Experience

AMEDISYS HOME HEALTH CARE

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Medical Social Worker

  • Mar 2020 - Present



HD Reach

• Social Worker/Support Group Facilitator

  • Nov 2014 - Dec 2020

  North Carolina Area Education and support to individuals and families dealing with Huntington's Disease in North Carolina. -- Facilitation of a monthly support group in Winston Salem -- Assistance with an annual weekend Statewide Education Day



Acuity Healthcare Solutions

• Care Manager

  • Feb 2016 - Oct 2020

  Part of an interdisciplinary team focused on clients with a high utilization rate of emergency department visits and hospital readmissions. -- Community-based work, throughout the Piedmont-Triad area, in client’s homes and long-term care facilities -- Collaboration with client’s primary care physician and other providers as well as relevant community-based organizations and resources -- Completion of psycho/social/functional assessments to determine health needs -- Development of… Show more Part of an interdisciplinary team focused on clients with a high utilization rate of emergency department visits and hospital readmissions. -- Community-based work, throughout the Piedmont-Triad area, in client’s homes and long-term care facilities -- Collaboration with client’s primary care physician and other providers as well as relevant community-based organizations and resources -- Completion of psycho/social/functional assessments to determine health needs -- Development of a plan of care in collaboration with client’s doctor/family/health care team to achieve agreed upon wellness goals -- Coordination of all services to assure efficiency, appropriateness, timeliness and quality of care consistent with the plan of care and physician’s orders -- Responsible for health education to improve client’s ability to manage health -- Responsible for ongoing care management and support -- Responsible for timely and accurate documentation of client’s assessment, clinical status, and progress toward meeting goals of the plan of care -- Participation in interdisciplinary case conferencing and ongoing training -- Assessment of risk and implementation of appropriate interventions Show less



Detroit Area Agency on Aging

• Supports Coordinator/Social Worker

  • Aug 2010 - Jun 2014