Toni-Marie Scott
Palm Bay
Summary
Dedicated Service Care Manager with expertise in care planning, service coordination, and case assessments. Proven ability to enhance patient outcomes through personalized care plans and effective communication.
Overview
22
22
years of professional experience
Work History
Service Care Manager
Centene Corporation
Orlando, FL
10.2016 - Current
- Developed personalized care plans to enhance patient outcomes and ensure adherence to healthcare standards.
- Coordinated multidisciplinary team meetings to optimize patient care strategies and resolve complex cases.
- Monitored patient progress, adjusting care plans based on feedback and evolving health needs.
- Implemented quality improvement initiatives, enhancing service delivery within care management processes.
- Fostered strong relationships with healthcare providers, ensuring seamless communication for effective patient management.
- Developed strong rapport with patients and families through empathetic listening and compassionate communication techniques.
- Established and maintained relationships with clients, families and community partners to coordinate services to meet client's needs.
- Maintained detailed records in compliance with agency standards and regulations.
Hospice Social Worker
Vitas Innovative Hospice Care
Melbourne, FL
06.2013 - 10.2016
- Conducted psychosocial assessments to identify patient and family needs in hospice care settings.
- Developed comprehensive care plans addressing emotional, social, and spiritual support for patients and families.
- Facilitated family meetings to enhance communication and resolve conflicts regarding end-of-life care decisions.
- Provided grief counseling and support for families navigating loss and bereavement processes.
- Collaborated with interdisciplinary team members to provide comprehensive patient care.
- Assisted bereaved family members with grief support services, connecting them to community resources when needed.
- Served as a liaison between hospices and external agencies such as hospitals or nursing homes to facilitate efficient patient transitions into hospice care settings.
- Provided crisis intervention services for patients and families experiencing acute emotional distress during the end-of-life process.
- Advocated for patients'' rights and wishes, coordinating with legal professionals to establish advance directives.
- Collaborated with interdisciplinary team members for optimal patient outcomes, ensuring consistent updates on patient progress.
Hospice Social Worker
Wuesthoff Health System
Viera, FL
05.2004 - 05.2013
- Collaborated with interdisciplinary teams to ensure holistic patient-centered care delivery strategies were implemented effectively.
- Trained and mentored new social workers on best practices in hospice care and compliance standards.
- Advocated for patient rights and access to community resources tailored to individual needs during end-of-life transitions.
- Evaluated program effectiveness through feedback collection, leading to improved service delivery models within hospice care framework.
- Cultivated a strong network of community partnerships, enhancing resource availability for patients and families during their time of need.
- Supported patients in navigating complex healthcare systems, securing necessary resources, and addressing barriers to care.
- Maintained accurate documentation of all social work interventions in accordance with regulatory requirements and organizational policies.
- Streamlined referral processes within the hospice by working closely with intake coordinators and establishing clear communication channels.
- Enhanced patient and family understanding of hospice services by providing thorough education and resources.
- Maintained detailed records of patient progress, documentation of services and case notes.
- Conducted in-home visits to provide supportive services.
- Assisted patients in accessing housing, financial assistance and other community resources.
Education
Master of Science - Social Work
University of Central Florida
Orlando, FL05-2004
Skills
- Care planning
- Case assessments
- Clinical documentation
- Service coordination
- Quality improvement
- Patient education
Timeline
Service Care Manager
Centene Corporation
10.2016 - Current
Hospice Social Worker
Vitas Innovative Hospice Care
06.2013 - 10.2016
Hospice Social Worker
Wuesthoff Health System
05.2004 - 05.2013
Master of Science - Social Work
University of Central Florida