Knowledgeable Social Work Case Manager with a passion for Acute Rehab and is experienced in coordinating care for a diverse patient population. Proactive and resourceful with strong knowledge of community resources. Strong communicator with passion for helping others.
Overview
18
18
years of professional experience
Work History
Rehab Coordinator/Clinical Liaison
Methodist Rehabilitation Hospital
07.2014 - Current
Evaluate patients for Inpatient Rehab placement in a variety of different settings- Acute Hospitals, Long Term Acute Care Hospitals, Skilled Nursing Facilities, Assisted Living Facilities and Home
Conduct thorough patient assessments to identify therapy needs as well as determine medical necessity for admission to Inpatient Rehab
Assess patients to ensure a viable discharge plan and assist with providing resources to patients and family members/caregivers to help develop a safe discharge plan
Communicate with families and patients regarding expectations and evaluation process for rehab placement
Review patient medical records while adhering to Federal, State and local standards
Maintained effective communication with patients, families, case managers and healthcare providers
Communicate with insurance providers and case managers to open cases for authorization, provide clinical updates
Develop relationships with physicians, nurses, social workers and therapists to build volume for the hospital.
Clinical Social Worker
Methodist Dallas Medical Center
05.2011 - 07.2014
Worked on the Ortho/Neuro/Trauma unit
Provide case management and discharge planning services to ensure that each patient is offered options for a safe discharge from the hospital
Help patients families cope with the social, psychological, cultural and medical issues resulting from an illness or injury
Work as part of an interdisciplinary team to identify patient needs and make sure that their needs are addressed
Provide uninsured patients with the resources they need to ensure a safe discharge
Develop and maintain good working relationships with outside community health and social agencies
Maintaining confidential documentation in accordance with Federal, State and local standards
Managed discharge planning and arranged post-acute services such as home health care, Community Based Assistance, Durable Medical Equipment, LTACH and Acute, referrals
Maintain knowledge of community resources for insured and uninsured patients.
Program Coordinator
WorkReady, Inc
08.2008 - 05.2011
Provide Case Management, Supported Employment, Job Placement, Training and Job Coaching for individuals with various cognitive, emotional and physical disabilities
Responsible for working with clients referred from Texas Department of Assistive and Rehabilitative Services (DARS) in finding competitive employment and negotiating needed accommodations related to their specific disabilities
These clients also include Veterans referred through DARS
Manage a staff of up to 7 Employment Specialists
Manage and assign caseloads for each Employment Specialist
Responsible for communicating with DARS Vocational Rehabilitation Counselors, Rehabilitation Services Technicians, and Area Managers as well as potential employers
Monitor staff performance and effectiveness, making recommendations and implementing necessary changes in order to improve outcomes and quality of service
Interview, hire and train new staff members
Assist in program development, improvements, and the implementation of new policies and procedures
Maintain confidential records in accordance to DARS regulations
Submit documentation in a timely manner for billing
Cultivate and maintain a collaborative relationship with DARS and other service providers
Market WorkReady's services in order to increase referrals and expansion of service areas
Helped to initially establish the South Dallas and Waco territories.
Director of Social Services
Northwood Healthcare Center
10.2005 - 08.2008
Responsible for planning, developing, organizing, implementing, evaluating and directing the Social Services Department
Provide Case Management to all residents admitted to the facility
Maintaining confidential documentation in accordance with Federal, State and local standards
Monitor the medically related emotional and social needs of residents
Communicate effectively with facility's physicians, nursing staff and other departments
Responsible for conflict resolution between residents, family members and staff
Developed and managed initial contact as necessary with discharge planner, family or responsible party to initiate tours of the facility and follow up procedures
Responsible for new and re-admission paperwork
Managed discharge planning and arranged post-acute services such as home health care, Community Based Assistance, Durable Medical Equipment
Assisted Residents and their families in applying for Medicaid, Medicare, Medicare Part's B and D, as well as private insurance
Responsible for marketing Northwood's services to area hospitals, doctor's offices, community organizations and home health companies as well as to community members
Assisted in the assessment of new residents by reviewing medical records as well as on-site assessments at hospitals, patient homes, etc
Crisis Intervention with residents, family members and staff
Behavior Risk Management- tracking of psychotropic medication use and ensuring there were no adverse reactions
Completed AIMS testing on all residents receiving psychotropic medications.
Education
Master of Social Work - Direct Practice
Texas State University
2008
Bachelor of Social Work - undefined
Texas State University
2005
Skills
Case Management
Acute Rehabilitation
Social Work
Interdisciplinary Collaboration
Multitasking and Organization
Patient and Caregiver Education
Complex Problem-Solving
Coordinating Referrals
Additional Information
Licensed to practice Social Work in the State of Texas. License #52839,
Hartford Partnership Program for Aging Education Grant Recipient-2008
Texas Long Term Care Institute Stipend Recipient- 2005