Katie Hilmoe, LSW
Woodbury,MN
Summary
Hardworking, empathetic and knowledgeable licensed social worker with many years of experience in care coordination and discharge planning. Strong ability to manage large, complex caseloads and use problem-solving skills to ensure successfully client outcomes.
Overview
1
1
Certification
12
12
years of professional experience
Work History
Care Coordinator
Medica
01.2026 - Current
- Managing a large caseload of members which includes assessing their needs, monitoring progress, creating individualized care plans, and coordinating approved services.
- Educating members on Medicare and Medicaid benefits.
- Serving as the primary contact to address and resolve questions or concerns.
- Partnering with physicians, providers and county financial entities to discuss care plans and provide updates on the member.
- Working with MSHO, MSC+ and SNBC products.
- Facilitating access to necessary services through management of elderly waivers and CFSS.
- MnCHOICES certified assessor.
Care Coordinator
UCare
04.2024 - 01.2026
- Create comprehensive, person-centered care plans that address medical, social, and behavioral needs.
- Coordinated services, resources, appointments, transportation, and benefits to enhance member access to care.
- Work closely with the interdisciplinary care team, including the primary care provider, specialist, and mental health clinicians.
- Facilitated smooth transitions for members between care settings, ensuring continuity of care during hospital and skilled nursing facility admissions and discharges.
- Coordinated appointments and transportation for members, ensuring they received necessary benefits.
- Educated members and families on navigating benefits and services to empower informed decision-making.
- Incorporate culturally and ethnically appropriate approaches into care planning and service delivery.
- Assess for and manage PCA/CFSS, and EW services.
- Conducted comprehensive evaluations as a certified MnChoices assessor..
Social Worker/Care Coordinator
Catholic Charities
06.2021 - 03.2024
- Conducted in-home comprehensive assessments and managed intensive case management for older adults, ensuring tailored support.
- Developed individualized care plans, facilitated referrals, and coordinated comprehensive services across all areas.
- Collaborated with service providers to monitor care and reassess service needs, enhancing support for clients.
- Oversaw elderly waiver and PCA services to ensure clients received necessary assistance.
- Evaluated eligibility for services through MN Choices assessment.
- Engaged with MSHO and MSC+ products to facilitate comprehensive service delivery.
Social Worker
Altru Health System
10.2014 - 06.2021
- Interviewed patients upon hospital admission and throughout hospitalization to identify barriers to safe discharge, facilitating timely and appropriate care transitions.
- 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.
- De-escalated stressful situations through individual and family crisis interventions.
- Led daily multidisciplinary meetings to formulate treatment plans and continuous care plans for patients.
- Coordinated comprehensive chemical dependency treatment plans, promoting patient recovery and ensuring alignment with individual needs.
- Supported patients in navigating the legal guardianship process, ensuring appropriate care decisions were made.
- Provided compassionate support to patients and families, helping them cope with challenging situations.
- Educated families on community resources, connecting them with essential services such as housing assistance, financial aid, or healthcare providers to enhance support systems.
- Educated families on available community resources, connecting them with essential services such as housing assistance, financial aid, or healthcare providers.
Education
Bachelor of Science - Social Work
University of North Dakota
Grand Forks, NDBachelor of Arts - Communications
University of North Dakota
Grand Forks, NDSkills
- Case management
- Strong knowledge of Medicare and Medicaid regulations
- Healthcare operations
- Discharge planning
- Comprehensive assessments
- Care transitions
- Cultural sensitivity
- Multidisciplinary team collaboration
- Ability to provide thorough documentation in a timely manner
- Certified in MnCHOICES
Certification
- Minnesota Licensed Social Worker #29872
Timeline
Care Coordinator
Medica
01.2026 - Current
Care Coordinator
UCare
04.2024 - 01.2026
Social Worker/Care Coordinator
Catholic Charities
06.2021 - 03.2024
Social Worker
Altru Health System
10.2014 - 06.2021
Bachelor of Science - Social Work
University of North Dakota
Bachelor of Arts - Communications
University of North Dakota