Lead Social Worker Resume Example St. Mary's Medical Center

LEAD SOCIAL WORKER

Professional Summary

Optimistic social worker eager to contribute to team success through hard work, attention to details, and excellent organizational skills. Clear understanding of case management and social services with training in management. Motivated to learn, grow, and excel in local government administration.

Skills

Bio-psychosocial Assessments
Crisis Intervention
Discharge Planning
Community Resources
Quality Assurance
Microsoft Office Proficient
Medicare and Medicaid applications
Utilization Review
Office Administration

First Aid/CPR
Multidisciplinary Team Member
Customer Service
Project Organization
Regulatory Compliance
Time Management
Cash Handling
Life Skills Coach
Team Leader

Accomplishments

Awarded 2019 Case Management Social Worker of the Year at St. Mary's Medical Center.

Licenses

Florida Department of Health: License Clinical Social Worker (Projected License Date) June 2021

Passed the Association of Social Work Board Clinical Examination

Florida Department of Health: Registered Clinical Social Worker Intern (#ISW 13586) June 2019

Education

Master of Social Work: Medical Social Work, 12/2016
Barry University - Miami, FL

Elected to Secretary for Executive Board for Student Social Work in 2016
Awarded Trauma-Focused Cognitive Behavioral Therapy Certificate (TF-CBT)

Bachelor of Social Work: Social Work, 12/2014
Florida Atlantic University - Boca Raton, FL

Awarded Child Welfare Certificate
Member of Social Work Empowerment and Advocacy Team
Member of National Associations of Social Workers (NASW)

Work History

Lead Social Worker, 05/2019 to Current
St. Mary's Medical Center – West Palm Beach, FL

Run weekly complex case meetings and follow-ups to escalate barriers to PA (Physician Advisors) and Administration
Complete monthly, patients 30 days or more in hospital, spreadsheet for month-end billing report
Lead trainer for all new and current employees on discharge planning and participate in peer interviews
Project management on contracts with hospital special assignments and care logistics of team engagement committee
Assist patients with applying for Medicaid Disability, Medicaid Institutionalized Care Program and Medicaid Waivers; working closely with DCF and Elder Affairs
In collaboration with social work team to help design and maintain department resource booklets

Case Management Social Worker, 04/2017 to Current
St. Mary's Medical Center – West Palm Beach, FL

Facilitate concierge discharge planning for children and adults of Paley Orthopedic & Spine Institute
Coordinate post-hospitalization planning with healthcare team to determine continuity of care services
Assist and link patients and their families with appropriate community resources
Provide additional services for patients with high-risk diagnoses such as heart failure, pneumonia, chronic obstructive pulmonary disease, diabetes and stroke
Counsel children and families with social issues regarding DCF and perform psychosocial assessments for patients with discharge barriers
Assist with court proceedings in guardianship for patients who are unable to consent or have any family involvement
Identifies care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs
Match patient care needs to available resources, stay at appropriate levels and make adjustments if necessary
Prescreen referrals to anticipate authorizations and provides recommendations regarding level of care, services and treatment planning
Negotiates clinical authorization outcomes with payor and collaborating in advance with primary treating clinicians
Coordinates, provides guidance and assists with scheduling for Peer-to-Peer (P2P) review preparation

Clinical Mental Health Intern, 08/2015 to 12/2016
Devereux Advanced Behavioral Health – Hollywood, FL

Developed and implemented individualized psychotherapy treatment plans for foster care children in homes and community settings aged 6 - 21 years old.
Convened with multidisciplinary team members of psychiatrists, behavior analysts, child advocates, and other mental health professionals in order to exchange necessary information during treatment process.
Performed medical assistant duties such as taken vital signs, charted, close client contact, and assisted in preparation for audits.

Medicaid Service Coordinator, 11/2010 to 12/2015
Public Consulting Group – Fort Lauderdale, FL

Established administration of more than $8 million in Medicaid Reimbursement for Miami-Dade Public Schools
Conducted ESE student's nursing and transportation services and aided in preparation of AHCA yearly audits
Coordinated special projects; assisted in request for proposal responses (RFP) and performed process documentation
Performed system tests on developer's work before it got released; detected bugs, and communicated findings in JIRA
Developed and created reports to validate service logs submitted by third-party medical providers
Managed logistics of school leadership presentations held for charter school conferences and seminars
Interviewed, trained, and supervised clerical staff and provided quality assurance oversight
Office administration duties; maintenance, invoicing, customer service, help desk, mailing, and file system organization

Resume Overview

Companies Worked For:

St. Mary's Medical Center
Devereux Advanced Behavioral Health
Public Consulting Group

School Attended

Barry University
Florida Atlantic University

Job Titles Held:

Lead Social Worker
Case Management Social Worker
Clinical Mental Health Intern
Medicaid Service Coordinator

Degrees

Master of Social Work : Medical Social Work , 12/2016
Bachelor of Social Work : Social Work , 12/2014

Lead Social Worker Resume Example

Resume Score: 80%

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