HILLARY SCOTT
Blackwood,NJ
Summary
Licensed social worker with a strong background in psychosocial assessment, patient advocacy, brief therapy, and crisis intervention across dialysis, transplant, outpatient, and correctional settings. Known for building trust, coordinating with clinical teams, and guiding patients through insurance, resource, and end-of-life decisions.
Overview
14
14
years of professional experience
Work History
Licensed Dialysis Social Worker
Dialyze Direct
02.2023 - Current
- As a licensed PA and NJ dialysis social worker, it is my job to travel between 12 nursing homes {Dialyze Direct has created many dialysis units located in nursing home facilities. This decreases the patients' mortality rates, because they get dialysis daily in their home base not in a unit they must be transported to.}
- I evaluate each patient, create treatment plans, and provide the following: brief therapy, referrals, and dialysis education. I also run 2 multidisciplinary meetings each month.
- Full-time
Licensed Social Work Therapist
Beyond Counseling
11.2023 - 04.2024
- Provided out-patient counseling to adults and couples struggling with emotional issues in their private lives.
- Utilized Systems Theory to work with each patient/couple to definitively pinpoint the area each struggled in and created solutions to problems.
- I saw up to 15 patients per week.
- Part-Time
Licensed Community Social Worker
Chen Med
08.2022 - 02.2023
- As a dedicated senior medical center Social Worker, I worked both in Olney and North Philadelphia with seniors in a primary care setting. If a patient was referred to me, they had severe SDoH needs of which I worked with them to rectify. - This could be anything from home health help to homelessness to rat infestations to depression to intoxication to loss of heat, etc. Together, the patient and I strove to improve their life.
- Full-time
Licensed Renal Social Work Care Manager
Monogram Health
02.2021 - 07.2022
- Monogram has a contract with Cigna Insurance, and it was my job as a licensed care manager, to help the Cigna patients of whom have kidney disease, work towards remaining hospital free. This was done by creating both long-term and short-term goals.
- I drove to each patient's home in both NJ and PA to educate them on the following: local resources- such as behavioral health referrals, kidney transplant referrals, housing resources, in home health care, palliative care, at times APS referrals and general kidney health knowledge such as controlling blood pressure and eating less sodium.
- Utilized My Directives software to create advanced care plans with patients of whom desired to do so.
- I created a virtual Northeastern Regional Social Work group which helped gain increased knowledge of local resources and answers to questions regarding difficult cases. This group met 1x/month.
- I participated in weekly virtual multidisciplinary team meetings to include: our region's medical director, all supervisors, social workers, and nurses. We discussed all escalated cases- which included patients that had extremely low kidney function and were in fear of hospitalization. We also discussed patients with multitudes of SDoHs as homeless patients, APS cases, etc. The purpose being to create and adjust each escalated patient's current long and short-term goals.
- Full-Time- both in NJ and PA. Monogram Health-Headquartered in Tennessee
Transplantation Social Worker
Virtua (formerly Lourdes) Kidney/Pancreas Transplant Department
Camden, NJ
01.2019 - 01.2021
- Performed all psychosocial assessments on all new transplant candidates.
- Performed all psychosocial assessments on all re-see candidates (candidates that need to be evaluated 1x/year as instructed by their individual insurance plans.) Assessments included: 1. Creating genograms to accurately notate supports or lack thereof 2. Evaluating each candidate's psychosocial demeanor 3. Evaluating their drug, alcohol, tobacco history- to list a few.
- Presented each patient's psychosocial assessment at our weekly multidisciplinary meetings. The following individuals are present: all transplant surgeons, our 2 nephrologists, all transplant coordinators (RN's), a dietitian, and I. During these meetings each patient's status is created-active on the list, inactive etc., and, a game plan is put into place for each patient enabling them to work towards getting on the transplant list.
- Helped patients with insurance questions regarding: Medicare, Medicaid and EGHPs in order for them to qualify for transplantation.
- Lead a Pre-Transplantation Support Group for patients and their family members. Some of the patient created goals included gaining support and knowledge to ease their anxiety and depression while waiting for transplantation.
- Full-time
Dialysis Social Worker
Jefferson Health Dialysis (Formerly Kennedy) Voorhees & Cherry Hill
, NJ
11.2016 - 01.2019
- Facilitated a collaborative approach to admitting new patients and placing those that are leaving.
- Due to being affiliated with a hospital, I delivered direct support to a spectrum of dialysis patients and their families through counseling and referral making.
- Ran a dialysis support group for patients and family members.
- Completed all documentation in a timely fashion to include: psychosocial assessments, short term care plans, long term care plans, and depression screenings.
- Won the NJ Network writing contest x2.
- Full-time
Dialysis Social Worker
DaVita Dialysis
Cherry Hill, NJ
04.2014 - 06.2015
- Provided case management services for 140 dialysis patients to include: counseling, insurance consultations, transportation needs, help getting on transplantation lists-to name a few.
- Performed Symptom Targeted Intervention therapy on patients of whom were not coming to their treatments as prescribed in order to help them to become more compliant.
- Provided staff education on topics such as elder abuse, and patient centered care.
Licensed Outpatient Therapist
Multicultural Wellness Center
Philadelphia, PA
11.2013 - 04.2014
- Provided individual, couples and group counseling on an outpatient basis. Unfortunately, the agency closed.
- Full-time
Prison Social Worker
Howard R. Young Correctional Institute for Men
Wilmington, DE
08.2012 - 11.2013
- Conducted new inmate initial intakes to include: completing all required paper work such as: risk assessments, treatment plans, and comprehensive bio-psychosocial examinations (including a 5 Axis formal diagnosis.)
- Conducted risk assessments and crisis interventions to prevent suicides from occurring in the prison.
- Placed at risk inmates on suicide watches in the institution's infirmary.
- Provided brief counseling, drug and alcohol counseling, and referral requests.
- Ran anger management groups, an ADHD group and 2 ongoing dual diagnosis groups.
- Full-time Connections, CSP working at: Howard R. Young Correctional Institute for Men, Wilmington, DE
Education
Master's Degree - Clinical Social Work
Widener University
Chester, PA01-1998
B.A. - English writing
University of Pittsburgh
Pittsburgh, PA01-1994
Semester at Sea
01-1993
Skills
- Psychosocial assessment
- Care plan development
- Dialysis education
- Advanced care planning
- Multidisciplinary coordination
- Insurance navigation
- Crisis intervention
- Relationship building
- Patient advocacy
- Interdisciplinary collaboration
- Family support
- Mental health assessment
- End-of-life planning
Timeline
Licensed Social Work Therapist
Beyond Counseling
11.2023 - 04.2024
Licensed Dialysis Social Worker
Dialyze Direct
02.2023 - Current
Licensed Community Social Worker
Chen Med
08.2022 - 02.2023
Licensed Renal Social Work Care Manager
Monogram Health
02.2021 - 07.2022
Transplantation Social Worker
Virtua (formerly Lourdes) Kidney/Pancreas Transplant Department
01.2019 - 01.2021
Dialysis Social Worker
Jefferson Health Dialysis (Formerly Kennedy) Voorhees & Cherry Hill
11.2016 - 01.2019
Dialysis Social Worker
DaVita Dialysis
04.2014 - 06.2015
Licensed Outpatient Therapist
Multicultural Wellness Center
11.2013 - 04.2014
Prison Social Worker
Howard R. Young Correctional Institute for Men
08.2012 - 11.2013
Master's Degree - Clinical Social Work
Widener University
B.A. - English writing
University of Pittsburgh
Semester at Sea