Highly motivated and flexible Licensed Clinical Social Worker with strong collaboration and leadership skills. I have over twelve years of diverse experience in field based social work, outpatient counseling, crisis management and case management. Additionally, I possess expertise on payers and have assisted patients and health care providers navigate and overcome reimbursement barriers.
Overview
13
13
years of professional experience
Work History
Patient Navigator
Novartis
07.2023 - Current
Interacts directly with patients and/or their caregivers via telephonic support and acts as a single point of contact and voice for patients.
Completes a video and/or in person visit if desired by patient and/or caregiver.
Works as a patient advocate, demonstrates compassion and coordinates access to therapies, conducts appropriate follow up and facilitates access to appropriate support services.
Collects and review all patient information as well as insurance benefit information.
Validates completeness of all required information and aids provider and/or patient with submitting any missing information.
Provides guidance to physician office staff and patients on how to complete and submit all necessary program applications.
Collaborates with multiple Novartis teams to ensure smooth program operations as well as enhanced efficiency and reporting.
Provides payer education, reimbursement information, and support to providers and patients to support access to therapy.
Reports all Adverse Events (AE) disclosed in alignment with training and Standard Operational Procedures (SOP).
Provides education and support for Risk Evaluation and Mitigation Strategy (REMS) Program requirements.
Licensed Clinical Social Worker
AbleTo
09.2022 - 07.2023
Provides clinical counseling to adults seeking help coping with trauma, abuse, educational or career concerns, and psychological or social issues.
Utilizing diagnostic assessments and developed individualized treatment and safety plans.
Field Care Manager
Aetna, a CVS Health Company
05.2019 - 05.2023
Through use of clinical tools and information/data review, conducts comprehensive assessments of referred members needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating members benefit plan and available internal and external programs/services.
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.
Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated.
Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services.
Helps member actively and knowledgably participate with their provider in healthcare decision-making.
In collaboration with the member and their care team develops and monitors established plans of care to meet members goals.
Leveraged my expertise in Multiple Sclerosis to become the subject matter expert, resulting in all social workers in need of disease specific guidance and resources to consult with me on their Multiple Sclerosis cases.
Licensed Clinical Social Worker
Belcher Enterprises LLC DBA Thriveworks
04.2021 - 06.2022
Provides clinical counseling to adults seeking help coping with trauma, abuse, educational or career concerns, and psychological or social issues.
Utilizing diagnostic assessments and developed individualized treatment and safety plans.
Marketing Associate
The Martin & Edith Stein Assisted Living Residence
03.2015 - 03.2020
Company Overview: http://www.google.com/url?q=http://businessfinder.nj.com/the-martin-edith-stein-assisted-living-residence-somerset-nj.html&sa=U&ei=Ic6aVe39DsH3-QHb8LOwCg&ved=0CDMQFjAD&usg=AFQjCNFFTcApFYebRrtzCpxVdm71PhsFhQ
Administrates consistent and effective process for coordination of admissions with departments and staff.
Applies comprehensive knowledge of the admissions process including policy, procedures, pre-admission assessment skills and admission paperwork requirements.
Maintains up-to-date knowledge of current regulations governing Medicare/Medicaid and managed care reimbursement processes to provide information to families.
Communicates special needs of new admissions to staff to ensure a smooth transition.
Manages inquiry calls from families and provides tours of the facility for both appointments and walk-ins.
Provided clinical counseling to adults and children seeking help coping with trauma, abuse, educational or career concerns, and psychological or social issues.
Utilized diagnostic assessments and developed individualized treatment and safety plans.
Licensed Clinical Social Worker
Fresenius Kidney Care
02.2017 - 05.2018
Company Overview: http://www.google.com/url?q=http://businessfinder.nj.com/the-martin-edith-stein-assisted-living-residence-somerset-nj.html&sa=U&ei=Ic6aVe39DsH3-QHb8LOwCg&ved=0CDMQFjAD&usg=AFQjCNFFTcApFYebRrtzCpxVdm71PhsFhQ
Assesses patients’ psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment.
