Skilled professional with a Master of Social Work and over 14 years of experience in Hospice Care looking to secure a position that will enable me to utilize my analytical, interpersonal, and professional skills in conducting psychosocial assessments, clinical interventions, and advocacy services. Excel in discharge planning with documented success designing plans of hospice care that fosters the personal worth, spiritual well-being, and human dignity of each patient through their end-of-life journey.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Social Worker
County Of Sacramento, Department Of Human Assistance
Sacramento, CA
04.2023 - Current
Conducted assessments of client needs, strengths, and resources to develop treatment plans.
Maintained accurate records of client progress and interactions according to agency standards.
Participated in professional development activities such as seminars, workshops, and training.
Assessed safety risks for children living at home or in foster care settings.
Provided supportive counseling services for victims of abuse or neglect.
Coordinated referrals to outside agencies for additional services such as substance abuse programs or vocational training.
Assisted individuals experiencing homelessness by providing referrals for emergency shelter placements.
Engaged with schools and other educational institutions on behalf of students who are struggling academically or socially due to life circumstances.
Maintained thorough case history records and wrote detailed reports.
Maintained lists of resources helpful to clients.
Engaged in community outreach and program development to support patient and caregiver needs.
Advised families regarding guardianship arrangements when appropriate.
Developed individualized service plans with clients to address their identified goals.
Facilitated group therapy sessions for clients with similar issues or experiences.
Worked collaboratively with other professionals such as psychiatrists, psychologists, and nurses to coordinate care for clients.
Educated clients about the impact of trauma on mental health and well-being.
Provided crisis intervention services for clients experiencing acute distress.
Assisted clients in accessing community resources such as housing, food pantries, and transportation options.
Collaborated with family members to provide comprehensive support services to clients.
Medical Social Worker
Vistas Healthcare
Sacramento
09.2020 - 09.2023
Responsible for the patient/family caseload that includes assessing, planning, implementing, and evaluating phases of the hospice process; including scheduling visits to reflect patient care needs to maintain continuity of the plan of care; and advocate for the patient and family
Develop and implement a comprehensive interdisciplinary case management plan of care which includes patient/caregiver preferences
Facilitate advanced illness and/or end of life discussion with patient/family members to assist with choice of hospice or palliative care, respectful to their right to autonomy and dignity.
Medical Social Worker
Gentiva Hospice
Pleasanton
04.2013 - 08.2020
Primary responsibility for the patient/family caseload that includes assessing, planning, implementing, and evaluating phases of the hospice process; including scheduling visits to reflect patient care needs to maintain continuity of the plan of care; and advocate for the patient and family
Developed and implemented a comprehensive interdisciplinary case management plan of care which includes patient/caregiver preferences
Facilitated advanced illness and/or end of life discussion with patient/family members to assist with choice of hospice or palliative care, respectful to their right to autonomy and dignity
Established a plan of regular contact with each patient to review progress and access the potential for additional services
Obtained data on physical, psycho/social, emotional, and spiritual factors that may influence patient/family health status and incorporate that data into the plan of care
Provided phone triage and support to patients/families as needed and requested
Attended weekly case conferences and actively participate in IDT discussion of patient needs and care planning
Maintained up to date patient records to ensure plans, actions, and goals are accurately and clearly stated and changes are reflected as they occur in accordance with company policies and procedures
Participated in quality management/improvement activities: clinical record review, occurrence reporting, focused studies, process and outcome measurement, peer review, continuous quality improvement projects
Trained and mentor newly hired social workers to include orientation, policy, standards, and process review
On-call rotation to deal with admissions, deaths, and crisis management.
Medical Social Worker
Aseracare Hospice
Concord
10.2009 - 04.2013
Provided wide range of psychosocial services to terminally ill patients and their families
Regularly assessed the patient and family psychosocial needs; pre-bereavement / anticipatory grief
Coordinated social work services, collaborated, and communicated with other members of the inter/multi disciplinary team to assure an appropriate and smooth flow of care/services for patient through the care continuum
Performed interdisciplinary rounds regarding discharge planning and ongoing evaluation of documentation of plan
Interfaced with a wide variety of professionals: including physicians, nurses, care managers, pharmacy, developmental specialists, and psychologists
Maintained confidentiality regarding patient and company proprietary information
Participated in on-going training and educational activities related to medical and behavioral health topics.
MSW Intern
Mount Diablo Unified School District
Concord
08.2008 - 06.2009
Provided individual psychotherapy and crisis intervention to students
Wrote interview summaries, needs assessments, treatment plans, and maintained case activity notes
Developed plan of intervention based on assessment and addressed the physical and psychological problems
Participated in staff development programs, department related conferences and administrative meetings
Provided consultation services for faculty, staff and other clinicians regarding student related programs and services, as requested
Contacted community resources and determined appropriate referrals for services
Conducted field work to assess the effectiveness and success of referrals.
MSW Intern
Lavender Seniors of the East Bay
San Leandro
08.2007 - 07.2008
Provided a full range of clinical services to include assessment of LGBT seniors with medical or cognitive impairments
Individual counseling sessions to address issues that included but not limited to care and activities of daily living, environmental, physical, sexual, and emotional maltreatment
Provided information and referrals to appropriate community resources and agencies
Participated in research for Aging in Place project
Completed data collection and tabulation of statistical information as directed
Ensured that all activities were documented and conducted in compliance with applicable regulatory requirements and accreditation standards
Possessed awareness and acceptance of various lifestyles without imposing personal values on the patient/family unit.
Education
Master of Social Work - Community Mental Health Services
California State University, Eastbay
Bachelor of Arts - Sociology
Oregon State University
Skills
Providing Clinical Social Work Services
Case Planning/Management
Crisis Intervention
Psychosocial Assessments
Interdisciplinary Team Collaboration
Regulatory Compliance
Medical Terminology
Community Patient Relations
Hospice Philosophy
Terminal Illness
Medical Social Work Regulations
Medical Social Work Standards
Patient Needs Assessment & Response
Medicare Medicaid Medi-Cal
Group Therapy
Patient & Family Advocacy
Bereavement Grief Counseling
Discharge Planning End of Life
Motivational Interviewing
Cultural Competency
Self-Help & Emotional Support
Health Education
Multi-Tasking
Interagency Partnerships & Referrals
Certification
Board of Behavioral Sciences, ASW65332, Clinical Social Work
Personal Information
Title: Social Worker | Medical | Hospice
References
Professional Reference Available Upon Request
Training
National Association of Social Workers, California Chapter
NASW, On-line Continuing Education Courses
CPR Certification
Golden Key Honor Society
Cultural Diversity
Professional Assault Crisis Training
Valid Driver’s License
Current Automobile Insurance
Computer Proficiency - Windows Microsoft Office (Word, Excel, and PowerPoint)
Timeline
Social Worker
County Of Sacramento, Department Of Human Assistance
04.2023 - Current
Medical Social Worker
Vistas Healthcare
09.2020 - 09.2023
Medical Social Worker
Gentiva Hospice
04.2013 - 08.2020
Medical Social Worker
Aseracare Hospice
10.2009 - 04.2013
MSW Intern
Mount Diablo Unified School District
08.2008 - 06.2009
MSW Intern
Lavender Seniors of the East Bay
08.2007 - 07.2008
Master of Social Work - Community Mental Health Services
California State University, Eastbay
Bachelor of Arts - Sociology
Oregon State University
Board of Behavioral Sciences, ASW65332, Clinical Social Work
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