Janira Lashley
Bronx,New York
Summary
Dynamic social services leader with extensive experience at Skilled Nursing Facilities, excelling in regulatory compliance and interdisciplinary collaboration. Proven track record in enhancing Medicaid eligibility education and crisis intervention, ensuring optimal patient outcomes. Adept at developing comprehensive care plans that promote independent living for vulnerable populations.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Director of Social Services
Skilled Nursing Facilities
New York, NY
06.2020 - 02.2023
- Oversaw social services department operations in compliance with NYS DOH and CMS regulations.
- Ensured completion of PRI assessments and certified screen evaluations for admissions and interfacility transfers.
- Submitted screening documentation to external entities for level-of-care determinations.
- Participated in interdisciplinary team meetings to monitor length of stay and reimbursement categories.
- Educated residents and families on Medicaid eligibility, Medicare coverage, disenrollment, and re-enrollment processes.
- Collaborated with admissions and insurance departments during appeals discussions and reimbursement reviews.
- Conducted documentation audits to maintain regulatory compliance and ensure survey readiness.
- Coordinated short-term rehabilitation discharge planning to minimize unnecessary long-term placements.
Assistant Director of Social Services / Social Worker
Citadel Care Centers
10.2016 - 09.2018
- Promoted to Assistant Director based on leadership and compliance performance
- Supported regulatory audits, documentation reviews, and survey preparation
- Conducted psychosocial and Medicaid-related assessments
- Assisted with discharge coordination and length-of-stay review
Intensive Case Manager – Homebound Clients
JASA
09.2012 - 08.2016
- Managed caseload of medically vulnerable homebound older adults to ensure comprehensive care.
- Conducted in-home functional and psychosocial assessments to identify client needs.
- Coordinated Medicaid, Medicare, and HCBS services to enhance access for clients.
- Developed individualized service plans that promoted independent living for older adults.
- Provided telephonic follow-up and crisis intervention to resolve urgent client concerns.
- Maintained detailed case documentation to support treatment continuity.
- Facilitated collaboration among healthcare providers, social services, and community resources.
Caseworker / Case Manager
RAIN Senior Services
01.2005 - 01.2008
- Conducted intake assessments for public benefits and entitlements
- Assisted clients with Medicaid and community-based services
- Coordinated Meals on Wheels and aging support programs
- Maintained documentation in compliance with DFTA guidelines
- Under contract with New York City Department for the Aging (DFTA)
Education
Bachelor of Arts (B.A.) - Health Services Administration & Business Administration
Monroe University
The Bronx, NY08-2008
Associate of Applied Science (A.A.S.) - Business Technologies
Monroe University
The Bronx, NY05-2006
Skills
- Regulatory compliance
- Case management
- Documentation standards
- Medicaid eligibility education
- Patient assessment
- Interdisciplinary collaboration
- Crisis intervention
- Care plan development
- Confidentiality protocols
- Emergency preparedness
Certification
New York State Dept. of Health Screen Certification for Mental Illness, Intellectual disabilities and /or Developmental Disabilities
Timeline
Director of Social Services
Skilled Nursing Facilities
06.2020 - 02.2023
Assistant Director of Social Services / Social Worker
Citadel Care Centers
10.2016 - 09.2018
Intensive Case Manager – Homebound Clients
JASA
09.2012 - 08.2016
Caseworker / Case Manager
RAIN Senior Services
01.2005 - 01.2008
Bachelor of Arts (B.A.) - Health Services Administration & Business Administration
Monroe University
Associate of Applied Science (A.A.S.) - Business Technologies
Monroe University