SARAH PONCE

• Responsible for a caseload of 22 dual diagnosis clients, working with each individual to identify goals, provide emotional support, assist in the development of independent living skills, connect clients to resources and determine barriers to discharge.
• Conduct psychosocial assessments to identify resident needs, barriers, and appropriate support interventions.
• Attend Weekly Treatment Team meetings and update behavioral care plans as appropriate.
• Work closely with conservators, public defenders, forensic psychologists and County of Orange professionals to ensure continuum of care.
• Facilitated resident participation in court hearings and placement interviews for continuity of care.
• De-escalate behavioral challenges through one-on-one and team therapeutic communication; ensuring safety.
• Facilitate weekly Symptom Management and Dual Diagnosis groups.
• Work with residents and family members to identify opportunities of improvement and facilitate grievance process.
• Honored as Employee of the Month in January 2026 for exceptional contributions to the team.

• Supervised social work staff, assigning caseloads and monitoring service delivery for older adult clients.
• Resolved complex client concerns by guiding staff through barriers, eligibility issues, and service transitions.
• Reviewed assessments, care plans, and documentation for accuracy, compliance, and timely follow-up.
• Coordinated interdisciplinary meetings with healthcare partners to align client support and discharge planning.

• Met with members in-person and via telephone, through the Anonymous Compliance hotline, to discuss grievances and assist in resolving community concerns through coordination with other departments and/or third-party mediation.
• Facilitated discussions with members in-person and via telephone through the Anonymous Compliance hotline, addressing grievances and coordinating resolutions with departments and third-party mediation.
• Assisted in drafting and preparing investigative reports, including security and police documentation for review by HOA Board of Directors.
• Coordinated and scheduled disciplinary hearings for residents with community infractions, presenting cases effectively before the Board of Directors.
• Analyzed monthly delinquency reports and collaborated with Accounting department to streamline collection of overdue assessments and chargeable service fees through Board-approved disciplinary process.

• Conducted in-home assessments, completed enrollment paperwork, and developed individualized care plans by identifying client barriers and solutions, ensuring tailored care delivery.
• Developed strong relationships in the community through marketing and outreach.
• Directed daily home care operations, aligning scheduling, staffing, and service delivery with client needs.
• Supervised caregivers and office staff, reinforcing policies, professionalism, and consistent service standards.

• Oversaw the process, management and development of the Care Anywhere clinical model of care for the entire Northern CA region.
• Led sales and outreach initiatives for a new program offering within the insurance plan.
• Mentored, trained, audited and coached a team of 12 medical assistants within the Case Management department.
• Collaborated with physicians, NP/PAs, and clinical and non-clinical staff to identify appropriate patients for care transition services and conducted proper case assessments.
• Addressed concerns regarding the performance of the Care Anywhere staff and the coordination of care.
• Coordinated scheduling of home visits for high-risk members and facilitated specialty referrals, streamlining access to necessary services.
• Responsible for sales and outreach initiatives related to a new program offering within the insurance plan.
• Award: STAR Award for a decrease in hospital readmissions in the Northern CA region.

• Coordinated resident discharge planning, ensuring smooth transitions to home, rehab, or higher-level care.
• Scheduled post-discharge services, transportation, and equipment needs to support continuity of care.
• Assisted families in navigating complex healthcare systems, providing guidance on available services and support options.
• Collaborated with interdisciplinary teams to ensure optimal patient care and smooth transitions between healthcare providers.
• Communicated with families, physicians, and care teams to align discharge needs and follow-up services.
• Reviewed resident records and care plans to prepare accurate discharge documentation.

(Dean's List Awarded)