LISANDRA CANETTI
Homestead
Summary
Bilingual and licensed in both Florida and Massachusetts, highly skilled Licensed Clinical Social Worker (LCSW) with a strong focus on process-driven approaches. Over a decade of experience in clinical environments and managed care, honed expertise in providing effective patient care. Utilizing background and exceptional communication skills to contribute to enhancing strategies and improving patient outcomes as a dedicated clinician.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Clinical Case Manager
Aetna Medicaid
02.2025 - Current
- Enhanced care coordination for patients with complex medical needs through effective communication and collaboration with multidisciplinary teams.
- Reduced hospital readmission rates by conducting thorough patient assessments and providing appropriate resources and support for post-discharge care.
- Empowered patients to take an active role in their own care by providing education on available resources, rights, and responsibilities within the healthcare system.
- Improved patient outcomes by developing and implementing comprehensive case management plans.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Participated as member of multi-disciplinary team providing on-going case management services to adults with severe and persistent mental illnesses.
- Conducted regular follow-ups with patients to monitor progress, adjust treatment plans as needed, and provide ongoing support.
- Assessed individual barriers to optimal health outcomes such as socioeconomic factors or access limitations, working diligently to address these challenges through tailored interventions.
- Maintained detailed records of patient progress, documentation of services and case notes.
- Managed caseload to satisfy multiple patients with diverse needs.
Care Coordinator
WellMed Medical Management
02.2023 - 01.2025
- Support in organizing and overseeing all elements of a client’s care plan, encompassing appointment scheduling, transportation coordination, liaising with healthcare providers, and ensuring efficient fulfillment of client needs.
- Facilitated seamless communication among patients, providers, and other involved parties to ensure comprehensive care delivery. Assisted in navigating social services and tapping into community resources.
- Conducted thorough assessments to pinpoint potential needs and link them with suitable resources. Manage DSNP population needs.
- Assisting members with the application for state benefits (Medicaid and Medicare).
- Used company software and databases to maintain records of services performed and patient conditions.
- Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
Health and Social Services Coordinator
United Health Group
10.2018 - 02.2023
- Managed health programs, coordinating services for at-risk individuals with compassion and dedication.
- Completing utilization reviews to determine appropriate level of services.
- Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care.
- Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services.
- Utilized motivational interviewing and solution-focused care plans for vulnerable populations.
- Implemented education and prevention strategies to promote health and well-being for diverse demographics.
- Demonstrated strong communication and advocacy skills to support clients in accessing needed resources.
- Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.
Social Worker
Vitas Healthcare Hospice
06.2015 - 10.2018
- Develops and implements a Plan of Care that addresses the biopsychosocial needs of the patient and family and taking into account unique spiritual, cultural, religious, and other relevant factors that influence the family system.
- Conducts an initial biopsychosocial assessment that focuses on the dynamics needs of the patient and family (support system) and provides ongoing assessment to address the evolving emotional, spiritual, and physical needs.
- Assists the family/caregiver in the placement/transfer of patient to a facility i.e., SNF, ALF, Hospital for basic care needs, when appropriate, and provides case management and discharge planning as needed.
- Assess patient and family with Do Not Resuscitate status, Advanced Directives, and other personal and/or legal directives as needs are determined.
- Collaborated with multidisciplinary team to provide comprehensive care for at-risk populations.
Substance Abuse Therapist/Counselor/ Reach Program
The Village South, Westcare INC
02.2017 - 03.2018
- In-home on-site services to adolescents ages 12-17 referred from any outside agencies, including Juvenile services, drug court, Marchman act court, or self-referred.
- Provided weekly individual and/or family therapy, weekly drug testing, monthly reports to referral sources on progress, case management services as often as needed.
- Provided individual therapy sessions with clients at risk of substance use/abuse utilizing evidence-based modalities to promote client growth and insight.
- Assist with skills to enable more self-sufficient living, evaluate patient progress and intervene as needed.
- Advocated on behalf of clients with community stakeholders.
- Conducted mental health assessments to develop personalized treatment plans for clients.
- Collaborated with interdisciplinary team members to provide holistic care for clients.
Social Work Intern
Doctor’s Hospital
05.2016 - 12.2016
- Social Work Intern Performing psycho-social assessment for patient’s when admitted to the Orthopedic floor.
- Assessing for needs that the patient may have at the time of discharge. Discharge planning.
- Referral and coordination of services for patients such as ALF, SNF or Acute rehab. In charge of documenting all procedures through the hospital system.
Prevention Specialist
The Village South, Westcare INC
12.2014 - 05.2016
- Provided HIV Counseling, Testing and Referrals to at-risk populations in compliance with strict standards of the Department of Health.
- Engaged individuals in their own neighborhoods or venues where they typically congregate to provide HIV related health information, education, referrals and linkages to services.
- Assist individuals in receiving medical care for HIV infection and other support services.
- Verify that services were accessed post-referral.
- Distribute condoms to target HIV-infected persons and persons at highest risk of acquiring HIV.
- ARTAS and CLEAR5 intervention to clients with HIV and drug abuse.
- Developed and implemented prevention programs to promote mental health and reduce substance abuse.
- Collaborated with community partners to advocate for comprehensive prevention strategies.
- Provided education and training on evidence-based prevention practices to diverse populations.
Targeted Case Manager
Miami Behavioral Health Center
10.2012 - 11.2014
- Interviewed individuals to assess social and emotional abilities for chronic mentally ill clients.
- Assisted clients in developing skills to manage their conditions and improve their quality of life.
- Performed master evaluations and working with clients in the jail diversion program.
- Provided crisis intervention support and connected clients to community resources.
- Ensured compliance with state and federal regulations in documentation and reporting.
- Conducted comprehensive assessments and developed individualized service plans for clients with complex needs.
- Collaborated with multidisciplinary teams to coordinate services and improve client outcomes.
Education
Master of Social Work -
Florida International University
Miami, FL12.2016
Bachelor in Psychology - Minor in Social Welfare
Florida International University
Miami, FL08.2012
Associate in Arts in Psychology - undefined
Miami-Dade College
Miami, FL07.2010
Skills
- Bilingual proficiency (Spanish/English)
- Collaborative teamwork
- Data confidentiality
- Therapeutic intervention methods
- Patient care coordination
- Accurate clinical documentation
- Patient care coordination
- Resource coordination
- Interdisciplinary cooperation
- Individual counseling sessions
- Effective troubleshooting skills
- Effective time management
- Logical reasoning skills
- Effective communication
- Strong multitasking abilities
- Collaborative teamwork
- HIPAA regulations adherence
- Engaged listening
- Detailed case documentation
Certification
- Licensed Clinical Social Worker
- Florida Public Notary
- Targeted Case Manager Course
LANGUAGES
Spanish
Native
Timeline
Clinical Case Manager
Aetna Medicaid
02.2025 - Current
Care Coordinator
WellMed Medical Management
02.2023 - 01.2025
Health and Social Services Coordinator
United Health Group
10.2018 - 02.2023
Substance Abuse Therapist/Counselor/ Reach Program
The Village South, Westcare INC
02.2017 - 03.2018
Social Work Intern
Doctor’s Hospital
05.2016 - 12.2016
Social Worker
Vitas Healthcare Hospice
06.2015 - 10.2018
Prevention Specialist
The Village South, Westcare INC
12.2014 - 05.2016
Targeted Case Manager
Miami Behavioral Health Center
10.2012 - 11.2014
Bachelor in Psychology - Minor in Social Welfare
Florida International University
Associate in Arts in Psychology - undefined
Miami-Dade College
Master of Social Work -
Florida International University
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