Social Work Care Coordinator

• Oct 2019 - Present

Social Worker

• Dec 2004 - Present

Maternity Care Coordinator

• Aug 2016 - Sep 2019

•Performs initial encounter to determine psychosocial risk,identification of problems/makes necessary referrals. •Ensures WIC referral/patient’s active in WIC is confirmed/nutritional counseling is completed. •Ensures that a face-to-face encounter is conducted to determine home/care preparations/ discuss family planning options. If the patient is not seen in the hospital a home visit will be conducted. •Coordinates dissemination of health ed info materials to participants/makes referrals, as appropriate with focus on the diabetic patients in need of Registered Dietician services during the second trimester and also focusing on smoking cessation. •Completes case plan at initial encounter to include client support,coordination with other cg's, appt tracking/documentation,identification of specific interventions/desired outcomes. •Ensures that all required forms are completed/documented in the patient medical record. •Conducts postpartum follow-up to ensure the topics covered:Postpartum follow-up,availability of family planning,importance of pediatric care,Patient 1st overview/assessment of further needs. •Completes daily,weekly,& monthly rpts& other needed/requested info re:program participants. •Assists with elements of the Quality Mgmt/Grievance process prn. •Carries a caseload in District VI not to exceed 400 cases per month. •Provides application assistance to potential recipients/completes appropriate referrals to Medicaid Outstation Workers. •Maintains confidentiality of patient/corporate info. •Performs duties prn. Show less

Medical Social Worker

• Oct 2012 - Aug 2016

American Hospice in Sylacauga, Alabama; Provide assistance with applications for SS, SSI, Medicaid, Medicaid Waiver, NH placements, funeral assistance & other community resources • Participate in IDT's with all parties of interests, d/c planning, in-service CEU's, & act as a resource for all parties of interest • Complete with ongoing monitoring of psychosocial assessments of patients & their families (social, psychological, financial, cultural, and any other issues) • Complete Spiritual assessment with referrals prn • Provides range of ongoing psychosocial services to patient/family unit throughout involvement, including referrals to community agencies, bereavement care and other supportive services, prn • Communicates social, psychological, emotional, and family issues with all interdisciplinary team members • Obtains resources from community social, health, and welfare agencies • Provides consultation to members of staff, patients/families, community agencies, and other persons or groups seeking guidance in an effort to solve the problems of patients/families, as permitted by confidentiality • Participates and assists in departmental studies and projects as assigned, in relation to outcome/follow-up and improvement of services • Provides information regarding legal forms and options • Assists with bereavement care planning, prn • Provides ongoing supportive counseling to individuals, families, and groups, prn • Provides appropriate intervention for high risk patients/families/survivors who are experiencing suicidal ideations • Assisting the physician & other team members in understanding the significant social and emotional factors relating to the health problems of the patient • Assessing the relationship of the patient's medical and nursing needs to the home situation, financial resources, and availability of community resources • Identify, network, & utilized community resources • On-call prn Show less

Preschool Teacher

• Aug 2010 - Oct 2012

Under general supervision, provide developmental care and supervision to children enrolled in the CDC; implement age appropriate curriculum for children ; establish and maintain supportive relationships with children and parents; act as lead worker to Child Care Assistants; model appropriate child care practices for fellow CDC staff; and perform related work as required and monitor children's developmental and educational progress • Certified in CPR and First Aid • Plans, adapts and schedules age appropriate curriculum involving various activities to stimulate children's cognitive skills, abilities and development • Provides continuous supervision to children enrolled at CDC; ensures health and safety of children • Maintains Center, rooms and play areas in a clean, orderly, and safe condition; sets up rooms and areas for various activities such as lunch, nap, games, etc. • Records daily observations of children's behavior and activities; monitors behavioral patterns and develops assessment and profiles • Works with family to devise learning and development strategies as necessary • Follows proper safety procedures in an environment containing biological conditions which may be unhealthy or hazardous (such as bodily fluids, waste, germs, and childhood diseases) • As a continued Licensed Social Worker monitors children for signs of child abuse/neglect and reports incidents of suspected abuse to appropriate authorities. Show less

