
Experienced social worker with a proven track record in program management and strategic planning. Skilled in conducting assessments and developing treatment plans, ensuring seamless care coordination for veterans facing complex challenges.
Dedicated social worker committed to building trusting relationships and advocating for the clients best interest. Clinical social worker with a passion for providing effective and compassionate care.
Veteran Affairs Medical center Surgery Social worker
Jan. 2001 to October 2011.
Responsible for conducting psychosocial assessments for veterans admitted to surgical units.
Develop individualized treatment and discharge plans in collaboration with the team.
Coordinate safe discharges to home, rehabilitation facilities, skilled nursing faculties, hospice or LTC units.
Assess social determinants of health including housing, caregiver support, transportation, finances and access to resources, coordinate family meetings serve as liaison between veterans and the team.
Assist veterans with advanced care planning.
October 2011 to 2012 Primary Care Social worker
Conduct assessments to identify veterans mental health, financial an housing need. Develop treatment plans care care plans with the PACT team
Provide case management and care coordination to ensure continuity of care across VA health care system.
Perform biopsychosocial assessments and identify barriers to treatment adherence and healthcare access.
Provide supportive counseling, crisis intervention and problem solving.
Screen for depression, anxiety, suicide risk substance use disorders.
Assist veterans with advance care planning.
Coordinate referrals to specialty care, mental health , caregiver support and LTC services. Engage veterans and families regarding VA benefits.
October 2013 to 2016 MHICM Social worker
Conduct assessments to identify veterans medical, behavioral health, financial and environmental needs.
Provide clinical case management and care coordination for veterans with complex medical and psychosocial conditions.
Develop treatment plans with veterans, families and patient care team members.
Coordinate discharge planning and facilitate referrals to VA and community based programs to ensure continuity of care.
Advocate for veterans to reduce barriers to healthcare, improve patient centered care.
2016 to Present ADTP Social worker
Conduct biopsychosial assessments of veterans with substance use disorders and co-occurring mental health conditions.
Develop treatment plans using evidence based practice to support recovery and improve functioning.
Provide individual, group and family psychotherapy for veterans with alcohol and drug related disorders.
Facilitate groups focusing on relapse prevention, coping strategies and emotional regulation.
Complete screenings and clinical assessment to determine the appropriate level of care.
Perform Suicide risk assessments, safely planning and crisis intervention for veterans with behavioral health emergencies.
Provide case management and coordinate referrals to residential treatment, inpatient treatment, housing, vocational rehabilitation and community resources.
Advocate for veterans to reduce barriers to treatment.
Document assessments, psychotherapy, treatment plans, case management, clinical interventions in the health record.
Psycho-social assessments