Shamira Gonzalez Torres
Miami,Florida
Summary
Social Work Case Manager with extensive experience in hospital settings, specializing in psychosocial assessments, discharge planning, crisis intervention, and care coordination. Demonstrated success in collaborating with interdisciplinary teams to develop comprehensive discharge plans, ensuring safe patient transitions. Bilingual in English and Spanish, providing enhanced support for diverse patient populations.
Overview
30
30
years of professional experience
Work History
Social Work Case Manager
Baptist Hospital of Miami
Miami, USA
10.2007 - Current
- Maintain a minimum daily caseload of 25 patients across Progressive Care/Step-Down, Observation, and Medical-Surgical units.
- Conduct comprehensive psychosocial assessments to identify emotional, social, financial, and environmental needs affecting patient care, treatment, and discharge planning.
- Provide crisis intervention, supportive counseling, emotional support, and bereavement services to patients and families coping with acute, chronic, and terminal illnesses.
- Coordinate and facilitate individualized discharge plans to ensure safe and appropriate transitions across the continuum of care.
- Collaborate with physicians, nurses, case managers, therapists, and community agencies to develop and implement comprehensive plans of care.
- Liaised with patients, families, healthcare providers, and community resources to facilitate access to essential services and support systems.
- Advocated for patients and families by identifying and resolving barriers to care, connecting them with financial assistance and community services.
- Evaluated and intervened in complex psychosocial situations, addressing family conflict, caregiver stress, neglect, abuse concerns, domestic violence, and vulnerable adult issues.
- Evaluated decision-making capacity concerns and facilitated healthcare surrogate, guardianship, and advance care planning processes.
- Provide education and referrals regarding post-acute care services, home health, rehabilitation, hospice, skilled nursing facilities, and community-based programs.
- Manage a complex caseload while ensuring regulatory compliance, appropriate utilization of resources, and quality patient outcomes.
- Conduct initial, concurrent, and retrospective chart reviews to support utilization management and continuity of care.
Social Worker
University of Miami Miller School of Medicine – Sylvester Comprehensive Cancer Center
07.1996 - 09.2007
- Delivered psychosocial support and case management services to oncology patients and families, enhancing their experience throughout the continuum of care.
- Assessed patient and family needs related to medical treatment, discharge planning, financial concerns, home environment, and support systems.
- Facilitated safe transitions of care by coordinating discharge planning services with healthcare teams.
- Provided supportive counseling to patients and families coping with cancer diagnoses, treatment challenges, and end-of-life concerns.
- Facilitated connections between patients and community resources, financial assistance programs, support groups, and transportation services to improve access to support.
- Coordinated with insurance case managers and healthcare providers to streamline specialty medication approvals, ensuring timely access to necessary treatment.
- Supervised Master of Social Work (MSW) interns and provided mentorship in clinical social work practice.
Education
Master of Social Work (MSW) -
Florida International University
Miami, FLBachelor of Science - Social Work
Florida International University
Miami, FLTimeline
Social Work Case Manager
Baptist Hospital of Miami
10.2007 - Current
Social Worker
University of Miami Miller School of Medicine – Sylvester Comprehensive Cancer Center
07.1996 - 09.2007
Master of Social Work (MSW) -
Florida International University
Bachelor of Science - Social Work
Florida International University