services.
- Efficiently coordinated hospital discharge plan based upon patient/family preference for level of care while planning for patient specific medical needs.
- Collaborated with different disciplines to provide cohesive care to patients.
- Prompt notification to insurances regarding hospital admissions.
- Utilized standardized screening criteria (InterQual) for medical necessity reviews
- Served as superuser for Electronic Medical Record platforms Medhost and Morcare
RN, Inpatient Rehab
STRHS Lawrenceburg
Lawrenceburg
02.2009 - 08.2010
- Delivery of care as primary nurse for up to ten patients.
- Medication management and education related to disease processes for patients and family members.
RN, OB
STRHS Lawrenceburg
Lawrenceburg
09.2007 - 02.2009
- Direct patient care for antepartum, active labor, postpartum, and newborn nursery.
RN, Medical Surgical
STRHS Lawrenceburg
Lawrenceburg
06.2007 - 09.2007
- Monitored and recorded patient condition, vital signs, physical assessment while coordinating with physician and other team members regarding patient care.
Education
Bachelor of Science - Nursing
Union University
Jackson, TN05.2007
Skills
- Process Improvements
- Critical Thinking
- Team building
- Planning and coordination
- Patient Advocacy
- Regulatory Compliance
- Complex Discharge Planning
- Physician and New Employee training
- Microsoft Excel Experience
- Patient Health Education
Timeline
Orthopedic Nurse Navigator
Maury Regional Hospital
09.2024 - Current
Nurse Clinical Liaison
Lifepoint Health Rehab
01.2024 - 09.2024
RN Inpatient Care Manager
Optum Health
08.2021 - 01.2024
Clinical Care Coordinator
Evicore Healthcare
05.2021 - 08.2021
Director of Case Management
STRHS Lawrenceburg
01.2016 - 05.2021
Case Manager
STRHS Lawrenceburg
08.2010 - 01.2016
RN, Inpatient Rehab
STRHS Lawrenceburg
02.2009 - 08.2010
RN, OB
STRHS Lawrenceburg
09.2007 - 02.2009
RN, Medical Surgical
STRHS Lawrenceburg
06.2007 - 09.2007
Bachelor of Science - Nursing
Union University