Darlene Williams-Smith
Bronx,NY
Summary
Accomplished Medical Social Worker with a proven track record at Beth Abraham Center Light, adept in psychosocial assessment and mental health counseling. Extensive experience in coordinating interdisciplinary care and discharge planning. Proven ability to demonstrate strong team collaboration and clinical documentation skills. Achieved significant improvements in patient-centered care, empowerment and care transition. Skilled in navigating complex care needs and facilitating access to vital community resources.
Overview
17
17
years of professional experience
Work History
Medical Social Worker
Beth Abraham Center Light Healthcare
10.2001 - 02.2015
- Coordinated and facilitated discharge planning, accessed long-term care facilities, coordinated homecare services, ordered durable medical equipment and supplies as needed, and arranged for post-discharge medical follow-up.
- Developed comprehensive psychosocial assessments for initial admissions, HRA housing applications, particularly for patients with mental illness, developmental challenges, substance abuse, and HIV?AIDS. Developed behavior contracts, provided counseling, and emotional support to facilitate the development of personal empowerment.
- Ensured timely completion and submission of quarterly and annual assessments using the MDS assessment tool,and developed and updated care plans. Completed SCREENs and PASSARs to facilitate appropriate resident services.
- Initiated, coordinated and led interdisciplinary team meetings and family meetings.
- Coordinated, facilitated and presented at Ethics Committee meetings to assess and determine the client's needs, wishes, and subsequent care.
- Initiated discussions around Advance Directives and hospice care, and completed health care proxies, living wills, and MOLST (Medical Order for Life-Sustaining Treatment).
- Facilitated referrals to hospice care upon conferring with nursing and primary MD.
- Facilitated communication with deaf residents
- Supervised and evaluated social work interns.
Community Social Worker
Center Light
08.1998 - 10.2001
- Visited and assessed the psychosocial needs of program participants in their homes.
- Formulated psychosocial assessments and care plans.
- Provided counseling and emotional support. Linked program participants with community resources, e.g. Food stamps, Meals on Wheels, and Access-A-Ride.
- Facilitated completion of Medicaid recertification.
- Collaborated with Administration for Children Services (ACS) and Adult Protective Services (APS).
Education
No Degree - American Sign Language
LaGuardia Community College Fall 2010-Spring 2014
Long Island City, NYMaster of Arts - Social Work
Hunter College School of Social Work
New York, NY05-1995
Bachelor of Arts - Sociology
Kentucky State University
Frankfort05-1975
Skills
- Bereavement counseling
- Palliative Care
- Substance abuse counseling
- Psychosocial assessments
- Clinical documentation
- Team collaborating
- Discharge planning & Follow up
- Child welfare
- Adult Protective services
- Mental health counseling
- Social work supervision
- Behavioral health
- Home visitation
- Family support
- Managing records
- Social history intake procedures
- Developmental disorders
- Personality disorder treatment
- Caregiver support
- Organizational skills
Timeline
Medical Social Worker
Beth Abraham Center Light Healthcare
10.2001 - 02.2015
Community Social Worker
Center Light
08.1998 - 10.2001
No Degree - American Sign Language
LaGuardia Community College Fall 2010-Spring 2014
Master of Arts - Social Work
Hunter College School of Social Work
Bachelor of Arts - Sociology
Kentucky State University
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