Participates in care planning in collaboration with patient and healthcare team to identify effective interventions to enable the patient to meet rehab and treatment goals and improve quality of life.
Utilizes established outcome-driven psycho-educational counseling methods aimed at improving areas of need, treatment adherence, vocational/educational rehab, and quality of life.
Provides goal-directed supportive counseling to patients seeking transplant.
Assesses patient awareness of advanced directives, aids with accessing and facilitates discussion of advanced directive wishes.
Collaborates efficiently with facility management, financial coordinators, and billing group staff to address patient issues related to insurance and financial assistance (incl. federal, state, commercial insurance, state renal programs, AKF HIPP).
Directed and provided counseling and social services to 283 residents and their families.
Assisted residents and their families in adjustment from a home or hospital setting to the nursing home environment by providing information, responding to inquiries, assisting families with financial matters, and obtaining required authorizations.
Coordinated intake, admission and discharge procedures.
Supervised implementation and documentation of social service staff.
Participated in Interdisciplinary Team and Unit Care conferences.
Social Worker and Intake Coordinator
Jewish Family Services
03.2014 - 05.2016
Provided person-centered, trauma-informed case management and counseling to senior adult Holocaust survivors.
Provided clinical counseling to adults and children seeking help coping with trauma, abuse, educational or career concerns, and psychological or social issues.
Utilized diagnostic assessments and developed individualized treatment plans.
Organized and facilitate monthly socialization groups for Holocaust survivors.
Determined client eligibility to receive food pantry, rental, emergency and utility financial assistance.
Managed counseling department’s incoming clients, care representatives, informational and referral calls, and all new cases entering the agency prior to caseworker assignment for ongoing counseling or outside referral.
Geriatric Social Worker
Care One
10.2012 - 03.2014
Integrated social services into multidisciplinary plans of care and communicated with interdisciplinary team regarding residents.
Performed biopsychosocial intake assessments for newly admitted senior residents.
Assisted residents with applications for government benefits.
Developed discharge plans and referrals to community services for continuity of care.
Mediated family meetings for psychoeducation and care planning.
Facilitated discussions regarding end-of-life care decisions and adjustment to post-illness/post-injury lifestyles.
Education
MSW - School Social Work, Violence Against Women & Children
Rutgers School of Social Work
New Brunswick, NJ
08.2012
BA - Psychology, Women And Gender Studies
The College of New Jersey
Ewing, NJ
05.2009
Skills
Insurance expert
Community resources
Community advocate
Healthcare
Multitasking
Grief support
Cross-functional collaboration
Calm and effective under pressure
Discharge planning
Benefits explanation
Verbal and written communication
Teamwork
Problem-solving abilities
Service coordination
Patient rights
Professional Presentations
Multiple Sclerosis Synopsis For Social Workers, 2021
Field Care Manager Safety, 2023
Timeline
Patient Navigator
Novartis
07.2023 - Current
Licensed Clinical Social Worker
AbleTo
09.2022 - 07.2023
Licensed Clinical Social Worker
Belcher Enterprises LLC DBA Thriveworks
04.2021 - 06.2022
Field Care Manager
Aetna, a CVS Health Company
05.2019 - 05.2023
Licensed Clinical Social Worker
Jewish Family and Children Services of Northern NJ
04.2018 - 06.2019
Licensed Clinical Social Worker
Fresenius Kidney Care
02.2017 - 05.2018
Director of Social Work
Morris View Healthcare Center
05.2016 - 12.2016
Marketing Associate
The Martin & Edith Stein Assisted Living Residence
03.2015 - 03.2020
Social Worker and Intake Coordinator
Jewish Family Services
03.2014 - 05.2016
Geriatric Social Worker
Care One
10.2012 - 03.2014
MSW - School Social Work, Violence Against Women & Children