Suzette Greene
Decatur,GA
Summary
Licensed Medical Professional eager to pursue a career in case management/ disease management and community outreach intervention. Experienced in high complexity patient population, crisis intervention, transitional care management, psychosocial needs assessment, community resource coordination, and comprehensive acute/ chronic condition management. Seeking a role of increased responsibility and accountability with a focus in patient advocacy, patient centered care, and strategic planning.
Diligent [Desired Position] with solid foundation in inpatient social work. Provided comprehensive support to patients and their families, ensuring effective care plans and emotional assistance. Demonstrated crisis intervention and patient advocacy skills.
Overview
26
26
years of professional experience
Work History
Inpatient Social Worker
Harbor Grace Hospice
Atlanta, Georgia
04.2024 - Current
- Assess patients' emotional, social, and financial needs thoroughly through complete psychosocial evaluations.
- Create and carry out customized treatment programs in conjunction with an interdisciplinary team to guarantee patients' and families' comprehensive assistance.
- Provide patients and their families emotional support and counseling, helping them develop coping mechanisms while they go through end-of-life changes.
- Improve patient and family awareness of the hospice process by educating them about the services, resources, and support networks that are available.
- Organize follow-up care and discharge planning to facilitate a seamless transfer to home hospice or other care environments.
- Advocate for patients' rights and preferences in care decisions, promoting dignity and respect throughout the hospice journey.
- Conduct family meetings to facilitate communication and address concerns related to care and bereavement.
- Maintain accurate and timely documentation of patient interactions, assessments, and care plans in accordance with regulatory standards.
- Collaborate with medical personnel to solve challenging ethical issues and offer advice on palliative care choices and advance directives.
- Attend interdisciplinary team meetings to discuss patient progress, make changes to treatment plans, and meet goals of care.
Ambulatory Care Coordination Licensed Medical Social Worker
Emory Healthcare Inc.
Decatur, GA
01.2019 - 04.2024
- Provides clinical case management and care coordination to a high complexity patient population through multidisciplinary/ interdisciplinary team collaboration and complex system navigation to implement appropriate interventions necessary to address patient and family psychosocial needs, resulting in improved continuity of care and decreased emergency service utilizations.
- Utilizes motivational interviewing to assess a patient’s level of activation/ readiness to coordinate SMART goals and achieve desired psychosocial and health outcomes while providing community resource information and supportive guidance.
- Coordinates comprehensive care services with external stakeholders to reduce unnecessary variances in transitional care management, assures effective clinical resource management, and continuity in patient care.
- Assists in the development of Standards of Operations and departmental workflows to promote continuous quality improvement measures within the department while identifying areas of improvements to increase workflow efficiency and standardization to optimize patient care and promote psychosocial awareness.
- Participates in Magnet Health Fair; educating fellow colleagues on the importance of self-governance, professional development programs, and transformational leadership to promote the development of autonomy, professional growth, and innovation.
- Develops and presents information during quarterly meetings on crisis intervention, available community resources, and social economic barriers to increase departmental awareness and educate team members on the internal and external resources currently available to improve patient experience.
Home and Community Based Services Care Coordinator
Visiting Nurses Health System
Atlanta, GA
01.2009 - 01.2019
- Researched, analyzed, and assessed patient needs and advocated for resource allocation for over 110 geriatric patient population caseloads to maximize departmental efficiency and promote patient centered care.
- Maintained community awareness through active relationship management and promoting rapport development to cultivate organizational collaboration amongst both internal and external stakeholders.
- Served as point of contact and professional resource to newly on-boarded employees; displayed thorough understanding of agency policy and procedures, federal, state, and third-party regulations for reimbursement of home care services.
- Assess and identify patients’ needs for home care; plan for continuity of care and effectively communicate plans to clients, families, and service providers in adherence to the agency’s philosophy and policies.
- Exemplified excellent organizational and communication skills, flexibility in dealing with a variety of personnel and ability to communicate clearly and positively to insurance companies as well as staff, physicians, nurses, social workers, case managers, patients, and family members.
Older Adult Inpatient Strategies Program Coordinator
Piedmont Hospital
Atlanta, GA
01.2005 - 01.2009
- Monitored program operation while providing collaborative treatment plans and care coordination for the Older Adult Service Inpatient Program (OASIS), promoting workflow efficacy and effective case management to ensure consistent quality in care.
- Assessed and evaluated all new admissions utilizing psychosocial and geriatric screening tools for OASIS program admission and strategic development of patient/ family centered treatment plan in accordance to appropriate level of care.
- Managed resources, coordinated care, planned social work services and referrals; acted as liaison and advocate for clients and families. Intervened in crisis situations and displayed exceptional poise under duress.
- Compiled and analyzed monthly reports for OASIS program contributing to program funding accessibility and funding allocation through the Women’s Auxiliary.
- Provided post-discharge follow up to ensure patient/ family comprehension, comfortability, and compliance with discharge instructions and resource information.
Director of Supportive Services
Lutheran Towers
Atlanta, GA
01.2000 - 01.2005
- Developed, implemented, and monitored a revenue generating program for fee-based home services and community-based services, offering affordable services to program participants through an integrative, community-based agreement.
- Monitored daily program and facility operations, providing personal contact for a client base of 120 residents, resulting in organized and efficient delivery for all routes and satisfied clients.
- Identified and collaborated with community stakeholders to provide residential services to program participants, either on site or through individual referrals, to partnering agencies and resources.
Education
Master of Social Work -
University of Georgia
Athens, GA05-2017
Skills
- Motivational Interviewing Skills
- Relationship Management
- Communication Skills
- Program Management
- Community Outreach
- Organization Skills
- Telehealth
- Care Coordination/ Case Management
- Psychosocial assessments
- Resource management
- Telephonic Outreach
- Crisis Intervention
- EPIC
- Dementia care
- Grief support
- Clinical documentation
- Mental health counseling
- Interdisciplinary coordination
- Networking with staff
- Follow-up care
- Discharge planning
- Psychosocial assessment
- Service referral management
- Caregiver support
- Medical care counseling
- Patient assistance
- Educating families
- Team collaborating
- Coordinating services
- Bereavement services
- Reliability
- Worker supervision
- Excellent communication
- Critical thinking
- Task prioritization
- Motivational interviewing
Timeline
Inpatient Social Worker
Harbor Grace Hospice
04.2024 - Current
Ambulatory Care Coordination Licensed Medical Social Worker
Emory Healthcare Inc.
01.2019 - 04.2024
Home and Community Based Services Care Coordinator
Visiting Nurses Health System
01.2009 - 01.2019
Older Adult Inpatient Strategies Program Coordinator
Piedmont Hospital
01.2005 - 01.2009
Director of Supportive Services
Lutheran Towers
01.2000 - 01.2005
Master of Social Work -
University of Georgia