JENNIFER HESSNER
Glendale,Arizona
Overview
14
14
years of professional experience
Work History
Social Worker
Aurora Behavioral Health System
05.2022 - Current
- Performs thorough assessments and develops appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs
- Works collaboratively with acute care nurses, physicians, insurance companies, and other staff members to proactively identify and address patient needs
- Developing, organizing, and implementing psychoeducational groups
- Coordinates and facilitates meetings between the care team and patients/families/caregivers
- Assists patients and families in making difficult decisions while honoring their preferences and values
- Obtains input from the treatment team to ensure the discharge plan is appropriate and aligns with the patient care plan
- Reassesses and modifies patient discharge plan as needed, in conjunction with the clinical team
- Provides education to patients and caregivers regarding community resources and post-acute level of care criteria, benefits, and coverage.
SMI Case Manager
Copa Health
07.2020 - 05.2022
- Works collaboratively with the integrated care team to coordinate care with service participants, their family, behavioral health, medical and dental providers, community resources and others in ensuring that all services prescribed in the Integrated Service Plan are implemented
- Develops and maintains and manages the Integrated Service Plan (ISP) within required time frame
- Participates in the development of the integrated comprehensive assessment and Integrated Service Plan (ISP)
- Implements services to members in accordance with their plan and provides ongoing care and reviews progress
- Coordinates with all involved healthcare, behavioral health and wellness providers and maintains current documentation on members' progress in managing chronic medical and psychiatric conditions and assists the individual in achieving their recovery goals.
Transition Facilitator
Southwest Network
Peoria, Arizona
07.2018 - 09.2019
- Complete intakes for young adults starting TIP services
- Complete TAPIS assessment to track progress of current members
- Create transition plan goals for members to work towards independence
- Meet with members weekly to work towards greater independence
- Attend scheduled CFT meetings for members to discuss progress
- Communication with case managers and families regarding members progress
- Collaboration with team members for appropriate services to meet the needs of members
- Maintain accurate, thorough and current documentation of all contact with families and progress of treatment to submit monthly reports and referrals
- Coordination of care with external resources
- Conducts basic case management services to meet service provision obligations
- Reviews service documentation to ensure service plans and goals are met.
HCBS Family Coordinator
AASK
Phoenix, Arizona
10.2017 - 07.2018
- Supervise providers with monthly supervision to ensure needs are met for families
- Review referrals from case managers to provide respite services
- Weekly contact with case managers and families to follow up on respite services
- Serves as the primary contact for funding source case managers as well as client families
- Attend scheduled CFT meetings to review hours and provide updates on respite services
- Complete intakes to start respite services for families
- Conducts basic case management services to meet AASK HCBS service provision obligations
- Ensures timely response to family/client and funding agency concerns about service issues.
Clinical Care Coordinator
Touchstone Behavioral Health
Phoenix, Arizona
06.2013 - 05.2017
- Facilitate Child and Family Team (CFT) meetings for assigned families
- Create Individual Service Plans based on individual assessment
- Provided personal and crisis counseling to individuals
- Develop, implement, and revise relevant crisis and safety plans based on family needs
- Collaborate with assigned families and team members to reach treatment goals.
High Needs Case Manager
Southwest Network
Peoria, Arizona
10.2010 - 06.2013
- Facilitate Child and Family Team (CFT) meetings for assigned families
- Provide information to families regarding community resources
- Maintain accurate, thorough and current documentation of all contact with families and progress of treatment to submit monthly reports and referrals
- Provide and arrange transportation to ensure clients have access to facilities and treatment services
- Complete intakes for families to start services for youth.
Timeline
Social Worker
Aurora Behavioral Health System
05.2022 - Current
SMI Case Manager
Copa Health
07.2020 - 05.2022
Transition Facilitator
Southwest Network
07.2018 - 09.2019
HCBS Family Coordinator
AASK
10.2017 - 07.2018
Clinical Care Coordinator
Touchstone Behavioral Health
06.2013 - 05.2017
High Needs Case Manager
Southwest Network
10.2010 - 06.2013
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