Manager of Care Coordination and Social Services

• Aug 2021 - Present

Lead Social Worker

• Jun 2018 - Jul 2021

• Provided support to social work team as a consult on complex cases to facilitate care progression and discharge planning. • Provided direct services on various units (Maternal Health/L&D, NTU, CITU, surgical, ortho) for care coordination and social service concerns as needed to maintain coverage for the department. • Responsible for department audits, both QI and internal, to maintain progression of the department.• Reviewed policies related to the Social Services department to ensure appropriate continuity of care.• Gathered and maintained resources in relation to Social Services for the department and hospital use. • Managed the daily assignment and department scheduling as needed. • Supported the Case Management and Social Services Director and Manager with daily administrative tasks for the operation of the department. Show less

Senior Clinical Social Worker

• May 2016 - Jun 2018

• Intervene in complex psychosocial issues with patients on an inpatient oncology unit by providing thorough assessment to identify patient and family needs and subsequent treatment planning with appropriate interventions. • Facilitate end of life discussions and education about hospice to provide linkage and coordination of referrals for hospice as needed.• Counsel patients with oncological and chronic medical comorbidities during their inpatient admission to address psychosocial factors that impact their coping and management of their diagnosis. • Facilitate family meetings and discussions with physicians in complex cases to address the various dynamics impacting the patient’s plan of care. • Provided an in-service for staff development on oncology social work to address the various facets that impact a patient with cancer. • Provide linkage to oncology community resources to aide in coping and management of a cancer diagnosis.• Actively participate in interdisciplinary rounds to facilitate the management of complex cases. Show less

Medical Social Worker

• Aug 2012 - Oct 2015

• Provided culturally sensitive services on an inpatient medical/surgical floor for adults and geriatric populations dealing with varying illnesses from heart failure, diabetes, cancer, dementia, to addiction. • Assisted patients and families to cope with emotional reactions to medical crisis, illness, and end of life by providing psychosocial support, psychoeducation, and conducting family meetings. • Managed and implemented safe aftercare plans for patients by conducting thorough psychosocial assessments and coordinating appropriate community referrals to match their needs. • Collaborated seamlessly with multiple medical disciplines to ensure daily continuity of care for patients. • Assisted in the opening and ongoing operations of a new unit-- Rapid Evaluation and Treatment Unit—to meet the hospital’s goal in providing efficient and directed care for our patients. • Presented a clinically complex case to the Social Work department for staff development. • Provided crisis management for acute issues in the Emergency Department for the adult and pediatric units. • Supervised MSW and BSW interns within the department’s educational program. Show less

Social Work Intern

• Sep 2011 - Apr 2012

• Identified patients diagnosed with multiple myeloma, head and neck tumors, lymphoma, melanoma, and stem cell transplant candidates in outpatient and inpatient units in need of additional support. • Counseled patients dealing with various stages of their disease and treatment from the impact of diagnosis, to disclosure of diagnosis, medical concerns, body image, advance directives, and end of life care. • Obtained a financial award and organized a respite trip to Disney World for two cases to help achieve specific dreams and improve quality of life for both patients. • Conducted psychosocial assessments and evaluated patient needs to make appropriate community referrals, which included financial assistance, transportation services, and community support groups. • Co-facilitated the outpatient multiple myeloma support group. • Collaborated with various staff in weekly multidisciplinary rounds and psychosocial care team meetings. Show less

Individual Care Coordinator Intern

• Sep 2010 - May 2011

• Provided non-traditional psychotherapy, play therapy, and art therapy to children and adolescents with their families (parents and siblings) who are struggling with Serious Emotional Disturbances, consisting of an Axis I or II diagnosis, and are at risk for hospitalization or residential care. • Collaborated with client and family to create comprehensive service plans focused on strengths and goals. • Linked the family to services including respite care, skill building, and family support services. • Conducted 6 home and school visits a month per client to coordinate services, work on coping skills, monitor progress, and address presenting problems and family dynamics. • Managed clients’ care in the home and community by advocating for the clients’ need in family meetings with school and service staff. Show less

Counselor- Education Liaison

• Oct 2006 - Aug 2010

• Counseled adolescents in a residential treatment center in both the eating disorder and dual diagnosis unit. • Promoted as the Education Liaison to work collaboratively with clients, parents, and school administration to assist the client in attaining their education goals while in residential treatment • Managed the daily routine of the unit to provide a safe environment, ensure proper patient care, and enhance individual growth. • Facilitated daily psycho-educational support groups including self-esteem, body acceptance, and process group for adolescents with an eating disorder. • Led daily groups such as 12-Step, relapse prevention, and addiction for adolescents with a dual diagnosis. Show less

Counselor

• Jul 2006 - Jun 2007

• Provided ongoing counseling to students at a primary private school. • Managed an average caseload of 12-16 students to address social anxiety, peer difficulty, Attention Deficit Disorder, Attention Deficit Hyperactivity Disorder, self-harm, and complex family dynamics at home. • Coordinated with parents, students, teachers, and administrators to address the student’s presenting problem and promote continued support in the classroom and home. • Provided ongoing counseling to students at a primary private school. • Managed an average caseload of 12-16 students to address social anxiety, peer difficulty, Attention Deficit Disorder, Attention Deficit Hyperactivity Disorder, self-harm, and complex family dynamics at home. • Coordinated with parents, students, teachers, and administrators to address the student’s presenting problem and promote continued support in the classroom and home.