Summary
Overview
Work History
Education
Skills
Timeline
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Candace Jones

Fultondale,Alabama

Summary

CANDIDATE PROFILE Dedicated, empathetic professional with a strong work ethic who has managed the art of handling a large case load by efficiently devoting a measured amount of time to each client referring them to agencies for assistance and additional resources. Good listener, detail oriented, and regularly follows-up with clients to ensure action has been taken on their behalf. Experienced in crisis intervention and providing support for mental health. SUMMARY QUALIFICATIONS Advanced Clinical Master’s Social Work from Samford University. Trained Medicare/Medicaid Processor Possess exceptional research, assessment and agency reporting abilities. Excellent case management skills in the areas of review, assessment, and follow up. Detail oriented with strong organizational, communication, and time management skills. Experience working with diverse populations, both verbal and written. Served as liaison within company by providing various programs and services/ Currently Registered/Licensure Alabama Social Work Board Exam.

Overview

11
11
years of professional experience

Work History

Social Worker MSW

Grandview Medical Hospital, PRN
07.2021 - Current
  • Assess all psychosocial functions and needs of individuals and families
  • Communicate effectively both orally and in written to patients and providers
  • Formulate treatment plans that identify strengths, weaknesses, and coping skills to utilize
  • Provides interventions with patients having complex social needs, requiring assistance in eligibility determination for social programs and funding sources and qualifying for community assistance from a variety of special funds and agencies
  • Offers counseling and direct social work services to assist with meeting psychosocial needs of patients and their families
  • Promotes achievement of patient and family's optimal level of physical and social functioning
  • Facilitates and coordinates development of a discharge plan of care for high risk patient populations
  • Receives referrals of individuals who are of an at-risk population from case managers, staff nurses, team members and physicians.

Medical Social Worker

Cooper Green Mercy Health Services
04.2021 - Current
  • Provides crisis intervention services for individuals and families seeking resolution to the cause
  • Coordinate care plans for individuals that experience medical and mental health diagnosis
  • Provide social services for individuals that includes acute, chronic, and traumatic illnesses and injuries
  • Maintain and conduct educational updates in reference to national, state, institutional, community, and pharmaceutical resources needed to provide patients with continuity of care
  • Process all medical necessity, and DME claims to BCBS, Medicare, and Medicade
  • Collaborate and assist with Providers to develop appropriate treatment plans for families, caregivers, and patients
  • Serve as a liaison with working with individuals that present with psychiatric, medical, and social challenges
  • Provide direct social services, evaluation, and counseling to patients and families and/or groups; provide assistance with social and environmental problems as needed
  • Coordinate with the enrollment departing implementing the Alabama State Poverty Guidelines
  • Coordinate with Project Access to assist with all Bilingual patients needing medical healthcare assistance
  • Participate in staffing, clinics, and rounds as needed to enhance team understanding of the patient
  • Participate in in-service and staff development activities
  • Arrange home health, hospice, durable medical equipment and/or skilled nursing facility placements as needed
  • Develop processes to utilize and implement in various procedures within Clinics
  • May provide bereavement/loss counseling to patients/families, or make appropriate community referrals as needed
  • Establish and maintain effective working relationships with clients, staff, and community representative.

The University of Alabama Birmingham
04.2014 - 07.2021
  • Patient Financial Services
  • Maintain, Audit, and Process all charge tickets for insurance claims
  • Maintain accurate client information and adhere to confidentiality standards
  • Responsible for coding and billing all Medicare and Medicaid Outpatient claims
  • Responsible for submitting claims both electronically and hard copy via Social Security Interface
  • Collaborate with management and subject matter experts to identify learning objectives, content development or procurement, and delivery of professional trainings
  • Communicate efficiently with patients regarding insurance coverage and requirements
  • Excellent in time management, conflict resolution, decision making and leadership
  • Develops effective procedures for working collaboratively with Medicare.

Intern

Cahaba Medical Care, MSW Social Work
08.2020 - 01.2021
  • Provide crisis intervention services to patients in need in conjunction with Behavioral Health Clinician staff and providers
  • Refer clients to appropriate community resources and advocates for patients by contacting these agencies when necessary on the patient’s behalf
  • Assist with the CMC Community Center as requested
  • Assist clinic, staff, and patients, as directed, with obtaining needed medications through Patient Assistance programs/ 340B pharmacies/ CMC Dispensary of Hope
  • Assist providers during clinic / patient care hours with ongoing social issues affecting the patients’ well-being including financial problems, housing issues, etc
  • Appropriate coordination with the County and State in dealing with potential issues of abuse or exploitation
  • Assist patients in accessing/obtaining necessary paperwork and forms for eligibility and enrollment in local charity care programs as appropriate
  • Assist patients in access available transportation resources available either in the community, through insurance or through the CMC Transportation Assistance program
  • Management of the patient assistance program, in coordination with the billing office, including the uninsured / sliding scale fee payment plans through administration of sliding scale fee program at CMCF

