Well-qualified social work professional adept at setting up services, working with healthcare professionals and families and giving patients continuous support through counseling. Good communicator and relationship-builder with exceptional skills in planning, resolving conflicts and solving diverse problems.
Overview
11
11
years of professional experience
Work History
Travel Case Manager
Piedmont Hospital
Atlanta, GA
12.2024 - 11.2025
Assesses, evaluates, plans and coordinates community services.
Advocates for services to meet the specific patients / family complex needs.
Provides patients / family members with Community Resources.
Coordinates the transition to post-acute care services (Hospice, Home Health, Skilled Nursing Facility, etc.)
Conducts high risk assessments within timeline required by departmental and regulatory guidelines.
Collaborate with nurses and physicians to promote understanding of the impact of the illness on the family.
Facilitate access to resources to assist patients and their families community resources.
Facilitates post-acute referrals, outpatient arrangements such as infusions, home health and durable medical equipment for timely transition to the next level of care.
Attend LOS meetings and track avoidable days to prevent barriers that lead to undesired outcomes.
Travel Case Manager
Mercy San Juan Medical Center
Carmichael, CA
11.2024 - 12.2024
Performs psycho-emotional-social/environmental assessments on patients
Formulates plans for patients with social, emotional, homeless population and resource needs.
Provides interventions and counsels patients and families for emotional, social and homeless resource issues.
Serves as the professional on the multi-disciplinary team that advocates for patient's perspective in planning for care
Maintains current 5150 involuntary psychiatric hospitalization of an adult experiencing a mental health/ substance abuse crisis.
Makes referrals to appropriate community agencies to ensure complete and appropriate transitions of care post discharge. Develops and maintains a professional relationship with community health, welfare and social agencies.
Identifies, assesses and participates in transition planning for patients who are at risk for readmission.
Care Coordinator
WellStar Kennestone Hospital
Marietta, GA
07.2023 - 11.2024
Initiates assessment of patient’s psychosocial risk factors and availability of resources to assist upon discharge.
Collaborates with the patient and family, along with the physician(s) and other members of the care team to fully establish and support both the patient’s care progression and discharge plans.
Initiates/facilitates post-acute referrals through departmental processes for timely transition to the next level of care.
Identifies and documents barriers for timely disposition.
Participates in Interdisciplinary Rounds with the patient’s care team to confirm estimated date of discharge and make recommendations for best level of care transition at discharge.
Travel Case Manager
Northside Hospital Gwinnett
Lawrenceville, GA
03.2023 - 07.2023
Disposition Planning and provides resource information in a timely and efficient manner for patients.
Complete initial assessments and identifies barriers for timely disposition.
Facilitates post-acute referrals through departmental processes for timely transition to the next level of care.
Participates in Interdisciplinary Rounds with the patient’s care team to confirm estimated date of discharge and make recommendations for best level of care transition at discharge.
Attend LOS meetings and track avoidable days to prevent barriers that lead to undesired outcomes.
Travel Case Manager
Kindred Hospital, LTAC
San Diego, CA
11.2022 - 07.2023
Complete psychosocial assessments on all patients to prevent discharge barriers.
Working with the families of patients to deal with certain aspects of illnesses and conditions that patients are suffering from.
Ensure that the social and emotional needs of each patient are met.
Coordinate in patient's transition from LTC facility to Skilled Nursing/Subacute Rehab Facilities.
Coordinate in patient's home discharge arranging home health services and family teaching such as tracheostomy/peg tube, vent support and home infusion arrangements.
Little Providence Company Of Mary
Travel Case Manager
Torrance, California
06.2022 - 11.2022
Advocated for patients and families to feel comfortable during challenging and stressful situations,
Promoting recovery and reducing compliance issues.
Planning to improve methods and procedures.
Coordinated support services and optimized communication between healthcare workers and patients.
Assisted individuals with eligibility for available benefits.
Developed workable solutions for recurring problems for individuals and families.
Counseled and prepared families for transition to hospice(outpatient/inpatient).
Travel Case Manager
Dignity Health- St. Mary's Medical Center
San Francisco, CA
03.2022 - 06.2022
Provides assessment and treatment of adolescents up to 18 years of age.
Present cases at team meetings and ensure appropriate discharge plans are in place.
Participates in the evaluation of problems presented and in the formulation and the development of treatment plans.
Facilitate family meetings between patient and parents/families is sufficient to ensure variety of communication methods to influence patient compliance and family support.
Coordinates with community agencies in carrying out outpatient treatment and/or residential placement referrals.
Provides short term emotional and family support
Disposition Planner- Behavioral Health
Wellstar Cobb Hospital
Austell, GA
05.2021 - 03.2022
Provides biopsychosocial assessments and psycho-therapeutic intervention.
Facilitate group therapy services towards mental health and substance abuse treatment goals.
Participates in the evaluation of problems presented and formulation of diagnoses based on the knowledge development of treatments plans.
Arrange outpatient treatment, provide shelter, housing resources and transportation.
Counseled family members to assist in understanding, dealing with or supporting clients or patients.
Assisted individuals with stress management, self-esteem and issues associated with emotional and mental health.
Assessed patients for risk of suicide attempts or harmful behavior toward others.
Conducted programs to prevent substance abuse or improve community health or counseling services.
Care Coordinator
Emory Hospital
Lithonia, GA
04.2017 - 05.2021
Provides problem-oriented and detailed patient assessments and emotional support.
Provides counseling, and discharge planning for patients.
Coordinate home health, durable medical equipment, Subacute Rehab/Nursing Home, Hospice/Palliative Care placements, shelter and housing resources.
• Develops treatment plans, provides patient and family education and serves as a professional resources.
• Provides individual, family and group therapies.
Family Support Specialist
Division of Families and Children Services
Atlanta, GA
07.2014 - 07.2016
Conducted psychosocial assessments to identify individual needs and specific social services necessary to address identified objectives and goals.
Maintained a caseload of 40-45 clients.
Coordinated specific psychosocial resources to meet members' identified needs.
Coordinated closely with public child welfare system staff, supervisors and court personnel to identify and mitigate barriers to timely permanency.
Facilitated supportive services and counseling for family members to address special concerns and ease transition during home visits.
Registered Nurse, Medical-Surgical Unit at Alta Bates Summit Medical Center Berkeley CampusRegistered Nurse, Medical-Surgical Unit at Alta Bates Summit Medical Center Berkeley Campus