Compassionate dual-role MSW and RN Case Manager with comprehensive knowledge of social service programs and community resources. Skilled at identifying needs and developing effective plans of action to provide intervention and assistance in collaboration with multidisciplinary team. Possesses strong organizational, interpersonal and communication skills.
Overview
7
7
years of professional experience
1
1
Certification
Work History
RN Case Manager
University Of Miami Hospital And Clinics
08.2023 - Current
Advocates for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Responds promptly and professionally to patient questions and concerns.
Incorporates the fundamental principles of utilization management, monitoring resource consumption, social services intervention and individual discharge planning that will include assuring that the transfer or discharge of a patient to another level of care, treatment, services or different setting is always based on the patient's assessed needs and the organizations capabilities to meet these needs.
Manages the observation patients on their assigned unit, conduct InterQual® reviews for admission, and continued stay per policy, report avoidable days and facilitate clinical reviews to third party payors.
Report all complex cases to the Director and/or Care Coordination Manager as often as necessary.
Proactively collaborates with physicians(s) to develop patient care plans and review for medical necessity for continued hospital services and resource consumption
Medical Social Worker
University Of Miami Hospital And Clinics
03.2016 - 08.2023
Completed psychosocial evaluations and needs assessments.
Worked with medical teams, patients and families to implement effective treatment plans.
Coordinated individualized discharge plans to manage safe transition back into community and home environments.
Explained medical care options to help families make informed healthcare decisions.
Formulated treatment plan strategies with multidisciplinary teams to provide comprehensive and continuous care plan.
Documented case notes daily and coordinated follow-up for seamless case management.
Participated in interdisciplinary care conferences to discuss patient care plans and referrals.
Managed caseload to satisfy multiple patients with diverse needs.
Provided patient and family education on available resources and self-care strategies.
Registered Nurse, Hematology/Oncology and Bone Marrow Transplant Nurse at University Of Miami Hospital And ClinicsRegistered Nurse, Hematology/Oncology and Bone Marrow Transplant Nurse at University Of Miami Hospital And Clinics
Clinical Assistant, Imaging Services at University Of Miami Hospital And ClinicsClinical Assistant, Imaging Services at University Of Miami Hospital And Clinics