Attend daily morning interdisciplinary meetings, providing departmental updates and ensuring alignment across care teams
Collaborate with the interdisciplinary team to coordinate and execute complex discharge planning, ensuring safe and appropriate transitions of care
Attend PDPM meeting and communicate updates to team members, and follow up with residents and families regarding discharge plans
Demonstrate strong time management and organizational skills to ensure compliance with care plan meeting schedules and timely, accurate documentation
Coordinate with medical providers to obtain and update essential clinical documentation, including MOLST forms, incapacity certifications, and end-stage/ineffective treatment certifications
Support residents in identifying appropriate healthcare decision-makers and assist with completion of advanced directives
Promote accountability within the social services department while implementing strategies to enhance quality of care and resident-centered services
Leadership & Core Responsibilities
Organizational & Time Management Skills
Managing caseloads and staff schedules
Prioritizing urgent vs. routine needs
Keeping documentation and compliance deadlines on track
Care Coordination & Interdisciplinary Collaboration
Leading care plan meetings
Coordinating with nursing, rehab, dietary, and activities departments
Advocating resident-centered care plans
Operation Specialist
Johns Hopkins Hospital
Baltimore, MD
07.2013 - 01.2024
Follow communication protocols and deployment guidelines in accordance with departmental policies
Assess customer needs, clarify information, research issues, and provide effective solutions or alternatives
Respond to inbound email requests regarding interpretation services and Qualified Bilingual Staff (QBS) program inquiries (assessments, test results, badges, certificates, compensation, and requirements)
Create, dispatch, and document service requests within the database system
Maintain real-time communication with language service vendors, clients, and clinical staff
Prepare certificate files, print labels, and distribute certifications to qualified bilingual employees
Provide medical interpretation for Nepali-speaking patients when external vendors are unavailable
Advocate for and deliver interpretation services for Deaf and hard-of-hearing patients across the hospital
Social Work Internship
Sheppard Pratt Crisis Center
01.2023 - 05.2023
Built strong, trust-based relationships with clients through nonjudgmental, culturally sensitive, and unbiased engagement
Conducted psychosocial assessments and provided individual psychotherapy sessions under supervision
Learned to develop a treatment plan based on the client’s presenting problem and provide therapy sessions
Learned to use the assessment and measurement tools to assess the severity of the symptoms, developed a safety plan, and updated the progress note in the client’s electronic record
Social Work Internship
Sarah’s House Mental Health Services
06.2022 - 12.2022
Conduct client intake and complete psychosocial assessments
Facilitate psychoeducational groups focused on anger management, stress management, and communication skills
LPN nurse
Private duty
Baltimore, Md
01.2016 - 01.2018
Wound care burnt skin care, and skin graft treatment
Assess the signs of infection, monitor and report the changes to interdisciplinary team
Health Advocate
International Rescue Community (IRC)
Baltimore
01.2012 - 01.2015
Educate new immigrants about the US health care system, nutrition, and maternal-child health. Provide education on how to access health care, how to schedule appointments, and find PCP, dentist, and ophthalmology, provide education and orientation on how to use public transportation, library services, and many more.
Nursing Assistant
Galtier Health center
Saint Paul, MN
01.2009 - 01.2012
Provide personal care assistance and help with ADLS
Obtain vital signs on assigned residents and collaborate with nursing staff to support and document changes.
Education
MSW - Social Work
Indiana Wesleyan University
Marion, IN
BSW - Social Work
Indiana Wesleyan University
Marion, IN
05-2021
LPN - Nursing
Saint Paul Community And Technical College
St. Paul, MN
05-2012
Skills
Excellent communication skills
Microsoft word, Excel and Internet Explorer
Competent in social work-related skills to do biopsychosocial assessment using different scales and tools
Empathetic and knowledgeable to support and provide guidance to victims of abuse, neglect and maltreatment
Trained to do mental health diagnosis and psychosocial treatment intervention
Excellent at wound care for surgery and discharge patients
Licensed Social Worker, LGSW, LMSW at National Center for Children and Families, NCCFLicensed Social Worker, LGSW, LMSW at National Center for Children and Families, NCCF