Compassionate and patient-focused Social Worker with experience providing psychosocial support, counseling, care coordination, and discharge planning for diverse patient populations. Skilled in conducting assessments, addressing emotional, social, and financial barriers to care, facilitating care plan meetings, and connecting patients and families with community resources. Strong communicator dedicated to improving patient outcomes through collaborative, person-centered care.
Work History
Social Worker
2 Years 6 Months
Caring Heart Metro West Dialysis | 02.2024 - Current
Connect patients and families with community resources, financial assistance programs, and support groups to enhance their quality of life and facilitate access to essential services.
Conduct thorough biopsychosocial assessments to evaluate patients' emotional, social, and financial circumstances, identifying barriers to care and eligibility for transplantation.
Educate patients and their families about the transplant process, including eligibility criteria, the surgical procedure, post-operative care, and the importance of adherence to medical protocols.
Provide counseling and emotional support to patients and their families, helping them navigate the complexities of renal disease, transplant evaluation, and post-transplant recovery.
Social Worker
4 Years 2 Months
Solaris HealthCare | 06.2022 - Current
Utilize Brief Interview for Mental Status (BIMS) form to perform individual client assessments.
Analyze degree of depression through PHQ9 questionnaire to determine possible treatment options.
Ensure good quality of life and end-of-life care by rendering guidance to patients on advance directives.
Conduct quality assurance in Do Not Resuscitate (DNR) orders and attend family care plan meetings to enhance patient care and satisfaction.
Complete PASRR's when needed.
Support in discharge planning and appeals to prevent future readmissions.
Deliver short- and long-term residents with community resources to provide vital services to patients living with chronic diseases, such as diabetes and cancer.
Assure patients are fully prepared to leave the facility after receiving treatment.
Act as a resource person and offer information/intervention related to treatment decisions and end-of-life issues.
Verify DNR status, copies of Living Wills, and Health Care Proxy information at the time of admission to the facility.
Organize preadmission procedures, handouts, and required paperwork to achieve optimal surgical outcomes.
Art Therapist
1 Year 1 Month
Hialeah Academy of Music | 11.2024 - 12.2025
Conduct thorough in-home assessments and develop individualized
treatment plans tailored to the unique needs of each child or adolescent
Collaborate with families to offer support, education, and guidance,
empowering them to actively participate in their child's treatment and
recovery process
Facilitate creative expression in a safe, non-judgmental environment
Stay current with best practices in art therapy and mental health care
Substance Use Disorder - SUD Navigator Social Work Intern
4 Months
AdventHealth | 01.2022 - 05.2022
Managed broad community resources/networks to support patients and families during transition back to the community.
Recorded psycho-social determinants for safe discharges through close conjunction with multi-disciplinary team.
Assisted with a complete support structure for patients by interacting with patients, families, physicians, and community leaders.
Promoted clinical social work input and communication among interdisciplinary team members while confirming patients receive necessary medical information.
Arranged transportation to move cancer patients to and from different areas of medical facilities.
Performed psycho-social assessments and referred patients to mental health counselors.
Assisted supervisor in planning and administering programs to support patients in dealing with opioid addiction, substance use, and mental health disorders effectively.
Liaised with medical record departments at hospitals and private attending physicians' offices nationwide to empower healthcare professionals to treat patients with appropriate care.
Complied with Health Insurance Portability and Accountability Act (HIPAA) to reduce healthcare fraud and abuse.
Ensured accuracy by accumulating medical records and attending physician's statements for life insurance policyholders.
Reviewed medical data for life expectancy evaluations and transmitted to third-party and internal medical records departments with life settlement providers.
Planned follow-up during retrieval process to collect medical records for risk adjustment programs/quality measurements.
Gathered medical data promptly by accomplishing daily processing through effective multi-tasking abilities.
Parent Engagement Liaison
8 Months
Orange County Public Schools | 09.2018 - 05.2019
Provided parents, families, and school personnel with opportunity to interact with district offices and community services.
Encouraged student success, parenting/advocacy, and individual growth by motivating parents to become active participants in education of children.
Promoted parent/teacher conference meetings for non-English speaking families to communicate a wide range of issues that hindered child learning.
Coordinated school pantries for low-income families weekly while organizing ethnic activities aimed at teaching pupils about diversity, along with orchestrating sessions/workshops to aid families in understanding academic standards.
Intake Coordinator
6 Years 10 Months
Heavenly Golden Years, Inc. | 08.2010 - 06.2017
Home Health.
Supervised admissions daily and managed patient orders and home healthcare service referrals.
Delivered support by formulating and executing effective marketing plans.
Aided hospital case managers coordinate the discharge process for patients to obtain home care services at home.
Maintained precision by handling patient authorization, field staff's supply orders, and benefits justification.
Collaborated actively with insurance case managers to discharge patients from home care services.
Improved operational efficiency by conducting periodic evaluations of personnel under strict supervision.
Anticipated/satisfied staff training needs and organized in-service sessions to assist the organization in achieving desired goals.
Collaborated with Director of Nursing to implement all aspects of auditing and quality assurance.
Education
Master's - Social Work
University of South Florida | Tampa, FL
Core Training Certificate
Florida Assisted Living Association | Orlando, FL
Diagnostic Medical Sonography
Middlesex Community College | Bedford, MA
Phlebotomist - Phlebotomy
Massachusetts Community College | Wellesley, MA
Spanish Medical Interpreter
Cape Cod Community College | Barnstable, MA
Bachelor's - Marketing Communications
Emerson College | Boston, MA
Skills
Biopsychosocial Assessments
Case Documentation
Case Management
Client Advocacy
Client Confidentiality
Client Needs Assessment
Community Resources
Compassionate
Discharge Planning
Family Case Management
Fluent in Spanish
Medical Terminology
PASRR
Patient-centered care
PCC/Matrix
Trauma Questionnaire Assessment
Certification
LCSW Intern
Spanish Medical Certificate
Languages
Spanish
Native or Bilingual
Portuguese
Limited Working
Timeline
Art Therapist
Hialeah Academy of Music
11.2024 - 12.2025Read More
Social Worker
Caring Heart Metro West Dialysis
02.2024 - CurrentRead More
Social Worker
Solaris HealthCare
06.2022 - CurrentRead More
Substance Use Disorder - SUD Navigator Social Work Intern