Highly motivated professional demonstrates ability to develop and implement successful plans of action to address individual needs. Possesses strong problem-solving skills to reduce barriers. Committed to helping individuals and families.
Compassionate, Social Worker/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. Possesses strong organizational, interpersonal and communication skills.
Overview
10
10
years of professional experience
Work History
Social Worker/Case Manager
Grace Medical Center (Formerly Bon Secours Hospita
11.2020 - Current
Improved client outcomes by developing comprehensive case plans and coordinating services with community partners.
Enhanced family stability by providing counseling, crisis intervention, and ongoing support for a diverse caseload.
Reduced recidivism rates with effective case management, personalized interventions, and consistent followup.
Managed high-risk cases to ensure safety and well-being of children through timely assessments and appropriate interventions.
Increased access to resources by connecting clients to appropriate financial, housing, medical, and educational services.
Empowered clients towards self-sufficiency through goal-setting, skill-building exercises, and motivational interviewing techniques.
Collaborated with multidisciplinary teams to develop coordinated care plans that addressed clients'' complex needs holistically.
Maintained accurate records, adhering to strict documentation guidelines and confidentiality requirements for compliance purposes.
Developed strong relationships with community organizations in order to better serve clients'' needs within their local area.
Organized workshops focused on life skills development like budgeting or parenting techniques in order to enhance overall wellbeing among caseloads.
Reviewed agency policies regularly so as to stay updated regarding changes affecting eligibility criteria, service offerings, or client rights.
Coordinated with mental health professionals or medical providers to address any concerns related to clients'' psychological or physical wellbeing.
Maintained open lines of communication with supervisors and peers, contributing to a positive work environment that fostered collaboration and professional growth.
Interviewed clients, families, or groups to assess situations, limitations and issues and implement services to address needs.
Recommended long-term residential treatment, short-term residential treatment and individualized and group drug counseling for clients with substance abuse issues.
Coordinated individual referrals to obtain community services, advocate for client needs and resolve roadblocks.
Assessed community needs and identified resources for social and community service programs.
Monitored program performance and outcomes for successful delivery of services.
Facilitated successful reunifications by working collaboratively with families, foster parents, and legal representatives.
Community Care Coordinator
Bon Secours Healthcare System
08.2018 - 11.2020
CM) Active participation in weekly IDR; waits for input from team members to direct action.
Biopsychosocial Assessment and Motivational Interviewing
Scheduled in a timely manner appointments, barriers addressed and patient's attendance known at each appointment. If appointments missed, CCC will outreach to patient in follow-up. Outreaches to external providers to see if appointments kept.
Reaches out for assistance in finding solutions to overcome barriers for individuals, children and families (housing, substance use, transportation, food homelessness, etc.)
Provides education materials to patients to assist in more fully understanding their disease process and disease trajectory
Communicates with providers, Care Team, patients, families, as well as internal/external partners, paying particular attention to:
Hospital utilization (ED & readmit)
Critical information (labs, change in health status)
Relationship with PCP/specialist
Communication is active and frequent allowing NN/CM to anticipate potential complications and develop an action plan to avoid further deterioration of health.
Ongoing communication with NN/CM partner to ensure full handoff/communication of plan and ensure smooth TOC Enhanced patient care by developing personalized care plans and coordinating with healthcare providers.
Improved community health outcomes through outreach initiatives and health education programs.
Streamlined care coordination processes, ensuring effective communication between patients, families, and healthcare providers.
Reduced hospital readmissions by implementing effective follow-up procedures and monitoring patient progress.
Peer Recovery Specialist
Bon Secours Healthcare System
11.2015 - 10.2018
Provides non-clinical services intended to aid patients in establishing recovery from high risk of dependent alcohol and drug use problems and mental health problems.
Function as an advocate for the person in recovery, both within and outside of the program.
Enhanced client recovery by developing and implementing individualized peer support plans.
