Dedicated social worker with experience in case management and care coordination for vulnerable populations. Skilled in addressing complex medical and psychosocial needs, developing client-centered plans, and connecting individuals to critical services through collaborative, culturally responsive care.
• Provided care coordination for individuals dually eligible for Medicare and Medicaid by connecting members with medical, behavioral, and community resources to support complex health and social needs
• Developed and implemented personalized care plans through comprehensive assessments in collaboration with interdisciplinary teams
• Partnered with local agencies, community based programs, and healthcare providers to ensure continuity of care and expand access to essential services
• Collaborated with multiple agencies including ICWA, cultural brokers, schools, law enforcement, behavioral health, and legal representatives to support family and child welfare
• Conducted comprehensive assessments, substance abuse evaluations, and home visits to develop culturally responsive case plans and ensure client safety and well-being
• Prepared court reports, participated in court hearings, and facilitated Child and Family Team (CFT) meetings and interdisciplinary discussions to guide case planning, service coordination for reunification or permanency
• Provided case management and referrals for housing, employment, transportation, and basic needs while maintaining accurate documentation and ethical standards per NASW guidelines