Director of Community Programs

• Nov 2019 - Present

Director of Education and Resources

• May 2019 - Nov 2019

Director of Care Coordination Services

• Aug 2017 - May 2019

Care Coordinator

• Jun 2015 - Aug 2017

• Facilitate care coordination training program for community health workers.• Facilitate care coordination for high risk diabetic population in two community clinics.• Complete assessments, create plan of care and implement appropriate interventions.• Assist patients access needed resources to benefit medical plan of care.• Coordinate monthly education sessions to assist patients learn self-management tools. • Provide uninsured patients access to medical care through application assistance and appropriate referrals.• Supervise BSW social work interns.

Care Manager

• Jan 2015 - May 2015

• Complete in-home patient assessments for Humana at Home members.• Develop treatment plan based on medication reconciliation, diagnosis, environment, mental health and financial needs.• Communicate regularly with healthcare providers to ensure medical plan of care is followed.• Coordinate patient access to needed supports such as transportation, meals, medical equipment, home health, disease specific education, and caregiver support.

Care Manager

• Oct 2013 - May 2015

• Facilitate in-home assessments for Medicare and United Healthcare Home Health patients.• Educate patients and caregivers on community supports available; Area Agency on Aging, VA, door to door transportation, home delivered meals, mental health and disease specific supports.• Communicate identified needs with healthcare professionals and family • Provide presentations to hospital and facility case managers on community supports available for homeless and uninsured patients.• Attend community meetings monthly to develop relationships, increase knowledge and expand understanding of resources available.

Director of Family Care

• Aug 2006 - Oct 2013

• Advocated for community support and awareness of middle and high school youth who provide care to chronically ill, disabled or elderly family members.• Facilitated and/or supervised over 200 in-home assessments of families coping with long term illness such as cancer, diabetes, heart disease, cva, debility, epilepsy, asthma, mental health and substance misuse.• Instrumental in program development through identifying needed supports and creating program activities to meet the needs of caregiving youth; tutoring, cooking classes, nutrition education and camp.• Supervised FAU social work student interns through their bachelor and masters’ level programs.