Provides care coordination including needs assessment and identification of care options, communication with patients and families in an interdisciplinary environment consistent with the position's qualifications, professional practices and ethical standards
Coordinates management of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies
Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs
Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management and discharge planning
Case Manager II
Vanderbilt Stallworth Rehabilitation Hospital
Nashville, Tennessee
01.2016 - Current
Serve as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient's rehabilitation experience
Provide brief counseling and resources to community services
Address Substance Abuse Misuse
Oversees the effective coordination of services and manages issues in the following main areas: admission and discharge, team conference and interdisciplinary plan of care communication, patient and family education, payor relations and total fiscal management
Performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team
Assures that regulations regarding patient's rights are fulfilled
Social Worker
Vanderbilt Adult University Hospital Emergency Department Trauma
Nashville, Tennessee
01.2019 - 07.2021
End of life notification with the Emergency Department Medical Physician to family members
Crisis intervention counseling to patients and/or family members in response to death, traumas, accidents, suicides, and injuries
Conducted safety assessment, provided resources/ referrals and worked closely with local law enforcement agencies and Vanderbilt University Police department with Victims of violent crime, domestic violence, intimate partner violence, sexual assault and physical assault patients
Substance Abuse Misuse counseling, referrals and resources
Arranged transportation for the Emergency Room discharged or transfer patients
Therapist
Pandora’s Awakening
Madison, Tennessee
06.2020 - 06.2021
Private practice clinician providing individual and couples therapy with issues of mental health, addiction, and adjustment
Housing Opportunities for Persons with AIDS (HOPWA) Program
Meharry Medical College
Nashville, Tennessee
09.2016 - 09.2018
Instrumental in the establishment of the Meharry Community Wellness Center’s new HOPWA Supportive Service Program: Upstarting the program with creating of all forms to ensure compliance and quality assurance of the HOPWA guidelines
Assessed HIV positive patient’s needs relate to homelessness prevention and maintain stable housing
Functioned as an advocate for patients and liaison between patients and agencies and community services
Provided linkage, referrals, application assistance and appointment to community resource
Supervised the preparation and maintenance of current resources of agencies and community services
Maintained complete records of all patient’s casework, inquiries, and requests to ensure compliance with HOPWA’s policies and procedures
Assisted the Meharry Medical College Grants and Contract division in the preparation of fiscal reports
Provided administrative supervision to the Medical Housing Case Manager
Director-The Peer Linkage and Re-engagement Intervention of Women of Color
Meharry Medical College
Nashville, Tennessee
09.2016 - 09.2018
Supervised the creation of a monthly eligible list of identified patients who are lost to care
Provided administrative supervision to the treatment adherence counselors, research data manager and mental health specialist
Engaged newly diagnose HIV positive women to primary care treatment
Facilitated intervention team and case conferencing meetings with the treatment adherence counselor, clinical supervisor, medical case managers, and clinical providers
Assisted data manager with the implementation and monitoring of the evaluation plan, ensuring timely data collection
Determined long-term strategic alliances with external partners and maintain program collaborative relationships
Social Worker II- Screening, Brief Intervention, Treatment and Referral (SBIRT project)
Meharry Medical College
Nashville, Tennessee
07.2012 - 08.2016
Assisted in the development and implementation of a psychosocial services program to assist patients and their families with problems related to medical, behavioral, environmental, and social well-being
Administered the Alcohol Use Disorders Identification Test (AUDIT), PHQ-4, and the Drug Abuse Screening Test (DAST) instruments to identify patients of the Internal Medicine Clinic at Nashville General Hospital
Provided Brief Intervention and Brief Treatment to patients using Motivational Interviewing (MI)
Made appropriate treatment referrals for patients with substance use disorders
Participated in internal staff, State of Tennessee Department of Mental Health and Substance Abuse Services meetings and training
Provided bi-monthly reports to the Department of Mental Health and Substance Abuse Services
Medical Care Manager/Program Coordinator
Meharry Medical College
Nashville, Tennessee
09.2006 - 07.2012
Assisted uninsured immunocompromised and immunocompetent patients to improve health outcomes, by obtaining adequate access to outpatient related Ryan White Programs for medical, medication and dental services
Identified, managed, and tracked all medical claim denials for patients and ambulatory clinic
Developed and implemented individual care plans to assure patients’ psychosocial and socioeconomic needs are addressed
Enrolled patients into Pharmaceutical Companies patient assistance programs and Charitable Pharmacy programs to ensure medications are received
Provided individual and their families with medication adherence counseling, disease acceptance and understanding
Collaborated with hospital social services/case management department and medical staff with the coordination of care and discharge planning for hospitalized patients
Coordinated Consumer and Community Advisory Board meeting
Participate in outreach and continuum educational trainings on prevention and cultural awareness for diverse clients who are homeless, GLBTQ, youth, adults and geriatric
Conflict Management Strategies
Coordinated activities of programs through ordering medical and office supplies; prepare Medical Director’s travel and resolves matters with vendors to ensure bills incurred by the clinic are resolved
Prepared monthly fiscal and quarterly implementation reports to United Way and Tennessee of State Health Department
Social Worker
Rolling Hills Psychiatric Hospital
Franklin, Tennessee
04.2012 - 07.2016
Provided psychotherapeutic services to all patient populations- mental health and co-occurring disorder patients and their families
Facilitated process-oriented groups and psychoeducational groups
Provided appropriate crisis intervention as necessary
Timeline
Case Manager
Ascension Saint Thomas Rehabilitation Hospital
01.2023 - Current
Therapist
Pandora’s Awakening
06.2020 - 06.2021
Social Worker
Vanderbilt Adult University Hospital Emergency Department Trauma
01.2019 - 07.2021
Housing Opportunities for Persons with AIDS (HOPWA) Program
Meharry Medical College
09.2016 - 09.2018
Director-The Peer Linkage and Re-engagement Intervention of Women of Color
Meharry Medical College
09.2016 - 09.2018
Case Manager II
Vanderbilt Stallworth Rehabilitation Hospital
01.2016 - Current
Social Worker II- Screening, Brief Intervention, Treatment and Referral (SBIRT project)
Registered Nurse - Renal/Dialysis, 43 Bed Unit at Ascension Saint Thomas Hospital WestRegistered Nurse - Renal/Dialysis, 43 Bed Unit at Ascension Saint Thomas Hospital West
Speech-Language Pathologist (PRN Employee) at Ascension Saint Thomas Hospital - Inpatient UnitSpeech-Language Pathologist (PRN Employee) at Ascension Saint Thomas Hospital - Inpatient Unit
General Construction in Civil Works at Various public and private institutions in EcuadorGeneral Construction in Civil Works at Various public and private institutions in Ecuador