Cassandra Smith

• Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
• Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
• Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
• Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
• Achieved positive client outcomes by developing and implementing comprehensive case management plans.

Built and maintained strong relationships with new and existing referral sources such as: physicians, hospitals, nursing facilities, home health, and other community resources.

• Increased efficiency in care management by implementing new processes for tracking patient progress and updating care plans as needed.
• Maintained up-to-date knowledge of industry best practices related to care transitions while also staying informed about changes in legislation that could affect the process.
• Streamlined the discharge process for patients, ensuring timely communication between healthcare providers and facilities.
• Leveraged strong clinical knowledge to advocate for necessary interventions during the transition process, promoting optimal health outcomes for each patient involved.