Donna Melson
Laurel,DE
Summary
Seasoned Social Worker/Case Manager with a robust background at Amerihealth Caritas Delaware, adept in elder care and motivational interviewing. Demonstrated success in developing member-specific care plans, enhancing team collaboration, and training staff, achieving significant improvements in client service delivery. Excel in leveraging MS Office for efficient case management and reporting, embodying adaptability, and empathetic client engagement.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Social Worker/Case Manager
Amerihealth Caritas Delaware
Newark, DE
12.2018 - Current
- Collaborates with medical providers to assist members with needed services.
- Conduct face-to-face assessments of the member to determine current status and needs.
- Identify members with the potential for high-risk complications, and coordinate appropriate support with the member and care coordination team.
- Act as an advocate for a member's care needs by identifying and communicating opportunities for care interventions.
- Develop and implement a member-specific plan of care to address needs.
- Serve as a point of contact for the coordination of all physical health, behavioral health, and other home and community-based services.
- Trained new employees on policies, procedures, and federal/state laws, rules, and regulations on member benefits in homes and in nursing home facilities.
- I provided the manager with weekly reports on new staff strengths and weaknesses.
Care Coordinator
United Healthcare
Newark, DE
11.2012 - 11.2018
- Conducted with members face-to-face and/or telephonically to complete a comprehensive needs assessment.
- Developed and implemented person-centered care plans to address needs pertaining to chronic health conditions, health promotion, wellness, social determinants of health, medication management, and member safety.
- Collaborated and partnered with the internal care team, providers, and community partners to implement the care plan.
- Provided education and coaching to support member self-management of care needs and lifestyle changes to promote health.
- Supported proactive discharge planning and managed or coordinated related to ER visit, inpatient, or Skilled Nursing Facility (SNF) admission.
- Advocated for members and families as needed to ensure the member’s needs were fully represented and supported by the health care team.
- Provided care coordination for complex members.
- Educated members on complex medical conditions.
- Learned and listened to members' needs and barriers to help promote self-advocacy.
- Proactively engaged the member to manage their own health and healthcare.
- Assisted the member in engaging with mental health and substance use treatment.
- Provided member with education on community resources and benefits to encourage self-sufficiency.
- providers
Education
Bachelor of Science - Behavioral Sciences
Wilmington University
Wilmington, DE05-2012
Skills
- Elder care
- Motivational interviewing
- Attention to detail
- Written and verbal communication
- Problem-solving
- Conflict resolution
- Adaptability and flexibility
- Reliability
- Multitasking Abilities
- Client needs assessments
- Cultural sensitivity
- Organizational skills
- Behavioral health
- Active listening
- Teamwork and collaboration
- Interviewing skills
- Time management
- MS Office
- Staff training
- Case management
- Compassionate and Empathetic
- Team collaboration
Certification
- Licensed Bachelor Social Worker
Timeline
Social Worker/Case Manager
Amerihealth Caritas Delaware
12.2018 - Current
Care Coordinator
United Healthcare
11.2012 - 11.2018
Bachelor of Science - Behavioral Sciences
Wilmington University
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