Medical Social Worker

• Sep 2008 - Jun 2009

•Completed various assessments in an ongoing timely manner with accurate MDS/Medicaid-Medicare process through documentation and participation in team meetings. Assessments were completed timely on Admission, Quarterly, Annually, and with any Change of Condition •Reviewed, updated, and developed Care Plans on a daily basis. Coordinated weekly Medicaid/Medicare Care Plan meetings to ensure that the residents received the necessary quality care they deserved & reviewed daily reports and Physician orders to monitor daily issues, residents behaviors, and daily concerns to be addressed in a timely manner. •Developed and coordinated Behavior Management program for both short term and long term units. Coordinated weekly meetings to incorporate interventions. Success rate was valued by behaviors being at maximum capacity of over 100% to 30%. •Assisted residents and their families with completing advance directives, POA, DHR, and other community referrals & Coordinated discharge planning with the interdisciplinary team including nursing, therapy, physician, family, resident, etc. •Assisted and followed up with staff, residents, and residents family members regarding any grievances & assisted in in-services with staff •Coordinated with DME, Home Health, Hospice, and other Nursing Homes, and Assisted Livings to provide wrap around services for both in-house residents and for residents upon discharge •Completed and monitored Medicaid Level documents within Medicaid policy •Coordinated and completed investigations of various matters in regards to residents and staff •Assisted in marketing throughout region to educate community of rehab/nursing home placement option & coordinated Mental Health in-house services with local Mental Health Center Representatives through referrals, meetings, and development of interventions. •Coordinated, completed, and followed up on facility chart audits & attended team meetings including Quality Assurance, Marketing, etc. Show less

Medical Social Worker

• Feb 2008 - May 2008

•Screened and completed the assessment and application process on E/D Waiver applicants and patients following routine supervision so that eligibility was accurately determined according to program criteria, evidenced by positive case record audits and supervisory review & developed care plans, monitored and revised effective and efficient individualized plans of care following routine supervision so that health and safety risks of E/D Waiver patients in the community setting were addressed, evidenced by patient satisfaction reports, positive case record audits and supervisory reviews & facilitated re-determinations, terminations, transfers and transitions Waiver patients following routine supervision so that services were provided according to policies and procedures, evidenced by positive case record audits and supervisory review. •Coordinated and linked resources so that E/D Waiver patients' health and safety needs were addressed & completed records of E/D Waiver Case Management activity and program reports such as those required for billing, cost accounting, time and attendance and medical record documentation so that all records and time reports were completed timely and accurately by distribution, filing or formal draft, evidenced by patient satisfaction reports, positive case record audits and supervisory reviews & communicated with patients, supervisory and program staff, and community service providers in a professional manner so that dispersed information was complete and accurate and patients' service delivery was enhanced, verified by positive documentation, audits, and supervisory reviews. •Participated in and/or conducted meetings so that job related professional skills were enhanced, work relationships were strengthened and appropriate level of review. Show less

Protective Service Social Worker

• Jan 2005 - Feb 2008

•Investigated reports of child maltreatment in accordance with agency policies, procedures, and protocols, so that child safety was achieved & prepared and shared information with the courts and other parties so that timely thorough reports were submitted, and discussions/testimonies were factual and professional to assure the court had evidence to make rulings that were in the best interest of the children, as observed by supervisor & communicated with clients and other collateral's in a clear and professional manner as determined by agency policy, so that adequate, factual information was gathered in a timely manner regarding client's needs and eligibility for services, without any valid complaints being received & dictated case activity so that case actions were fully documented to justify casework decisions, without any case documentation pending over 90 days & developed Individualized Service Plans and case plans in a timely manner as directed by federal, state, and internal policy, so that plans are clear, time-focused, and goal driven to meet identified needs/desired outcomes for families and children & responded to after-hours situations by gathering/reporting information, completing related written documentation and forms, and assessing client needs, so that services were initiated and provided in a timely manner to assure the safety of children and elderly/disabled adults within laws, policies, and established procedures. •Completed and updated case-related, technical, financial, and administrative forms so that paperwork was current and collectively reflected on all state/county tracking systems and met all city, county, state, federal, and administrative requirements policies, and procedures. •Attended agency meetings, including staff meetings, supervisory conferences, and training so that knowledge was gained or enhanced in order to carry out job responsibilities. Show less

Intern

• Sep 2004 - Dec 2004

Completed 450 hours of a supervised internship, coordinated and completed comprehensive family assessments on clients, supervised and documented visitations, transported clients to/from appointments, provided immediate Crisis Intervention, coordinated 2004 Adoption Tea Party for National Adoption Month ("Answering the Call") with media participation, performed an ethics audit on the Department, entered data, made client referrals for in- house and community resources, performed home evaluations, mentored young clients, assessed needs and delivery of services for clients, developed action plans, coordinated and monitored services, prepared reports, attended regular staff/risk-team/ISP and Quality Assurance meetings, served as a liaison between clients and the community, and worked directly with families and reunification. Show less

Store Supervisor/Pharmacy Technician

• May 1996 - Aug 2004

Supervised employees and their work performance, data entry, documentation preparation and delivery, liaison between employees and customers with community resources, coordinated annual/seasonal events, developed filing system for personnel data, coordinated action plan to acquire maximum customer service and sales, delegated individual and group duties, facilitated staff meetings, reinforced company policies and procedures including confidentiality, trained employees for various positions, filled prescriptions, completed and filed RX paperwork, assessed customers needs and delivery of services through referrals to community resources, and advocated for company sponsorship and participation in the annual March of Dimes Walk. Show less