Dynamic Case Manager with a substantial background in healthcare and social services, excelling in patient care coordination and effective discharge planning. Skilled in interdisciplinary collaboration and resource allocation, ensuring timely access to essential services and support for optimal recovery outcomes.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Case Manager
Encompass Health Rehabilitation Institute
Rockford , IL
01.2017 - 04.2025
Worked with an interdisciplinary team, guiding treatment plans based on the patient's needs and preferences.
Coordinated with an interdisciplinary team to establish a tentative discharge plan and contingency plans.
Facilitated weekly team conferences, and coordinated all treatment plan modifications.
Maintained communication with patients and their support networks regarding their goal progress and discharge planning needs, and coordinated family conferences with the team as needed.
Coordinated care and discharge planning for each patient, which included ordering durable medical equipment and securing the next level of care needed.
Identified social determinants of health and provided resources for patients and families as needed.
Maintained a caseload of 12 to 17 patients at a time.
Provided community resources and referrals to secure necessary services and support at discharge.
Maintained accurate medical records and documentation according to agency guidelines.
Director of Rehabilitation Services
Bridgeway, Inc
Loves Park , IL
03.2008 - 01.2017
Supervised rehabilitation staff, including interviewing, training, motivating, disciplining, and evaluating.
Monitored vocational programs for effectiveness and timeliness.
Coordinated all intake activities for potential new clients.
Ensured that the programs being offered were in compliance with funding source regulations.
Referred clients to partner agencies for additional services.
Assisted with record-keeping related to strategic planning, program evaluation, and accreditation requirements.
Education
Bachelor of Arts - Social Work
Loras College
Dubuque, IA
Skills
Patient care coordination
Effective discharge planning
Patient support
Interdisciplinary collaboration
Effective resource allocation
Detailed case documentation
Certification
Certified Case Manager, ACM
Timeline
Case Manager
Encompass Health Rehabilitation Institute
01.2017 - 04.2025
Director of Rehabilitation Services
Bridgeway, Inc
03.2008 - 01.2017
Bachelor of Arts - Social Work
Loras College
Similar Profiles
Jessica YbarraJessica Ybarra
Medical Social Worker/ Case Manager PRN at Encompass Rehabilitation Institute of TucsonMedical Social Worker/ Case Manager PRN at Encompass Rehabilitation Institute of Tucson
Senior Patient Assessment Standards Coordinator at Encompass Health Rehabilitation HospitalSenior Patient Assessment Standards Coordinator at Encompass Health Rehabilitation Hospital