Nicoria Lambert
Pensacola
Summary
Conscientious professional with extensive experience advocating for social and economic well-being of individuals and families. Skilled at providing guidance, support and assistance. Strong communication and management skills and committed to inspiring community service. Proven track record in enhancing client independence and reducing homelessness among veterans at 90works through strategic housing plans and robust community partnerships. Excelled in complex case management at Baptist Health Care, significantly cutting readmission rates. Skilled in housing navigation and client advocacy, demonstrating exceptional teamwork, and relationship-building capabilities.
Overview
13
13
years of professional experience
Work History
SSVF Case Manager
90works
01.2024 - Current
- Empowered clients to achieve greater independence by establishing achievable goals and providing support throughout their journey towards stability.
- Developed a strong rapport with clients, establishing trust and open communication throughout the case management process.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
- Assessed community needs and identified resources for social and community service programs.
- Strengthened relationships with community partners, resulting in increased access to available resources for clients.
- Reduced homelessness among veterans by implementing effective housing stability plans, coordinating with community resources and developing individualized service plans tailored to the veterans needs
Complex Case Manager
Baptist Health Care
10.2023 - 10.2024
- Reduced hospital readmissions through proactive discharge planning and post-discharge follow-up with patients.
- Completed psychosocial evaluations and needs assessments.
- Coordinated individualized discharge plans and follow-up care to manage safe transition back into community and home environments.
- Mentored new case managers through training sessions, job shadowing opportunities, and ongoing professional development support.
- Conducted regular audits of case files to ensure accuracy, completeness, and adherence to established protocols.
- Collaborated with healthcare providers to optimize care coordination, streamline communication, and improve overall patient experience.
- Identified gaps in care or services for high-risk patients, initiating interventions to address needs proactively.
- Assisted in the development of organizational policies and procedures related to complex case management best practices.
- Progress adjusting care plans as needed, and ensuring continuity of care.
- Served as a liaison between patients, families, healthcare providers, insurers.
- Participated in interdisciplinary team meetings focused on evaluating patient.
- Developed strong relationships with community organizations to expand available resources for patients requiring complex care.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- 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.
- Assessed risk factors of patients and made referrals for further services.
- Managed caseload to satisfy multiple patients with diverse needs.
Medical Social Worker
Baptist Health Care
05.2011 - 01.2024
- Completed psychosocial evaluations and needs assessments to facilitate access to necessary medical and social services.
- Offered crisis intervention services to address urgent concerns related to mental health, substance abuse, or domestic violence issues.
- Coordinated individualized discharge plans to manage safe transition back into community and home environments
- Connected patients with community resources, ensuring access to essential services such as housing, healthcare, and financial assistance.
- Assessed risk factors of patients and made referrals for further services.
- Facilitated family meetings to discuss patient care plans.
- Coordinated individualized discharge plans to manage safe transition back into community and home environments.
- Led interdisciplinary team meetings to discuss patient care plans, ensuring cohesive approach to patient wellness.
- Streamlined discharge process, ensuring patients had smooth transition from hospital to home care.
- Reduced readmission rates by closely monitoring patient progress and coordinating follow-up care.
Education
Master of Science - Social Work
The University of West Florida
Pensacola, FL05.2015
Master of Arts - Social Work And Criminal Justice
The University of West Florida
Pensacola, FL05.2010
Skills
- Housing Navigation
- Client Advocacy
- Policy Knowledge
- Teamwork and Collaboration
- Time Management
- Multitasking and Task Prioritization
- Effective Written and verbal Communication
- Active Listening
- Reliability
- Relationship Building
Timeline
SSVF Case Manager
90works
01.2024 - Current
Complex Case Manager
Baptist Health Care
10.2023 - 10.2024
Medical Social Worker
Baptist Health Care
05.2011 - 01.2024
Master of Science - Social Work
The University of West Florida
Master of Arts - Social Work And Criminal Justice
The University of West Florida
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