Vanessa Guedes
North Arlington,NJ
Summary
Professional social work with comprehensive experience in hospital case management. Proven ability to handle complex cases and provide effective support to clients. Known for excellent collaboration with teams and achieving impactful outcomes, displaying adaptability and reliability in dynamic environments.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Social Work Case Manager
Hackensack University Medical Center
03.2020 - Current
- Meet directly with patients/families to assess needs and develop an individualized care plan in collaboration with the physician and other healthcare team members
- Consult with community agencies to identify potential resources to support patients and their families
- Work collaboratively with multidisciplinary and post-acute care teams to secure timely transitions to the next level of care
- Develop a discharge plan in collaboration with the patient and support persons, identifying goals for maximum benefit
- Document and communicate information to the multidisciplinary team to coordinate and maximize care
- Participate in multidisciplinary rounds specific to assigned units, addressing issues impacting discharge and length of stay
- Perform reassessments and evaluate progress against care goals, revising plans as needed.
- Provide patients and families with resources and discharge options, educating them on risks and benefits.
- Utilize social determinants of health screening tools during each intake assessment.
- Arranged placement of patients in facilities appropriate for level of care requirements.
- Provide ongoing training and mentorship to new Discharge Planners, fostering a supportive team environment that promoted knowledge sharing and skill development.
Social Worker
Fresenius Kidney Care
07.2019 - 02.2020
- Patient Assessment / Care Planning / Counseling
- Assessed patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment
- Participated in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life.
- Conducted clinical assessments of patients on various units to determine medical, physical and psychosocial needs.
- Ensured provision of continued care at home or in an appropriate extended care facility based upon the patients needs
- Provided therapeutic counseling to individuals and families.
- Counseled family members to assist them in understanding, dealing with, or supporting clients or patients
- Provided educational and goal directed counseling to patients who are seeking transplant
- Provided information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes
Outpatient Therapist
McCabe Counseling, P.C
02.2020 - Current
- Built strong rapport with clients, fostering trust and open communication for effective therapy sessions.
- Maintained detailed case notes and documentation, ensuring effective tracking of progress and continuity of care across providers.
- Provided individual and group therapy sessions to patients suffering from mental health issues.
Legal Assistant
Brady, Brady & Reilly
10.2013 - 12.2018
- Scheduled appointments, court appearances and depositions
- Prepared interrogatories, requests for admission, requests for production of documents and request for examination or inspection
- Managed account and records of client with highest level of confidentiality and discretion
- Performed administrative tasks, including revising and finalizing letters, briefs and memos
Education
Masters of Social Work -
RUTGERS UNIVERSITY
New Brunswick, NJ05.2019
Bachelor of Arts - Psychology
MONTCLAIR STATE UNIVERSITY
Montclair, NJ05.2017
Associate in Arts - Psychology
HUDSON COUNTY COMMUNITY COLLEGE
Jersey City, NJ05.2015
Skills
- Proficient in EPIC
Certification
- MSW Certificate in Aging and Health
- NJ Licensed Social Worker #4SSL06484100 08/31/2026
- NY Licensed Master Social Worker #126104-01 11/30/2027
Awards
- Social Worker of the Year 2021
- People First Award 2022
Languages
Spanish
Portuguese
Timeline
Social Work Case Manager
Hackensack University Medical Center
03.2020 - Current
Outpatient Therapist
McCabe Counseling, P.C
02.2020 - Current
Social Worker
Fresenius Kidney Care
07.2019 - 02.2020
Legal Assistant
Brady, Brady & Reilly
10.2013 - 12.2018
Bachelor of Arts - Psychology
MONTCLAIR STATE UNIVERSITY
Associate in Arts - Psychology
HUDSON COUNTY COMMUNITY COLLEGE
Masters of Social Work -
RUTGERS UNIVERSITY
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