Janessa Gregory
Columbus
Summary
Compassionate and dedicated MSW, LSW with over 11 years of experience in clinical social work, specializing in medical social work, discharge planning, and seamless care transitions.
Overview
11
11
years of professional experience
Work History
Regional Patient Navigator
Healing Partners Plus
09.2025 - Current
- Coordinate wound care transitions across multiple skilled nursing facilities to ensure timely discharge to home care with measurable outcomes
- Manage complex at-home wound care arrangements for high-acuity patients, improving continuity of care and reducing readmission incidents.
- Collaborate with families and interdisciplinary teams to customize patient centered care approaches that deliver measurable patient satisfaction gains.
- Foster strong relationships with patient and families, ensuring open communication and support throughout the care transition process.
Medical Social Worker
Suncrest Hospice
10.2023 - 09.2025
- Completed Psycho-social evaluations and needs assessments
- Participated in bi weekly interdisciplinary team (IDT) meetings to ensure appropriate criteria for hospice re certification
- Created individualized care plans in order to meet the Psycho-social needs of hospice patients and their families
- Completed an on call cadence twice monthly in order to ensure Psycho-social needs are met for patients and families
- Established and maintained effective communication with patients and families to ensure understanding of health care decisions
- Provided bereavement services to families, as requested
- Documented case notes daily and coordinated follow-up for seamless case management
Social Service Designee
Laurels Of Walden Park
08.2022 - 09.2023
- Facilitated psychosocial evaluations, long-term discharge planning, and data entry during admission.
- Helped guests with financial and legal matters including pension applications, lawyer referrals, and referrals to funeral homes for pre-planning arrangements.
- Coordinated services for safe and successful discharge, such as home health services, community congregate living, outpatient clinics, and transfers to other nursing facilities.
- Provided counseling and arrangement for psychiatric medication management. Advocated for resident rights.
- Ensured timely and accurate documentation into MDS care plans.
Family Intervention Specialist
Youth Villages
03.2021 - 02.2022
- Provided intensive in home counseling to 4 to 6 families on a cadence of 3 times a week.
- Collaborated with clients on safety plans, such as Crisis Response and De-escalation plans.
- Maintained treatment plans and leveraged Youth Villages assessment and planning practices for educating families on Collaborative Problem Solving.
Medical Social Worker
Hospice of the EUP
09.2019 - 01.2021
- Worked with hospice patients and their families on coordinating end of life arrangements and financial assistance
- Provided counseling and information on community resources to clients in their home.
- Initiated and conducted a six week bereavement support group at the Ball Hospice House in Sault Ste. Marie, MI.
- Managed a caseload of 30 patients on a weekly/biweekly cadence.
- Participated in interdisciplinary team meetings to discuss patient care and treatment options
Medical Social Worker
War Memorial Hospital
09.2014 - 09.2019
- Coordinated discharges for acute care and intensive care unit patients by provisioning social and medical services, including home health, hospice care, and skilled nursing facilities.
- Worked in multiple departments over the duration of my employment, including :
- Acute care
- Hemodialysis
- Emergency room
- Intensive care unit
- O.B.
- Performed various assessments for patients, such as :
- PHQ9
- BIMS
- Psychosocial evaluations
- Coordinated acquisition of D.M.E (Durable medical equipment)
Education
Master of Social Work -
Wayne State University
Detroit05.2014
Bachelor of Social Work - undefined
Madonna University
Livonia05.2013
Skills
- Communication Expert
- Time Management Expert
- Teamwork Expert
- Treatment Planning Expert
- Home Care Expert
- Acute Care Expert
- Discharge Planning Expert
- Hospice Expert
- Community resources
- Confidentiality
LANGUAGES
English
Timeline
Regional Patient Navigator
Healing Partners Plus
09.2025 - Current
Medical Social Worker
Suncrest Hospice
10.2023 - 09.2025
Social Service Designee
Laurels Of Walden Park
08.2022 - 09.2023
Family Intervention Specialist
Youth Villages
03.2021 - 02.2022
Medical Social Worker
Hospice of the EUP
09.2019 - 01.2021
Medical Social Worker
War Memorial Hospital
09.2014 - 09.2019
Bachelor of Social Work - undefined
Madonna University
Master of Social Work -
Wayne State University