Jenna Giefer
Haven
Summary
Healthcare professional with expertise in coordinating and managing patient care. Proven track record of integrating care plans across multidisciplinary teams, fostering strong collaboration to achieve optimal patient outcomes. Known for adaptability to changing needs and reliability in delivering excellent service.
Overview
16
16
years of professional experience
1
1
Certification
Work History
I/DD Care Coordinator
United Healthcare Community & State
12.2024 - Current
- Coordinate HCBS Services for IDD waiver recipients including developing a person-centered service plan
- Complete required annual assessments and routine touchpoints for assigned IDD waiver members to monitor effectiveness of service plan and make adjustments/ changes as needed
- Collaborate with IDD interdisciplinary team for each member, including parents/guardians, providers, and targeted case managers to coordinate HCBS services.
MSW Practicum Student
Via Christi Family Medicine & Specialty Clinics
09.2024 - 05.2025
- Assisted Clinic LMSW's in addressing SDOH needs for patients in Family Medicine and Transitional Care Clinics, including crisis intervention if needed
- Provided support and resources to expectant mothers within Family Medicine
- Met with pediatric and adult Cystic Fibrosis patients in weekly CF clinic to address emotional and social needs
- Coordinated medical meal delivery for homebound patients of Community Cares program
- Spent time job shadowing Social Workers in various departments/areas within Via Christi including Senior Behavioral Health, Labor & Delivery, NICU, Med Surge, Pediatrics, Via Christi HOPE, Community Cares, and St. Francis ED
Community Transitions Care Coordinator
United Healthcare Community & State
08.2016 - 12.2024
- Primarily work with members who qualify for Community Transitions Program and develop/implement a discharge plan to the community
- Assist Community Transition qualified members in locating/obtaining appropriate housing, setting up needed HCBS services, obtain needed DME items, arrange for home modifications if necessary, and assist the member in setting up their new residence in the community
- Collaborate with necessary care coordinators, providers, informal supports, community resources, various agencies, etc. to ensure the members needs are met upon transition to the community
- Problem solve and overcome barriers with members who desire to transition to the community but have significant obstacles preventing a transition to the community
- Develop an appropriate plan of care prior to the members discharge to assure their needs are met and provide a safe transition to the community
- Follow-up with the member, providers, and other involved entities post transition to address any complications or concerns
Field Care Coordinator
United Healthcare Community & State
10.2012 - 03.2016
- Primarily provides care coordination for members who are eligible for Nursing Facility Level of Care/ Waiver services in a community or facility setting and are at high risk for clinical complication and/or have complex care management/coordination needs
- Conducts face to face and telephonic member needs assessments according to state and national guidelines, policies, procedures, and protocols
- Determines member's overall bio-psychosocial needs and develops individualized member service/care plan including long term care services and supports based on assessment data, member and caregiver/ stakeholder input, and cost-effective options for service delivery
- Develops member goals of care and interventions for unmet needs in coordination with the member
- Facilitates authorization, coordination, continuity and appropriateness of care and services in community or LTC setting
- Routinely and as needed evaluates the effectiveness of the care/service plan and makes appropriate revisions per policy & procedure/ state contractual requirements
Post Acute Care Social Worker
Catholic Care Center
01.2010 - 05.2012
- Social Worker for Medicare/Short Term Rehab. Residents
- Complete chart reviews noting date of hospitalization, reason for admission, diagnoses, medication primarily pertaining to depression, anxiety, dementia, and psychiatric issues
- Talk with primary contact person to review results of assessments and to discuss what their plans are for their family member regarding discharge and what concerns they might have
- Communicate as frequently as need in person, per voice mail, or e-mail with staff caring for resident regarding progress, concerns, and discharge plans
- Coordinate services with The Department on Aging, communicating with private insurance companies as they dictate, home health agencies, private duty, life-line type systems, etc.
- Coordinate and facilitate family members with appropriate staff
- Attend weekly Medicare meetings
- Discuss option of advanced directives with res. and family if they do not have them
Social Services Licensed Social Worker
Presbyterian Manors of Mid-America
07.2009 - 01.2010
- Social Worker for Medicare/Short Term Rehab. Residents
- Responsible for monitoring and meeting residents emotional needs
- Conduct admission meetings with residents and their families
- Assist in developing resident Care Plans
- Leading Care Plan meetings with staff, residents, and their families
- Coordinate discharge planning for residents returning home
- Assist residents in finding outside resources when returning home
- Assist in leading monthly Resident Council meetings
- Educate all new staff of abuse/neglect in the elderly
Education
Master's degree - Social Work
Newman University
Wichita, KS05.2025
Bachelor of Science - Social Work
Kansas State University
Manhattan, KS05.2009
Skills
- Case management
- Clinical Documentation
- Discharge Planning
- Organizational skills
- Multidisciplinary team collaboration
- Medical terminology understanding
- Care planning
Certification
Licensed Bachelor of Social Work, # 7360
Expires 6/30/2027
Licensed Masters Social Worker- Temporary, # 14445-T
Expires 9/30/2027
Timeline
I/DD Care Coordinator
United Healthcare Community & State
12.2024 - Current
MSW Practicum Student
Via Christi Family Medicine & Specialty Clinics
09.2024 - 05.2025
Community Transitions Care Coordinator
United Healthcare Community & State
08.2016 - 12.2024
Field Care Coordinator
United Healthcare Community & State
10.2012 - 03.2016
Post Acute Care Social Worker
Catholic Care Center
01.2010 - 05.2012
Social Services Licensed Social Worker
Presbyterian Manors of Mid-America
07.2009 - 01.2010
Bachelor of Science - Social Work
Kansas State University
Master's degree - Social Work
Newman University
Awards
Excellence in Mastery of Social Work,
April 2025
Presented to a graduating MSW Student who demonstrates outstanding knowledge and dedication to the profession
Similar Profiles
Lucille HarrisLucille Harris
Operational Trainer Community & State at United HealthcareOperational Trainer Community & State at United Healthcare
Troy ColdwaterTroy Coldwater
Regional Clinical Liaison at United Surgical Partners International (USPI)Regional Clinical Liaison at United Surgical Partners International (USPI)
CYNTHIA DEL MORALCYNTHIA DEL MORAL
Medical Admin Assistant at Tri-State Community HealthcareMedical Admin Assistant at Tri-State Community Healthcare
Kyler GeffertKyler Geffert
American Salers Junior Advisor at ASJAAmerican Salers Junior Advisor at ASJA
Lauren GrovesLauren Groves
Lead Teacher at Treehouse Learning CenterLead Teacher at Treehouse Learning Center