Tony Armstead

• Educates health care professionals, patients, and families about home care services.
• Develops and maintains relationships with key referral sources, such as hospitals, nursing homes and physician offices to generate leads.
• Coordinates patient admissions with the team, including obtaining all required documentation to complete referral to admission process.
• Conducts on-site visits to assess patient needs and identify barriers to care.
• Keeps accurate records of patient interactions and referrals.
• Achieves admissions, product, and payor-mix goals.
• Meets short and long-term target account goals.
• Documents the minimum expectation of sales calls daily in CRM (including pre and post call notes).
• Maintains a complete, up-to-date record of targeted referral sources in territory in CRM.
• Attends community events to promote Amedisys.
• Responds to customer complaints in timely manner.
• Performs other duties as assigned.

• Completed psychosocial evaluations and needs assessments.
• Worked with medical teams, patients and families to implement effective treatment plans.
• Coordinated individualized discharge plans to manage safe transition back into community and home environments.
• Coordinated program referrals for community-based resources
• Worked with emotional and financial needs, assists with end-of-life planning, develops plans of care, provides direct counseling, and arranges referrals to community agencies as necessary.

•Overseeing direct social work case management services for all LIFE Center members

•Providing social service support including screenings, counseling and external referrals, as needed

•Reevaluating and updating Plans of Care based on change in members’ status, emergent conditions and other relevant circumstances, then communicating changes to all relevant stakeholders (i.e. interdisciplinary teams, families, caregivers)

•Completing ongoing periodic assessments to ensure a thorough evolution of member care, in keeping with changing needs and requests

•Documenting all visits, including deviations from approved care plans and prescribed intervention techniques

•Documenting member medical records and maintaining electronic case management assessments for immediate and future use

•Identifying development areas, including individual member enhancements and overarching LIFE Center opportunities for growth and expansion, then developing and implementing these improvements

•Counseling families in both individual and group settings, and leading relevant activities to educate these care participants

•Visiting in-home members, assessing needs and developing/implementing comprehensive speech/language care plans accordingly

•General administrative duties, including completing and submitting 1768 documents to required agencies within 48 hours

Implement, monitor, evaluate, and update ISP’s, WRAP plans, Behavioral Support Plans, teaching plans and data sheets. Conduct in-home assessments and administer psychological tools to assess each individual’s specific needs. Assist in developing support systems, based on the needs of individuals, by identifying and coordinating a variety of available and applicable services. Supervise a team of Community Support Professionals. Create and incorporate crisis intervention plans and complete HCSIS reports. Assure that administrative records and reports are established and maintained in compliance with policies and regulations. Comply with all policy and procedures, guidelines, standards, laws and contractual obligations.

Supported adults on the autism spectrum habilitate in the home and community. I coordinated with our supports coordinator to help our participants acquire jobs and volunteering opportunities. I collected data daily to help with the constant assessment of our participants regarding their treatment plans and goals. I worked with our Behavioral Health Specialist to complete Functional Behavior Assessments when necessary. I helped the participants monitor their medical health and appointments. I assisted participants and families if and when they are facing legal problems.