Outpatient Mental Health Therapist

• Apr 2022 - Present

•Completes intake and on going assessments to determine needs, develop therapeutic goals, and interventions • Develops and updates treatment plans to support and maximize patient functioning •Utilizes a combination of motivational interviewing, cognitive behavioral therapy, mindfulness based psychotherapy, and other appropriate treatment modalities to improve patient functioning and meet treatment plan goals • Provides resources and support as needed •Completes intake and on going assessments to determine needs, develop therapeutic goals, and interventions • Develops and updates treatment plans to support and maximize patient functioning •Utilizes a combination of motivational interviewing, cognitive behavioral therapy, mindfulness based psychotherapy, and other appropriate treatment modalities to improve patient functioning and meet treatment plan goals • Provides resources and support as needed

Behavioral Health Specialist

• Mar 2018 - Apr 2022

Government Markets, Medicare Advantage • Utilized clinical and motivational interviewing skills to asses needs and establish member focused goals • Conducted telephonic clinical and psycho-social assessments that address the health and wellness needs of members as well as social determinants of health •Supported members in developing self-management skills and positive behavior changes • connected members with on-line, telephonic and community-based resources as needed Government Markets, Medicare Advantage • Utilized clinical and motivational interviewing skills to asses needs and establish member focused goals • Conducted telephonic clinical and psycho-social assessments that address the health and wellness needs of members as well as social determinants of health •Supported members in developing self-management skills and positive behavior changes • connected members with on-line, telephonic and community-based resources as needed

High Risk/Complex Case Social Worker

• Jul 2017 - Mar 2018

•Assisted linking patients with complex needs to appropriate community resources to ensure safe discharge and increase self management •Developed and administered readmission survey to target areas of improvement for patient well being • Worked as a member of a complex case committee to identify and develop plan of care for rapid readmissions • Provided education and resources as needed for patients with pneumonia, chronic obstructive pulmonary disease, and congestive heart failure •Assisted linking patients with complex needs to appropriate community resources to ensure safe discharge and increase self management •Developed and administered readmission survey to target areas of improvement for patient well being • Worked as a member of a complex case committee to identify and develop plan of care for rapid readmissions • Provided education and resources as needed for patients with pneumonia, chronic obstructive pulmonary disease, and congestive heart failure

Director of Resident and Family Support Services

• Jan 2016 - Jun 2017

• Coordinated and facilitated discharge care planning including care plan meetings, resident mental health needs, durable medical equipment, transfers to other nursing facilities, and/or inpatient rehabilitation facilities • Provides education and counseling as needed to residents, families and caregivers • Educated and linked residents and families to appropriate home and community based resources • Facilitated and managed monthly psychoactive medication meeting with Medical Director • Administered minimum data set assessments(BIMS, PHQ9, MMSE) and other clinical assessments as needed Show less

Social Worker

• Apr 2014 - Jan 2016

•Coordinated and facilitated participant meetings, admissions and discharges with skilled nursing facilities, psychiatric institutes and hospitals •Participant and family education, assessment and counseling ; mobilizing resources, addressing mental health needs as they arise • Member of IDT to develop participant plan of care to address needs and barriers • Administered geriatric depression scale, mini mental and related assessments as appropriate •Coordinated and facilitated participant meetings, admissions and discharges with skilled nursing facilities, psychiatric institutes and hospitals •Participant and family education, assessment and counseling ; mobilizing resources, addressing mental health needs as they arise • Member of IDT to develop participant plan of care to address needs and barriers • Administered geriatric depression scale, mini mental and related assessments as appropriate

Nursing Home Transition Coordinator

• Aug 2008 - Apr 2014

• Completed level of care assessments to determine consumer safety and medical eligibility • Counseled and connected participants on eligible home and community based services and housing • Coordinated safe discharges from nursing facilities • Mentored and provided orientation for new hires • Developed a training workbook for the Community Ombudsman Initiative • Member of Access work group for underserved populations, learning committee, and committee to develop working policies • Completed level of care assessments to determine consumer safety and medical eligibility • Counseled and connected participants on eligible home and community based services and housing • Coordinated safe discharges from nursing facilities • Mentored and provided orientation for new hires • Developed a training workbook for the Community Ombudsman Initiative • Member of Access work group for underserved populations, learning committee, and committee to develop working policies

Aging Care Manager/BSW Field Supervisor

• Aug 2011 - Aug 2012

• Coordinated orientation, related trainings, field learning plan, and held weekly supervision meetings • Coordinated orientation, related trainings, field learning plan, and held weekly supervision meetings

Information and Referral Specialist

• Jul 2007 - Jun 2008

•Assisted callers via the senior line on community resources and other needs as appropriate • Completed initial level of care determine to refer to the appropriate community program • Completed Adult Protective Services screening and Reports of Need • Authorized transportation for OPT (older adult transportation) and helped problem solve any issue or additional need •Assisted callers via the senior line on community resources and other needs as appropriate • Completed initial level of care determine to refer to the appropriate community program • Completed Adult Protective Services screening and Reports of Need • Authorized transportation for OPT (older adult transportation) and helped problem solve any issue or additional need

Work Study Student

• Sep 2003 - Jul 2007