Stephany Bramwell

• Provide appropriate and timely discharge planning from the hospital, arrangement for follow-up health care, assess financial resources available for patients, and make referrals to appropriate community mental health facilities.
• Monitor and document patient's condition following discharge and report changes in status to attending physician.
• Participate in multidisciplinary team meetings when determining appropriate levels of care prior to discharge.
• Evaluate patient's ability to live independently or function within an assisted living facility or residential treatment center prior to release from the hospital.
• Educate families on available resources in order to help them better understand their loved one's diagnosis and treatment plan before being discharged from the hospital.
• Collaborate with other professionals to assess client needs.
• Develop individualized discharge plans for patients based on their medical and psychosocial needs.

Assists with case management and other related duties by working collectively with a clinical team to achieve desired service and cost outcomes.

Interpret clinical information from multiple sources such as electronic medical records, electronic databases, and submission of information to identified internal and external HIV positive clients.

Assist in the completion of elements involving pre/recertification and discharge planning such as copying clients records, researching client benefits, arranging for assigned covered services and obtaining or completing appropriate forms in applications.

Coordinate services for the patient between the hospital, care facilities, financial sources and government funded programs.

Assisted clients in getting their journey to recovery started.

Answered calls of potential clients needing help to stop using drugs and alcohol.

Worked collaboratively in a team environment.

Utilized strong interpersonal and communication skills to serve clients.

Answered clients/families questions in a timely manner.

Communicated with other facilities to get clients scheduled for assessments.

Handled calls with DCS, lawyers and family members in regards to substance abuse.

Coordinated with outpatient facilities, outside case managers, probation officers and magistrates to organize aftercare services and referrals when needed.

Reviewed and discussed with clinical staff all new admissions and discharges daily.

Made referrals to other hospital departments for collaboration and assistance for discharge planning.

Provided patient education to assist with self management skills.

Led adult education groups covering the topic of addiction.

Facilitated educational programming for clients aged 19–24, promoting recovery from active drug and alcohol addiction.

Supported an assistant clients in processing of early recovery including withdrawal, mood management, distressed tolerant skills and maintenance planning.

Engaged with clients and providing positive coping skills, time management and healthy lifestyle ideas.

Assisted in providing a well organized smooth functioning classroom environment.

Worked with individual students/small groups to reinforce the learning process.