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Director of Discharge Planning/Social Services Worker Resume Example

Resume Score: 80%

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DIRECTOR OF DISCHARGE PLANNING/SOCIAL SERVICES WORKER
Professional Summary

Patient Medical Social Worker with first-rate resident advocacy skills, well-versed in educating patients, and extensive knowledge of community resources. Offering 12+ years of successful performance in social work roles. Recognized for compassionate demeanor and excellent social perceptiveness.

Skills
  • Social history intake procedures
  • Regulatory compliance
  • Knowledge of characteristics of the resident population
  • Patient-focused care
  • Microsoft Word and Point Click Care competency
  • Customer service
  • Knowledge of MDS and goal setting interviews
  • Strong ability to multi-task and prioritize effectively
  • Medicaid statutes and regulations
  • Multidisciplinary team collaboration
  • Hospice and palliative care
  • Problem resolution
Work History
Director of Discharge Planning/Social Services Worker12/2019 to Current
Canterbury Rehabilitation And Healthcare Center – Richmond, VA
  • Interviewed clients and families assess situations, limitations and issues and implement services to address needs
  • Formulated treatment plan strategies with multidisciplinary teams to provide comprehensive and continuous care plan
  • Assessed clients for PTSD and substance abuse
  • Collaborated with interdisciplinary treatment team to develop social work and discharge planning patient care plans
  • Encouraged socialization and engagement through therapy and social activities
  • Explained medical care options to help families make informed healthcare decisions
  • Worked with medical teams, patients and families to implement effective treatment plans
  • Completed psychosocial evaluations and needs assessments
  • Organized clinical documentation, treatment plans, and referrals
  • Coordinated program referrals for community-based resources
  • Coordinated individualized discharge plans to manage safe transition back into community and home environments
  • Delivered social work services to geriatric population in healthcare settings
  • Provided ongoing counseling to help patients deal with conditions and processes
Social Worker/Discharge Planner05/2011 to 09/2019
Lucy Corr Health Care Center – Chesterfield, VA
  • Coordinated individualized discharge plans to manage safe transition back into community and home environments
  • Completed psychosocial evaluations and needs assessments
  • Coordinated program referrals for community-based resources
  • Organized clinical documentation, treatment plans, and referrals
  • Provided ongoing counseling to help patients deal with conditions and processes
  • Worked with medical teams, patients and families to implement effective treatment plans
  • Confirmed accurate completion of forms and reports for admission, transfer and/or discharge of each resident
  • Managed care for post-operative patients from initial recovery through discharge
  • Facilitated on-going assessment of patient and family needs and implementation of interdisciplinary team care plan
  • Partnered with team of registered nurses to achieve overall well-being of all patients
  • Reviewed customer survey information to prioritize areas of improvement
  • Assisted in resolving and satisfying client requests and internal operational issues
  • Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs
Social Worker09/2009 to 01/2011
Manor Care Stratford Hall – Henrico, VA
  • Provided social work services to patients, including psychosocial assessments, case management, discharge planning and referrals
  • Coordinated patient care from pre-admission to post-discharge follow-up
  • Taught patients how to apply for insurance and prescription programs
  • Communicated goals, plans and progress to patients and their families
  • Developed social work and discharged planning aspects of patient care plans in collaboration with interdisciplinary treatment team
  • Documented case notes daily and coordinated follow-up for seamless case management
  • Coordinated program referrals for community-based resources
  • Completed psychosocial evaluations and needs assessments
  • Coordinated individualized discharge plans to manage safe transition back into community and home environments
Social Worker10/2007 to 09/2009
Parham Healthcare & Rehabilitation Center – Henrico, VA
  • Provided social work services to residents/patients, including psychosocial assessments, individual therapy, case management, discharge planning and referrals
  • Obtained and supplied information to outside agencies to provide the best possible guidance to clients
  • Supported patients and families in coping with problems resulting from severe illness
  • Developed social work and discharged planning aspects of patient care plans in collaboration with interdisciplinary treatment team
  • Referred clients to social services agencies
  • Interviewed individual clients, families or groups to assess situations, capabilities and problems to determine services required to meet needs
  • Taught patients how to apply for insurance and prescription programs
Education
Bachelor of Science: Psychology12/2002Virginia Commonwealth University- Richmond, VA
  • Graduated magna cum laude
Master of Science: Counselor of EducationVirginia Commonwealth University- Richmond, VA
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Resume Overview

Companies Worked For:

  • Canterbury Rehabilitation And Healthcare Center
  • Lucy Corr Health Care Center
  • Manor Care Stratford Hall
  • Parham Healthcare & Rehabilitation Center

School Attended

  • Virginia Commonwealth University

Job Titles Held:

  • Director of Discharge Planning/Social Services Worker
  • Social Worker/Discharge Planner
  • Social Worker

Degrees

  • Bachelor of Science : Psychology 12/2002
    Master of Science : Counselor of Education

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