Desiree Swayzer
Carrollton,TX
Summary
Compassionate and detail-oriented professional with 6 years of experience in performing comprehensive program assessments, coordinating care for individuals with chronic illnesses, disabilities, and individuals at-risk. Expertise in motivational interviewing, care management, and multidisciplinary team collaboration. Skilled in documenting service plans, coordinating with healthcare providers, and ensuring efficient utilization of long-term services and supports. Proven ability to manage complex cases and advocate for members while maintaining adherence to state and federal guidelines.
Overview
5
5
years of professional experience
Work History
Field Option Counselor
CICOA Aging and In-Home Solutions
Indianapolis, IN
10.2024 - Current
- Conduct comprehensive assessments in hospitals, clinics, and home settings to determine client needs, ensuring alignment with appropriate services and resources.
- Develop individualized care plans in collaboration with clients and family members, incorporating both formal and informal supports.
- Serve as the single point of contact for members, coordinating with clinical healthcare management and interdisciplinary teams to develop individualized care plans.
- Track client progress using a daily, weekly, and monthly system, ensuring accurate and up-to-date records.
- Maintain strict adherence to HIPAA guidelines, ensuring the confidentiality of client information.
- Build and maintain professional relationships with doctors, social workers, discharge planners, and interdisciplinary team members.
- Provide education to hospital and clinic staff about services and available community resources.
- Establish and manage effective referral processes within the clinical setting, ensuring smooth transitions, and continuity of care.
- Work independently and flexibly to accommodate client and caregiver schedules for assessments.
Care Transitions Navigator
CICOA Aging and In-Home Solutions
Indianapolis, IN
07.2023 - 11.2024
- Assisted clients with Medicaid application processes, guiding them from the initial application to approval, and supporting their transition to care management services.
- Gathered and submitted the necessary documentation to ensure eligibility for Medicaid, home-based services, and other community resources.
- Assessed clients' eligibility for various funding streams, and facilitated access to services such as Medicaid, Energy Assistance, and Food Stamps.
- Worked closely with clients to ensure smooth transitions into care management, advocating for client needs throughout the process.
Flourish Care Manager
CICOA Aging and In-Home Solutions
Indianapolis, IN
02.2022 - 07.2023
- Conducted face to face comprehensive needs assessments to determine eligibility for governmental and non-governmental services, including home and community-based services and nursing home placement.
- Developed and implemented individualized care plans, utilizing independent judgment to create tailored intervention strategies with clearly defined goals.
- Collaborated with clients, families, and care teams to review and adjust service plans quarterly to ensure ongoing effectiveness and goal alignment.
- Identified members eligible for alternative service levels or additional waiver programs, ensuring access to appropriate services.
- Report incident reports to relevant state and county agencies such as Adult Protective Services and Law Enforcement when necessary.
Family Case Manager
Department of Child Services
Indianapolis, IN
09.2019 - 02.2022
- Assessed allegations of child abuse and neglect, including physical abuse, sexual abuse, and neglect, utilizing motivational interviewing techniques to engage children and families.
- Educated caregivers on the strengths and needs of families and children, providing critical information and referral services as needed.
- Conducted safety assessments, identifying protective factors, and making decisions to ensure children’s safety through protective interventions or placements.
- Collaborated with law enforcement, schools, medical professionals, and other service providers to ensure comprehensive family support.
- Documented assessment findings, prepared court reports, and testified in juvenile court as required, ensuring compliance with legal and procedural standards.
Education
Bachelor of Social Work -
Indiana University, Purdue University Indianapolis
Indianapolis, IN05-2019
Skills
- Care Coordination & Case Management
- Motivational Interviewing
- Documentation & Service Plan Development
- Interdisciplinary Team Collaboration
- Client Advocacy & Support
- Incident reporting
- Process improvement
- Communication
- Flexible and adaptable
Accomplishments
- Dean’s List
- Tau Sigma Academic Honor Society
- Phi Alpha Honor Society (Kappa Gamma Chapter)
- BSW Child Welfare Scholar
Timeline
Field Option Counselor
CICOA Aging and In-Home Solutions
10.2024 - Current
Care Transitions Navigator
CICOA Aging and In-Home Solutions
07.2023 - 11.2024
Flourish Care Manager
CICOA Aging and In-Home Solutions
02.2022 - 07.2023
Family Case Manager
Department of Child Services
09.2019 - 02.2022
Bachelor of Social Work -
Indiana University, Purdue University Indianapolis
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