Monitra Coleman
Slidell,Louisiana
Summary
Experienced Case Manager specializing in Ryan White and Behavioral Health services, focusing on linkage to care and individualized care plan development. Conducts biopsychosocial assessments and effectively addresses treatment barriers for underserved populations, including those living with HIV/AIDS and co-occurring disorders. Collaborates within interdisciplinary teams to enhance client engagement and health outcomes through a strengths-based approach.
Overview
1
1
Certification
12
12
years of professional experience
Work History
Social Worker / Case Manager
No AIDS Task Force/CrescentCare
New Orleans, LA
07.2023 - Current
- Conduct comprehensive biopsychosocial and suicide risk assessments to inform development of individualized, person-centered care plans
- Linked clients to medical, behavioral health, and community-based services, including HIV treatment, mental health care, and substance use support, enhancing access to necessary care
- Develop, implement, and monitor individualized care plans, adjusting interventions based on client progress and identified barriers
- Coordinated ongoing care for clients with complex medical and psychosocial needs, fostering engagement in treatment and ensuring continuity of care
- Proactively identify and connect clients to community and clinical resources to address social determinants of health, including housing, insurance, food access, and transportation
- Delivered counseling and psychoeducation to develop coping skills and address barriers such as housing instability, access to care, and substance use, promoting overall client well-being
- Collaborate with interdisciplinary teams to ensure integrated, client-centered service delivery
- Connect clients to psychiatric rehabilitation, primary care, and supportive services to promote long-term stability and health outcomes
Social Worker / Case Manager
Touro Infirmary
New Orleans, LA
06.2022 - 07.2023
- Led discharge planning by coordinating post-acute care services and durable medical equipment, including rehabilitation, outpatient care, home health, hospice services, and nursing home placement
- Collaborated with physicians, nurses, and interdisciplinary teams to assess ongoing needs, support continuity of care, and advocate for patient-centered service planning
- Facilitated linkage to care by connecting patients to medical services and community-based resources to support safe transitions and ongoing care
- Linked patients to medical services and community-based resources, ensuring safe transitions and ongoing care
- Educated patients and families on treatment plans and discharge expectations, enhancing informed decision-making regarding insurance benefits
- Delivered emotional support and crisis intervention, assisting patients and families in navigating complex medical situations
Certified Nursing Assistant
Southeast Louisiana Veterans Health Care System
New Orleans, LA
08.2017 - 06.2021
- Provided direct patient care, assisting with activities of daily living (ADLs) including bathing, dressing, and mobility support
- Monitored and reported patient condition changes to nursing staff, facilitating timely clinical interventions
- Collaborated with nurses and interdisciplinary team members to enhance patient care and effectively implement treatment plans
- Collaborated with nurses and interdisciplinary team members to support patient care and treatment plans
- Ensured patient safety, dignity, and comfort within clinical care settings, fostering a supportive environment
Social Work Intern
Southeast Louisiana Veterans Health Care System
New Orleans, LA
08.2020 - 04.2021
- Conducted comprehensive psychosocial and suicide risk assessments to evaluate safety and inform individualized care plans
- Provided case management and housing support through the HUD-VASH and Grant Per Diem programs, assisting veterans with housing placement, stability, and access to benefits
- Facilitated care linkage by connecting veterans to medical, mental health, and substance use treatment services, enhancing access to necessary support
- Supported substance use disorder treatment by conducting assessments, assisting in treatment planning, and implementing interventions like motivational interviewing and relapse prevention, fostering recovery efforts
- Collaborated with interdisciplinary teams to coordinate care, monitor progress, and support continuity of services
- Guided veterans in resource navigation, including housing, financial support, and community-based services, improving overall access to essential resources
Social Work Intern
Boys Town Louisiana
New Orleans, LA
04.2019 - 04.2020
- Conducted home- and school-based assessments to identify family strengths, needs, and functioning to inform support strategies
- Provided case management support to families, facilitating service planning and connecting them to essential community resources
- Collaborated with caregivers and staff to enhance child development and address behavioral needs, promoting family stability
- Conducted home- and school-based assessments to evaluate family functioning, needs, and strengths
Certified Nursing Assistant
Ochsner Rehabilitation Hospital
New Orleans, LA
08.2014 - 08.2017
- Delivered direct patient care in rehabilitation setting, assisting with ADLs to enhance mobility, hygiene, and recovery
- Facilitated recovery for patients post-injury, surgery, and with chronic conditions, fostering independence and functional improvement
- Observed patient status and communicated changes to nursing staff to enable timely care interventions
- Collaborated with nurses and therapy teams to support rehabilitation goals and patient progress
- Maintained accurate documentation while adhering to HIPAA and infection control
Education
Master of Social Work (MSW) - Social Work
Southern University at New Orleans
New Orleans, LA05.2021
Bachelor of Social Work (BSW) - Social Work
Southern University at New Orleans
New Orleans, LA05.2020
Skills
Case Management
Care Coordination
Linkage to Care
Ryan White Services
Behavioral Health
Biopsychosocial Assessments
Suicide Risk Assessment
Individualized Care Plans
Discharge Planning
Resource Navigation
Social Determinants of Health
Housing & Benefits Assistance
Crisis Intervention
Client Advocacy
Psychoeducation
Motivational Interviewing
Relapse Prevention
Substance Use Services
Interdisciplinary Collaboration
Patient & Family Support
Community Referrals
Healthcare Coordination
Care Transitions
Patient Education
Service Planning
Documentation
HIPAA Compliance
Clinical Communication
Problem Solving
Client Engagement
Telehealth Communication
Care Coordination
Clinical Documentation
Customer Service
Remote Collaboration
Certification
Trauma Informed Care training
Motivational Interviewing
Mental Health First Aid
Applied Suicide Intervention Skills Training ( ASIST)
Timeline
Social Worker / Case Manager
No AIDS Task Force/CrescentCare
07.2023 - Current
Social Worker / Case Manager
Touro Infirmary
06.2022 - 07.2023
Social Work Intern
Southeast Louisiana Veterans Health Care System
08.2020 - 04.2021
Social Work Intern
Boys Town Louisiana
04.2019 - 04.2020
Certified Nursing Assistant
Southeast Louisiana Veterans Health Care System
08.2017 - 06.2021
Certified Nursing Assistant
Ochsner Rehabilitation Hospital
08.2014 - 08.2017
Bachelor of Social Work (BSW) - Social Work
Southern University at New Orleans
Master of Social Work (MSW) - Social Work
Southern University at New Orleans