Marla N Warren
New York,NJ
Summary
Experienced Care Coordinator with over 10 years of expertise in managing patient-centered interventions, care transitions, and chronic care follow-up across hospital and community settings. Proficient in Epic EMR, HIPAA-compliant documentation, and navigating social determinants of health. Proven success in discharge planning, collaborative case management, and optimizing clinical outcomes.
Overview
18
18
years of professional experience
Work History
Care Coordinator
Mount Sinai Hospital
03.2017 - Current
- - Coordinate short-term care management interventions for diverse patient populations, focusing on continuity of care and optimal clinical outcomes.
- - Serve as liaison between patients, clinical staff, and external service providers to ensure seamless care transitions and resource accessibility.
- - Document patient interactions, care plans, and follow-ups in EPIC EMR system according to HIPAA and facility guidelines.
- - Conduct comprehensive assessments addressing medical, behavioral health, and social determinants of health (SDoH); develop and implement individualized care plans.
- - Close care gaps by leveraging preventive health and chronic disease registries and engaging patients in ongoing education and self-management.
- - Collaborate with interdisciplinary teams including physicians, nurses, case managers, and social workers to facilitate effective discharge planning and reduce hospital readmissions.
Case Manager
Urban Pathways
10.2014 - 02.2017
- - Provided clinical case management for individuals with co-occurring mental health and substance use conditions in a supportive housing setting.
- - Conducted crisis interventions, psychosocial assessments, and individualized care planning.
- - Maintained case records, facilitated external referrals, and ensured housing stability and compliance with care goals.
Case Manager
Bowery Residents Committee
06.2009 - 09.2014
- - Delivered intensive case management for chronically homeless individuals with mental illness and addiction.
- - Developed and updated service plans, completed entitlement applications, and ensured continuity of care through community linkages.
- DOHMH Section 8 Housing
Residence Counselor
Bowery Residents Committee
08.2007 - 06.2009
- - Provided rehabilitative services and medication monitoring for individuals with persistent mental illness.
- - Conducted functional assessments, prepared housing documentation, and maintained clinical charting and progress notes.
Education
Bachelor of Arts - Psychology
The College of New Rochelle
Bronx, NY01.2003
Skills
- Care Management & Service Coordination
- Social Determinants of Health (SDoH)
- Epic EMR Documentation
- Chronic Disease Registries
- HIPAA Compliance
- Motivational Interviewing & Patient Engagement
- Discharge Planning & Follow-Up
- Multidisciplinary Team Collaboration
- Crisis Intervention
- Health Education & Self-Management Support
- Multitasking and organization
Timeline
Care Coordinator
Mount Sinai Hospital
03.2017 - Current
Case Manager
Urban Pathways
10.2014 - 02.2017
Case Manager
Bowery Residents Committee
06.2009 - 09.2014
Residence Counselor
Bowery Residents Committee
08.2007 - 06.2009
Bachelor of Arts - Psychology
The College of New Rochelle
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