Direct Care Counselor

Alsana Treatment Center
01.2020 - 03.2020
  • Provides one-on-one assistance to clients in crisis as directed by the nurse or therapist and the client’s plan of care
  • Assists clients with nutritional and dietary needs as indicated by the facility’s nutritionist and interdisciplinary plan
  • Keeps clients and significant others informed
  • Assists with family concerns in a pleasant and efficient manner
  • Seeks assistance of licensed staff when needed
  • Maintains each client’s physical and psychological safety at all times including assigned tasks, e.g
  • Taking and recording vital signs, weights, recording meals and reporting results to nursing and/or the physician
  • Access and completed accurate documentation of observations and notifies supervisor of any unusual findings, e.g
  • Change in vital signs, unusual weight change, and refusing meals
  • Documents patient progress per procedure
  • Maintains and communicates the level system with clients
  • Advises licensed staff of issues related to level system compliance
  • Leads/Co-leads and facilitates groups for Residential/Partial Hospital/Intensive Outpatient Clients
  • Participates in an evening and weekend group rotation
  • Maintains client confidentiality according facility policy and HIPAA guideline.

Social Work Intern Case Manager

Jefferson County DHR
08.2019 - 12.2019
  • Advocate for individual clients (Foster child placement)
  • Initiate group activities as well as individual activities with clients
  • Maintain records and case notes complete
  • Developing action and follow-up plans with clients and families
  • Devise procedures and protocols for client admission and filtration so that residents receive consistent, attentive care through the duration on their stay
  • Conduct assessments and create case management plans for participant dictated by behavior
  • Developed various effective ways to intervene deal with social pressure and personal limitations
  • Performs assigned work safely, adhering to establish departmental safety rules and practices
  • Reports to supervisor in a timely manner any unsafe activities, conditions, hazards or safely violations that may cause injury to oneself, other employees, patients, and visitors
  • Provided case management assistance while attending criminal/family courts within the court justice system
  • Provide and act in a courteous manner towards all patients including staff, students, visitors, guest, and patients
  • 450 clinical Hours

Social Work Intern

08.2018 - 12.2018
  • Provide local assistance to clients seeking basic human resources such as: food banks, clothing, shelters, rent assistance, and utility assistance
  • Government information city and state services
  • Health and Mental resources such as health insurance programs, maternal health, medical information lines, crisis intervention services, support groups, counseling, drug and alcohol rehabilitation
  • Provided employment support such as job training and educational programs
  • Provided support for Children, Youth and Families seeking childcare, after school programs, Head Start, and family resource centers
  • Provided local emergency services during times of disaster, including road closures and shelters
  • 25 Clinical Hours

Social Work Intern

The University of Alabama Blazer Kitchen, Clinical Hours
01.2018 - 04.2018
  • Organized incoming donations
  • Responsible for making sure all foods were within expiration date
  • Sort and stock shelves, racks, cases, bins, and tables with donated goods
  • Cleaned and maintained dining and stock areas
  • 25

Healthcare Representative Case Manager

DST Health Solutions
10.2012 - 04.2014
  • Responsible for documenting all patients inquires for Human, Cigna, Blue Cross Blue Shield, and Preferred One
  • Analyzed all data while identified underlying patient concerns
  • Communicate and translate benefits coverage to all patients that obtained Medicare and Medicaid
  • Executed duties such as: intake and screening, level of care determination, eligibility determination, choice of institution or community care, plan of care development, initial authorization of waiver services, service coordination, monitoring, changes in services, redeterminations, termination of services, case termination and transfer, and documentation and record-keeping.

Education

Master - Social Work

Samford University
Lakeshore, Birmingham, Alabama

Bachelor of Social Work -

University Alabama
Birmingham, Alabama

Skills

  • Child Welfare and Protective Services
  • Data Collection
  • Confidential Case Documentation
  • Grief Processes
  • Pyschosocial Assessments
  • Therapeutic Services
  • Teen Substance Abuse Training
  • Group Therapy
  • Case Management
  • Family Maintenance
  • Analytical Thinking
  • Crisis Intervention Techniques
  • Life Skills Counseling
  • Basic Cardiac Life Support (BCLS) Certified
  • Case Needs Assessment
  • Medicare and Medicaid Applications
  • Individual and Group Counseling
  • Suicide Prevention Specialist
  • Inpatient Services
  • Behavioral Therapy
  • Cognitive Behavior Practices
  • Investigation Techniques
  • Electronic Charting
  • HIPAA Requirements
  • Medication Identification
  • Clients Rights

Timeline

Social Worker MSW

Grandview Medical Hospital, PRN
07.2021 - Current

Medical Social Worker

Cooper Green Mercy Health Services
04.2021 - Current

Intern

Cahaba Medical Care, MSW Social Work
08.2020 - 01.2021

Direct Care Counselor

Alsana Treatment Center
01.2020 - 03.2020

Social Work Intern Case Manager

Jefferson County DHR
08.2019 - 12.2019

Social Work Intern

08.2018 - 12.2018

Social Work Intern

The University of Alabama Blazer Kitchen, Clinical Hours
01.2018 - 04.2018

The University of Alabama Birmingham
04.2014 - 07.2021

Healthcare Representative Case Manager

DST Health Solutions
10.2012 - 04.2014

Master - Social Work

Samford University

Bachelor of Social Work -

University Alabama

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