Audrey Nash

• Conduct comprehensive psychosocial assessment needs for patients to facilitate access to necessary medical and social services.
• Coordinate patients discharge to skilled nursing facilities, long term care, Hospice, home with home care services.
• Reduce readmission rates by collaborating with discharge planners on effective aftercare planning strategies for high-risk patients.
• Assist in locating substance dependency programs, domestic violence services
• Maintain daily detailed documentation of client progress, adhering to strict confidentiality guidelines in compliance with HIPAA regulations.
• Provide emotional support to patients and families during critical health situations, promoting coping mechanisms and resilience.
• Work with medical teams, patients and families to implement effective treatment plan.
• Improve team collaboration by initiating regular communication channels between social workers and medical staff.
• Facilitate family meetings to discuss patient care plans.
• Participate in interdisciplinary care conferences to discuss patient care plans and referrals.
• Secure client rights and ensured their preferences.
• Collaborate with multidisciplinary teams to provide comprehensive support for clients.
• Reduce hospital readmissions by providing timely follow-up care and addressing potential barriers to treatment success.

• Coordinate individualized discharge plans to manage safe transition back into community and home environments.
• Explain medical care options to help families make informed healthcare decisions.
• Help clients develop new coping mechanisms and techniques to drive behavior modification.
• Organize clinical documentation, treatment plans, and referrals.
• Refer patients to appropriate community resources to obtain support for mental or physical illness
• Educate patients on available treatment options and assisted in informed decision-making regarding their healthcare plan.

• Built strong relationships with numerous treatment programs across different healthcare facilities.
• Supported emotional management related to illness and advocated for patient needs.
• Conducted 8-9 discharges daily in collaboration with multidisciplinary team.
• Assisted unhoused individuals by sharing resource information.
• Offered crisis intervention services to address urgent concerns related to mental health, substance abuse, or domestic violence issues.
• Explained medical care options to help families make informed healthcare decisions.

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• Empowered patients to take control of their health by guiding them towards informed decision-making regarding treatment options.
• Teamed with case managers to find mental health treatment resources.
• Ensured families received necessary support during HIV/AIDS journey.
• Explained benefits and challenges of HIV care and treatment.
• Strengthened support networks for individuals living with HIV/AIDS by connecting them with relevant community organizations and peer groups.
• Enhanced patient adherence to treatment plans by providing ongoing education and counseling.
• Facilitated client re-engagement in necessary healthcare services.
• Supported continuous improvement efforts within HIV case management program by actively participating in quality assurance initiatives.
• Distributed condoms to promote use for HIV-infected persons and persons at highest risk of acquiring HIV.
• Conducted thorough assessments of patients medical, social, and emotional needs, ensuring appropriate interventions were implemented.
• Collected demographic information to accurately complete CDC HIV report forms.
• Maintained detailed records of patient progress, documentation of services and case notes.
• Assessed risk factors of patients and made referrals for further services.
• Provided crisis intervention services to individuals facing medical, emotional and mental health challenges in hospital setting.