Summary
Overview
Work History
Education
Skills
Timeline
Generic

AVIS LAGRANGE

Hahnville,LA

Summary

Compassionate professional known for delivering quality service that focuses on each patient's individuality. Highly trained Behavioral Health Specialist skilled in assessing needs, identifying and referring to community resources for Medicare Advantage and Special Needs Populations. Social work licenses currently held Louisiana, Mississippi, Utah, North Dakota, South Dakota, Nevada, Minnesota and Kansas.

Overview

32
32
years of professional experience

Work History

Telephonic Behavioral Health Specialist

Humana Insurance
05.2016 - Current

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  • Completed psychosocial evaluations and needs assessments.
  • Maintained up-to-date knowledge on industry regulations and compliance requirements, ensuring adherence to all relevant guidelines within telephonic case management operations.
  • Participated in ongoing professional development opportunities to stay current on best practices within telehealth case management.
  • Supported staff training initiatives by sharing expertise in telephonic case management best practices with colleagues and new hires alike.
  • Identified potential barriers to successful treatment adherence, implementing appropriate interventions for optimal results.
  • Maintained detailed records in compliance with agency standards and regulations.
  • Educated clients and families on community resources, treatment options and health care services to better manage conditions.
  • Assisted clients with daily living needs to maintain self-esteem and general wellness.
  • Evaluated and documented patient progress, making adjustments to care plans as necessary for continued improvement.
  • Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
  • Consulted with supervisors to assess cases and plan strategies for enhancing care.
  • Regularly utilized national resources of various foundations assisting member with obtaining greater than $50,000 to assist with address of social service needs
  • Participated in ongoing professional development opportunities to stay current with industry best practices and enhance clinical skills
  • Maintained accurate documentation of client progress and treatment plans in compliance with organizational policies and legal requirements

Social Worker

Peoples Health Network
01.2014 - 04.2016
  • Collaborated with healthcare providers to drive continuity of care.
  • Helped clients develop new coping mechanisms and techniques to drive behavior modification.
  • Improved patient outcomes by conducting comprehensive psychosocial assessments and developing individualized care plans.
  • Supported ethical decision-making processes among healthcare teams by providing guidance on complex cases involving end-of-life care or medical ethics dilemmas.
  • Enhanced organizational performance by participating in quality improvement projects, analyzing data to identify areas for potential growth and implementing action plans.
  • Developed partnerships with community organizations to expand services and referrals.
  • Increased patient satisfaction ratings through consistent delivery of empathetic, comprehensive social work services tailored to individual needs.
  • Organized clinical documentation, treatment plans, and referrals.
  • Maintained detailed records of patient progress, documentation of services and case notes.
  • Worked with medical teams, patients and families to implement effective treatment plans.
  • Explained medical care options to help families make informed healthcare decisions.
  • Participated in interdisciplinary care conferences to discuss patient care plans and referrals.
  • Connected patients with community resources, ensuring access to essential services such as housing, healthcare, and financial assistance.
  • Maintained detailed documentation of client progress, adhering to strict confidentiality guidelines in compliance with HIPAA regulations.
  • Consistently met and surpassed metric thresholds for quantity and quality of case work

Social Worker/Community Educator

River Region Hospice
05.2005 - 01.2014
  • Provided education regarding hospice care to potential referral sources including, nurses, medical social workers, and physicians
  • Created and offered CEU educational, opportunities for social workers in New Orleans Metropolitan area
  • Provided hospice social work services to hospice patients and their family members
  • Participated in weekly multidisciplinary staffing meetings and represent status of social service needs of hospice patients
  • Facilitated annual memorial service honoring deceased hospice patients of previous year

Oncology Social Worker

Ochsner Clinic Foundation
09.1992 - 05.2005
  • Facilitated peer support groups to help clients connect with others.
  • Assisted clients in identifying community resources and connecting with appropriate services.
  • Monitored clients' progress to adjust treatment plans accordingly.
  • Evaluated clients' social, emotional and psychological needs to create treatment plans.
  • Participated in various oncology psychosocial research and presented projects at various oncology conferences including Association of Oncology Social Work and Multi National Association for Support Care in Cancer
  • Provided psychosocial assessment, referral to community resources, and discharge planning

Education

Master of Social Work - Social Work

Tulane University
New Orleans, LA
12.1988

Bachelor of Arts - Sociology

Loyola University New Orleans
New Orleans, LA
12.1986

Skills

  • Psychosocial assessment with senior and disabled individuals
  • Referral to community resources
  • Documentation in various platforms including CGX & HCAT
  • Facilitation of member understanding and accessing of Medicare Advantage benefits
  • Providing follow up contact with members as needed to ensure that social service needs are fully addressed
  • Promotion of cohesion of team members by developing and carrying out engagement activities during staff meetings
  • Active participation in pilot process to address areas of need across enterprise
  • Provides support social worker services to Special Needs Population of Medical Advantage members
  • Supports teammates by providing social work services to members in absence of assigned work

Timeline

Telephonic Behavioral Health Specialist

Humana Insurance
05.2016 - Current

Social Worker

Peoples Health Network
01.2014 - 04.2016

Social Worker/Community Educator

River Region Hospice
05.2005 - 01.2014

Oncology Social Worker

Ochsner Clinic Foundation
09.1992 - 05.2005

Master of Social Work - Social Work

Tulane University

Bachelor of Arts - Sociology

Loyola University New Orleans
AVIS LAGRANGE