Neisa Richards
Virginia Beach,VA
Summary
Driven, compassionate Social Worker with astute leadership and advocacy skills looking to continue serving our community with an establish agency that will provide room for growth and advancement.
Overview
10
10
years of professional experience
Work History
PACT Team Social Worker
Hampton VA Medical Center
07.2023 - Current
- Educate the Veterans/ families on available community resources, connecting them with essential services such as housing assistance, financial aid, food insecurities or healthcare providers.
- Conduct assessments of psychosocial problems with referrals typically originating from members of the interdisciplinary team, from Veterans and/or their families coming in as walk-ins to seek assistance, and from community professionals.
- Case management with members of the outpatient interdisciplinary team is provided in order to coordinate a collaborative effort to meet the agreed upon goals for Veteran's treatment needs and include liaison with community professionals regarding needed services for Veterans and/or their families.
- Provide the Veterans with consultation and education to address services such as homelessness, hospice services, nursing home care, home health services, financial resources, VA benefits, Advanced Medical Directives and transportation services.
- Serve as a liaison between Veterans and/or families, VA and community resources in order to ensure thorough delivery of services,
- Possess skills and knowledge to provide case management services to the Veterans and their families throughout the continuum of care.
- Maintain knowledge of Veteran's benefits and services, community resources, and process for making appropriate referrals to community and other governmental programs and/or agencies.
Social Worker/Coordinator
Bon Secours
11.2019 - 07.2023
- Manage patients for complex care.
- Provide quality clinical care services to identify eligible patients.
- Develop, execute, and review care plans for compliance and efficiency.
- Collaborate care with ambulatory care, primary care, specialty care and hospitalist to provide patience centric care at all times.
- Identify goals after family assessments of detrimental care.
- Provide layers of resource management to improve overall care and patient experience.
- Act as a patient advocate at all times.
- Perform coordination of services for disabled status
- Facilitate any acute or long term rehabilitation placements
- Conduct psychosocial assessments of new patients and their families to determine needs.
- Provide resources and education regarding community services; and negotiate with insurance companies on patient's behalf.
Social Worker
Sentara PACE
08.2018 - 10.2019
- Enhance community outreach efforts for better service accessibility and increased program enrollment.
- Support participants and families with empathy and compassion during difficult times.
- Assist participants in developing and setting realistic goals to promote positive change.
- Conduct home visits to assess participants' home environment and provide support.
- Conduct psychosocial assessments of new participants and their families to determine needs.
- Participate in interdisciplinary needs of each participant and family to coordinate goals and expectations.
- Facilitate communication between participant/family and various government programs such as Medicaid, SSI, Medicare, and Social Security.
- Provide leadership within the care team to ensure continuity and coordination of care.
- Support staff development with training and feedback
Social Worker
Bon Secours Maryview Medical Center
05.2014 - 08.2018
- Conduct thorough assessment of health needs for each patient.
- Document all medical records and execute functional assessments of psychosocial needs.
- Use data to strategically determine patient care and needs in preparation for discharge.
- Facilitate any revisions of a patient's care plan based on needs.
- Work with patients to secure all follow up visits prior to discharge to ensure continuity of care.
- Advocate for patients to assure respected rights and wishes.
- Develop and maintain strong relationships with community resources for successful referrals.
- Supervised new Care Managers, providing direction on best practices in social work and contributing to their professional growth as practitioners.
- Participate in interdisciplinary team meetings to coordinate care for patients.
- Interviewed patients, families, or groups to assess situations, limitations and issues and implement services to address needs.
Education
Graduate Degree - Social Work
Norfolk State University
Norfolk, VA05.2013
Bachelor of Social Work - Social Work
Norfolk State University
Norfolk, VA12.2005
Skills
- Case Documentation
- Client Needs Assessment
- Referral Coordination
- Multidisciplinary team collaboration
- Case Management
- Community Resources
- Patient support
Languages
Spanish
Full Professional
Timeline
PACT Team Social Worker
Hampton VA Medical Center
07.2023 - Current
Social Worker/Coordinator
Bon Secours
11.2019 - 07.2023
Social Worker
Sentara PACE
08.2018 - 10.2019
Social Worker
Bon Secours Maryview Medical Center
05.2014 - 08.2018
Graduate Degree - Social Work
Norfolk State University
Bachelor of Social Work - Social Work
Norfolk State University
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