Experienced Licensed Clinical Social Worker with strong commitment to fostering positive outcomes and enhancing hospital case management and discharge planning. Adept at providing support, advocacy, and resources to diverse populations while maintaining high ethical standards. Demonstrates collaborative approach, adaptability to changing needs, and focus on delivering impactful results. Skilled in case management, crisis intervention, and effective communication.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Social Worker II
Inova Health Systems
04.2023 - Current
Collaborates with the interdisciplinary care team, patients and families in the assessment/coordination of discharge planning needs, delivery of post-discharge planning needs/services, transition of patients from the hospital to the discharge setting as well as ongoing care in the community
Initiates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated
Refers cases/issues appropriately to resolve barriers to care progression
Documents relevant discharge planning information in medical records according to department standards and/or care management plans
Participates in the assessment of patients' biopsychosocial needs through review of information, personal contact with patients/families and interdisciplinary care team members
Communicates routinely with patients, families, interdisciplinary care team members and other appropriate parties with regard to status of patients' care plans, progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary
Ensures that all options available to support a successful transition and elements critical to patients' care plans are documented properly and have been communicated to the patients/families and members of the healthcare team to ensure continuity of care
Assesses the psychosocial risk factors of patients/families through evaluation of prior functional levels, appropriateness/adequacy of support systems, reaction to illness and ability to cope
Advocates for the empowerment and independence of patients/families to make autonomous healthcare decisions and access needed healthcare services
Ensures safe care to patients by adhering to policies, procedures and standards within budgetary specifications including time/supply management, productivity and accuracy of practice
Validates discharge criteria for patients/families, alerts of newly identified resources and/or changes in previously identified resources in the community
Updated client documentation for accurate, compliant and current records.
Collaborated with multidisciplinary teams to ensure appropriate care coordination and resource allocation for clients.
Social Worker I
Inova Health Systems
12.2011 - Current
Participate in the assessment of patients' biopsychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary care team members
Communicate routinely with patients, families, interdisciplinary care team members and other appropriate parties with regard to the status of patients' care plans, progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary
Demonstrate a working knowledge of and experience in utilization management, managed care and payer issues
Refer cases and issues appropriately to resolve barriers to care progression
Provide discharge planning and continuity of care for assigned patients in the acute and post-acute settings
Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, ICCCB, medical equipment and supplies as indicated
Collaborate with the interdisciplinary care team, patients and families in the assessment/coordination of discharge planning needs, delivery of post-discharge planning needs, and delivery of post-discharge services
Document relevant discharge planning information in the medical record according to department standards and/or care management plans
Collaborate/communicate with internal/external Case Managers
Provide coordination of services and acts as a liaison between patients, families and the interdisciplinary healthcare members
Act as an advocate for patients to resolve barriers to care progression
Family Consultant
KidsPeace National Centers
11.2010 - 11.2011
Company Overview: Foster Care and Community Programs
Participated in the pre-admission screening of client referrals, and coordinated matches with foster parents within the agency
Developed and implemented the Individualized Service Plan in a form and manner that meets the requirements of state regulations and agency policies
Lead regularly scheduled meetings with the client and his/her treatment team to help in the resolution of problems, to enhance interpersonal skills, and to reinforce the work of, and adjustment to, the treatment family
Attended regularly scheduled meetings with the treatment families to teach, motivate, supervise, and reinforce their work with the clients
Acted as advocate and liaison for clients with other professional service providers in the community and within the KidsPeace organization, as necessary
Prepared and completed all reports, statistical information and other file requirements as per agency policy and state mandated regulations
Foster Care and Community Programs
Education
Master of Social Work - Concentration in Family and Children
University of Cincinnati
Cincinnati, Ohio
06.2007
Bachelor of Social Work -
University of Cincinnati
Cincinnati, Ohio
06.2006
Skills
Compassionate
Case management
Efficient under pressure
Attention to detail
Cooperative
Multidisciplinary team collaboration
Case documentation
Assessment skills
Discharge planning
Awards
Inova IAMS Award, 2013, Reducing the length of stay in pediatric patients
Licensureandcertification
Licensed Clinical Social Worker (Virginia), 11/01/13, Present, 0904008447
Accredited Case Manager-SW (National Board of Case Management), 09/01/22, Present, C11151486
Basic Life Support Provider (American Heart Association), 12/01/11, Present, 215417268466
Certification
Licensed Clinical Social Worker (Virginia) November 2013-Present License Number: 0904008447
Accredited Case Manager-SW (National Board of Case Management) September 2022-Present Certification Number: C11151486
Basic Life Support Provider (American Heart Association) December 2011-Present eCard Code: 215417268466
Timeline
Social Worker II
Inova Health Systems
04.2023 - Current
Social Worker I
Inova Health Systems
12.2011 - Current
Family Consultant
KidsPeace National Centers
11.2010 - 11.2011
Bachelor of Social Work -
University of Cincinnati
Licensed Clinical Social Worker (Virginia) November 2013-Present License Number: 0904008447
Accredited Case Manager-SW (National Board of Case Management) September 2022-Present Certification Number: C11151486
Basic Life Support Provider (American Heart Association) December 2011-Present eCard Code: 215417268466
Master of Social Work - Concentration in Family and Children
University of Cincinnati
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