Experience

FORT TRYON CENTER FOR REHABILITATION AND NURSING
• United States
• Medical Practices
• 1 - 100 Employee
• Director of Social Services

  • Jul 2022 - Present

Delmar Center
• United States
• Individual and Family Services
• Director of Social Services

  • Oct 2021 - Jun 2022

VanDuyn Center
• United States
• Hospitals and Health Care
• 1 - 100 Employee
• Director of Social Services

  • May 2020 - Oct 2021

ArchCare - Mary Manning Walsh
• United States
• Hospitals and Health Care
• 1 - 100 Employee
• Sub Acute

  • Jul 2019 - Apr 2020

Citadel Care Centers
• United States
• Hospitals and Health Care
• 1 - 100 Employee
• Director Of Social Services

  • Feb 2019 - Jul 2019


FutureCare Health

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Director Of Social Services - Homewood

  • Mar 2017 - Feb 2019

  • 148 Bed skilled nursing facility with a focus on cardiac rehab/short-term care, pulmonary and long-term care • Provide medically related social work services so that residents may obtain their optimal physical and mental wellbeing through a psychosocial approach • Primary contact between facility and residents and associated family members/next of kin • Advocate daily so that residents’ rights are fulfilled • Ensure all MDS (Minimum Data Set) assessments are completed on time • Lead all care planning and family meetings and ensure that an interdisciplinary approach is taken with each resident’s plan of care • Responsible for the maintenance of all Advanced Directives (MOLSTs, Surrogacy, POAs etc.) • Perform ongoing audits of PASRR documentation (Preadmission Screen and Resident Review) • Provide accurate and timely data on depression capture and psychotropic regimen usage to ensure optimal CMI mix • Coordinate discharge planning process and make appropriate referrals based on the resident’s needs and qualifying resources • Work with an interdisciplinary team to ensure residents are discharged safely to the community • Document progress notes, which relate to each resident’s care plan, when necessary and within policy timeframe Show less



Centers Health Care

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Director of Social Services - Hope Center

  • Jun 2016 - Mar 2017

  • Hope Center - 66 Bed skilled nursing facility with a focus on the HIV/AIDS population with a co-morbidity of illicit substance abuse and recovery • Coordinated all intake, admission and discharge procedures • Developed a comprehensive psychosocial history, a safe discharge plan and completed an MDS assessment and Care Plan for all residents • Worked with an interdisciplinary team to ensure residents are discharged safely to the community • Monitored residents' progress through substance abuse counseling in order to reflect behavioral changes and needs in resident care plans • Documented progress notes when necessary and within policy timeframe • Reviewed residents’ rights with residents and staff, and attended to their personal needs Performed ongoing audits of MOLST forms, DNR/DNI census and Patient Screens Show less



Lincoln Hospital - NYC Health and Hospitals Corporation (HHC)

• Clinical Social Work Intern

  • Sep 2015 - May 2016

  • Performed bio-psychosocial patient intake assessments on a daily basis • Responsible for all aspects of discharge planning • Provide short-term counseling and crisis intervention services as necessary • Coordinated with interdisciplinary clinical team in order to design patient aftercare plans • Responsible for all patient progress notes and other daily documentation • Attended daily rounds with medical staff to determine patients’ psychosocial and medical needs • Obtained authorizations from insurance companies for identified level of care • Experienced working with patients from an outpatient setting through medical/surgery units • Daily contact with insurance providers, skilled nursing facilities and home healthcare agencies • Provided additional resources to homeless patients, veterans and those with chemical dependencies • Worked closely with insurance providers to advocate for patient aftercare needs Show less



Phoenix House

• United States
• IT Services and IT Consulting

• Clinical Social Work Intern

  • Nov 2014 - May 2015

  • Completed intake assessments of new clients • Prepared treatment plan documentation and worked with clients to establish measureable goals • Assisted with transition planning and discharge summaries for clients who successfully completed the rehabilitation program • Conducted individual and group counseling sessions • Wrote progress notes on a weekly basis, or as needed, in order to document clients’ progress • Participated with all I.M.P.A.C.T. team members on a weekly basis in case conference meetings to discuss pending issues and to review clients’ progress • Provided outreach to clients and consented individuals (e.g. family members, case workers, attorneys, probation officers etc.) in order to communicate client and agency needs Show less