Dynamic care coordinator with extensive experience at UCare of Minnesota, adept at case management and patient advocacy. Successfully reduced hospital readmission rates through effective care planning and collaboration. Skilled in documentation and active listening, fostering strong relationships with clients and community partners to enhance service delivery and support.
Overview
31
31
years of professional experience
1
1
Certification
Work History
MSHO/ MSC+ Care Coordinator
UCare of Minnesota
03.2007 - Current
Monitored patient progress and adjusted care strategies based on individual needs and outcomes.
Trained new staff in care coordination protocols, enhancing team efficiency and knowledge sharing.
Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients.
Built strong relationships with clients to deliver emotional support and companionship.
Monitored progress towards patient goals, adjusting care plans as needed to achieve desired results.
Reduced hospital readmission rates by coordinating effective post-discharge care plans.
Conducted thorough assessments of patient needs to devise personalized care plans, addressing both health and social determinants.
Monitored patient progress through regular check-ins, adjusting care plans to meet evolving needs.
Mental Health Case Manager
Mental Health Resources/ State of MN
07.2004 - 03.2007
Monitored client progress and adjusted treatment plans based on ongoing evaluations and feedback.
Provided education on mental health resources, enhancing client understanding of available services and support systems.
Trained new staff on case management protocols, ensuring adherence to best practices in client care.
Advocated for clients' rights within healthcare systems, promoting access to necessary services and supports.
Developed strong rapport with clients, building trust and enabling more effective case management interventions.
Collaborated with community organizations to enhance available mental health resources for clients in need.
Maintained accurate case records, ensuring confidentiality and compliance with relevant regulations.
Assisted clients in crisis situations by providing immediate support and coordinating necessary services.
Managed caseloads effectively, prioritizing urgent cases and ensuring timely followups.
Assessed mental health needs to determine nature and extent of clients' emotional, behavioral or mental health issues.
Consulted with other staff members regarding treatment plans as deemed appropriate by team leader.
Skilled Nursing Home Social Worker
Monarch
02.2001 - 07.2004
Conducted assessments to identify client needs and develop appropriate intervention plans.
Collaborated with multidisciplinary teams to coordinate care and services for clients.
Supported clients and families with empathy and compassion during difficult times.
Advocated for clients to assure respected rights and wishes.
Youth and Family Counselor
The Bridge For Youth
01.1999 - 02.2001
Provided individual counseling sessions to youth, fostering personal growth and emotional resilience.
Developed and implemented group therapy programs addressing behavioral issues and conflict resolution.
Collaborated with families to create comprehensive support plans tailored to each client's needs.
Conducted assessments to evaluate clients' mental health status and develop treatment strategies.
Coordinated referrals to external resources, ensuring continuity of care for clients in crisis.
Provided crisis intervention services when necessary, helping families navigate through difficult situations safely and constructively.
Empowered clients to set realistic goals for themselves and their families while fostering autonomy.
Bank Teller
TCF
01.1995 - 02.2001
Processed customer transactions accurately and efficiently, ensuring compliance with banking policies.