Assisted clients in achieving their personal goals by providing continuous emotional support and resources.
Increased client engagement with treatment programs by facilitating group sessions and workshops.
Improved the overall recovery process for clients by advocating for their needs within the treatment team.
Connected clients with community resources and services, fostering a strong support network for sustained recovery.
Empowered clients by teaching effective communication skills, self-advocacy techniques, and coping strategies.
Documented client interactions accurately and diligently, ensuring proper tracking of progress over time.
Participated in ongoing training opportunities to stay current with industry trends and enhance professional expertise as a Peer Recovery Specialist.
Assisted clients in identifying personal strengths and challenges, fostering self-awareness and growth towards a healthier lifestyle.
Neighborhood Health Advocate/
Bon Secours Healthcare System
12.2014 - 06.2016
Responsible to advocate for residents regarding Cardiovascular Disease (CVD).
Connect residents with preventive services.
Identify residents that do not have a primary care physician.
Identify/implement intervention for repeat high utilizers-ED
Provide workshop for CVD.
Conduct homes visits.
Precept nurses from Coppin State University - advocacy work in community.
Referrals for behavioral health services, substance abuse center, Community Works at Bon Secours Health System.
Work with diverse populations, seniors/people with disabilities.
Acute documentation and patient satisfaction by identifying and resolving healthcare concerns through comprehensive research and communication.
Enhanced patient care quality by providing educational resources on disease prevention, treatment options, and wellness strategies.
Streamlined the insurance claims process for clients by navigating complex healthcare policies and advocating for coverage of necessary treatments.
Increased client trust through consistent support, advocacy, and proactive problem-solving during their healthcare journey.
Community Health Worker/Faith Center
Faith Center From Community Wellness & Advancement
11.2013 - 12.2015
Connected with the African American and Latino
Communities around Baltimore City to establish Cardiovascular Disease (CVD) program.
Assisted in the development and implementation
of the CVD program.
Canvassed door to door.
Conducted workshops on CVD.
Assisted in health fairs and and recruitment.
Trained new community health workers. Improved community health by conducting assessments, identifying needs, and developing intervention plans.
Enhanced patient outcomes by providing education on disease prevention and healthy lifestyle choices.
Promoted access to healthcare services for underprivileged populations through community outreach efforts.
Reduced hospital readmissions by collaborating with multidisciplinary teams to provide comprehensive care plans for patients.
Increased awareness of available resources by organizing and participating in community health fairs and events.
Facilitated group sessions on various health topics, empowering participants with knowledge and tools for healthier living.
Connected families with necessary social services, alleviating barriers to healthcare access and improving quality of life.
Built trust within diverse communities through cultural competency training, empathetic communication skills, and active listening techniques.
Developed and maintained relationships with community partners to build program scope.
Education
Bachelor of Science - Social Work
Coppin State University
Baltimore, MD
05.2017
Associate of Arts - Government Services
Community College of Baltimore City
2901 Liberty Heights Avenue Baltimore, MD 21215
09.1980
Skills
Client Advocacy
Training facilitation
Needs Assessment
Cultural Competency
Referral management
Progress Monitoring
Goal Setting
Multidisciplinary team collaboration
Database coordination
Documentation
Patient Education
Policy Adherence
Case Management
Organizational Skills
Problem-Solving
Timeline
Social Worker/Case Manager
Grace Medical Center (Formerly Bon Secours Hospita
11.2020 - Current
Community Care Coordinator
Bon Secours Healthcare System
08.2018 - 11.2020
Peer Recovery Specialist
Bon Secours Healthcare System
11.2015 - 10.2018
Neighborhood Health Advocate/
Bon Secours Healthcare System
12.2014 - 06.2016
Community Health Worker/Faith Center
Faith Center From Community Wellness & Advancement
11.2013 - 12.2015
Bachelor of Science - Social Work
Coppin State University
Associate of Arts - Government Services
Community College of Baltimore City
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