Julia Reinhardt

• Lead, teach, and manage two additional social workers - building with 170 beds

• Conducted biopsychosocial assessments and developed individualized care plans for high-risk short-term and long-term care residents

• Conducted biopsychosocial assessments and developed individualized care plans for high-risk short-term and long-term care residents.

• General knowledge of Medications and Psychotropic medications

• Provided emotional support, crisis intervention, and counseling to residents and families facing medical, emotional, or end-of-life challenges

• Coordinated discharge planning and post sub-acute care transitions by collaborating with physicians, therapists, home care agencies, and insurance providers

• Facilitated resident/family care conferences quarterly and upon admission with interdisciplinary team present

• Navigated insurance systems including Medicare, Medicaid, and HMOs to advocate for service coverage, authorizations, continuity of care

• Served as grievance officer, addressed complaints/concerns while upholding regulatory standards and ensuring timely resolution

• Educated residents/families of their rights (participation in care planning, filing grievances, making informed decisions about their care)

• Consulted with the interdisciplinary team on psychosocial concerns, discharge barriers, and complex family dynamics

• Documented resident progress, psychosocial interventions, and discharge summaries in compliance with regulatory standards using PointClickCare (PCC) electronic health record software

• Collaborated with external agencies including hospice, DME vendors, transportation providers, dialysis clinics, Montgomery/Bucks County Area Agency on Aging, behavioral health providers, and housing programs

• Coordinated with outpatient dialysis centers/sent referrals, managed transportation logistics, and supported residents/families in understanding dialysis limitations and compliance

• Participated in monthly QAPI (Quality Assurance & Performance Improvement) meetings to identify trends and contribute to interdisciplinary strategies for improving resident care and regulatory compliance

• Assisted with CHC Waiver applications and facilitated Nursing Home Transition (NHT) planning for eligible residents pursuing community with resources from MA.

• I work alongside Director
• Obtained and practiced skills presented in Liberty Pointe'sdescription

• Coordinator for PA Health and Wellness MA participants.
• Caseload of 60 participants in the community
• Large caseload of participants in Nursing Homes
• Coordinated services for participants in the community on CHC waiver services including PAS hours, annual and CIC assessments, SME and DME equipment ordering, Meal delivery, MATP Transportation set up.
• Conducted assessments for participants residing in a Nursing Home setting for LTC
• Assessed NH participants for eligibility and feasibility to join NHT program to return to community
• Addressed psychosocial well being and provided additional MH services for NH participants

I was a coordinator/assistant for PAIPL (Pennsylvania Interfaith Power and Light) - a faith-based and environmental non-profit that is a partner of the CommUnity Zone

• Coordinated a project called Creation Care - planted and gave away over 1000 trees in the central/northeast PA area
• Ran a program called Tech Tutoring for older adults and other community events.
• Organized community event to mourn lost ones during the pandemic
• Completed 400 hours of experience as graduation requirement for BSW