Katie Hilmoe, LSW
Woodbury,MN
Summary
Hardworking, empathetic and knowledgeable licensed social worker with over 10 years of experience in care coordination and discharge planning. Ability to manage complex caseloads and use problem-solving skills to ensure successfully client outcomes.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Care Coordinator-MSHO/MSC+
UCare
Minneapolis, MN
04.2024 - Current
- Create comprehensive, person-centered care plans that address medical, social, and behavioral needs.
- Arrange and coordinate services, resources, appointments, transportation, and benefits.
- Work closely with the interdisciplinary care team, including the primary care provider, specialist, and mental health clinicians.
- Assist members with transitions between care settings, such as hospital and skilled nursing facility admissions and discharges.
- Conduct comprehensive assessments to identify member needs, monitor conditions, and ensure appropriate interventions.
- Educate members and their families about benefits and services.
- Accurately and professionally document member information, assessments, and care plans.
- Incorporate culturally and ethnically appropriate approaches into care planning and service delivery.
- Assess for and manage PCA, CFSS, and EW services.
- MnChoices Certified Assessor.
Social Worker
Catholic Charities
Minneapolis, MN
06.2021 - 03.2024
- In-home comprehensive assessments, and intensive case management for older adults.
- Creating individualized care plans, referrals, and coordination of services in all areas.
- Constant collaboration with other service providers to monitor care and reevaluate service needs.
- Initiation and management of elderly waiver and PCA services.
- Certified MN Choices Assessor.
Social Worker
Altru Health System
Grand Forks, ND
10.2014 - 06.2021
- Interview patients upon hospital admission and throughout hospitalization to assess for potential situations, limitations, and issues that could cause a barrier to a safe discharge.
- Lead daily multidisciplinary meetings, where treatment plans and continuous care plans for patients are formulated.
- Assess patients for abuse and neglect to compile documentation for court reports.
- Coordinate patient discharge plans, including nursing home placements, home health services, and outpatient procedures.
- Arrange chemical dependency treatment for patients.
- Assist with legal guardianships for patients.
- Supported patients and families with empathy and compassion during difficult times.
- Educated families on available community resources, connecting them with essential services such as housing assistance, financial aid, or healthcare providers.
- De-escalated stressful situations through individual and family crisis interventions.
Patient Access Representative
Altru Health System
Grand Forks, ND
01.2014 - 10.2014
- Performed patient scheduling and registration functions to serve as the initial contact point for medical office visits.
- Determined patients' financial needs and referred eligible patients to the proper county, state, or federal agencies to obtain financial assistance.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
Social Work Intern
Northwestern Mental Health Center
Crookston, MN
05.2013 - 08.2013
- Evaluated social, emotional, and psychological needs of economically challenged children and families to create treatment plans.
- Monitored client progress to adjust treatment plans accordingly.
- Maintained regular contact with clients by calling and visiting them in their homes.
- Made referrals to appropriate internal/external resources.
- Involved in company research and grant writing.
Education
Bachelor of Science - Social Work
University of North Dakota
Grand Forks, ND05-2013
Bachelor of Arts - Communications
University of North Dakota
Grand Forks, ND05-2011
Skills
- Case management
- Comprehensive assessments
- Treatment planning
- Thorough documentation
- Medical terminology understanding
- Multidisciplinary team collaboration
- Healthcare operations
- Goal setting
- Insurance practices
- Problem-solving
- Multitasking and organization
- Active listening
- Ethical judgment
- Cultural sensitivity
- Discharge planning
- HIPAA compliance
Certification
- Minnesota Licensed Social Worker #29872
Timeline
Care Coordinator-MSHO/MSC+
UCare
04.2024 - Current
Social Worker
Catholic Charities
06.2021 - 03.2024
Social Worker
Altru Health System
10.2014 - 06.2021
Patient Access Representative
Altru Health System
01.2014 - 10.2014
Social Work Intern
Northwestern Mental Health Center
05.2013 - 08.2013
Bachelor of Science - Social Work
University of North Dakota
Bachelor of Arts - Communications
University of North Dakota