Enthusiastic, competent Medical Social Worker experienced in providing patients with necessary education, and coordinating program referrals. Medical Social Worker has superior skills in working in both team-based and independent capacities and is proficient in documenting changes and maintaining records. Bringing strong work ethic and excellent organizational skills to any setting.
Skills
Coordinating services
Gathering referrals
Organization
Communications
Experience
Medical Social Worker, 01/2020 to Current Satellite Healthcare – Mountain View, CA,
Perform psychosocial assessments and evaluations of current needs.
Collaborate with interdisciplinary team of professionals, as well as patients and families, to determine appropriate treatment options.
Identify/Advocate/Referr patient/families to appropriate community, resources/agencies where appropriate.
Document services and collect required data for evaluation.
Handle all delegated tasks, including creating initial bereavement letter, quarterly bereavement letter and [taking the lead on the We Honor Veterans Program.
Collaborate and share knowledge of resources with other staff.
Maintain updated We Honor Veterans knowledge through webinars and continuing education.
Establish and maintain a relationship with patient and family at monthly home visits.
Visit hospice patients in their home settings to assess their status and needs.
Assess and address crisis situations, caregiving concerns, and safety issues.
Participate in agency marketing activities including scheduled We Honor Veteran Ceremonies and meetings with referral sources.
Provide patients and their family's education regarding end of life topics to further their understanding of factors underlying patient health problems.
Social Services Director, 10/2019 to 12/2019 Monarch Healthcare Management – Austin, MN,
Resolved problems and delivered solutions by collaborating with government funding entities, the Ombudsman and state inspectors.
Analyzed data from surveys, and follow-up services on state inspections, crisis intervention, community referrals and outreach services.
Inquired and learned different state laws pertaining to PASRR; discharges; psych laws pertaining to sending residents to the hospital (Baker Law); and reportables.
Managed delivery of social services for 30 residents in need of home health and/or medical equipment.
Collaborated with team members to identify and accomplish agency objectives.
Supported corporate staff by compiling data from previous failed state inspections and analyzing the data to develop protocol for the social service department.
Worked with IDT & administrator to comply with Federal Regulation pertaining to IJ’s, tags issued by the state and for being noncompliant with PASRR's.
Created spreed sheet to follow to complete Advanced Directive audits.
Assisted with auditing of complaints, inquires, unusual occurrences, and investigations per state policy and provided follow up as needed.
Identified residents in need of service, either through direct referral (from families, staff, etc.), or by regular review during visits.
Director of Social Work, 04/2019 to 09/2019 Centers For Specialty Care Group – Mullica Hill, NJ,
Supervised one employee and a social work intern.
Advocated for placement of patients into community-based settings.
Provides psychosocial support to residents and their families, via care conferences and assisted them through the transition process to a higher level of care.
Coordinated referrals to community services by advocating for individual needs and addressing roadblocks.
Responsible for updating discharge plans for up to 35 skilled residents weekly.
Developed spreadsheet and procedures for keeping track of skilled patients, admit date, care conference date, discharge date, DME needed and home health information.
Created discharge summary form and packet with detailed information on the home health agency, medical equipment company used, what DME was ordered and any scheduled follow up PCP appointments.
Discharge packet and summary was provided to resident/family upon discharge to the community which facilitated residents returning to the community safely.
A multitasker with strong ability to work under pressure; prioritize work, meet deadlines, and produce quality results on time with attention to detail.
Audited advanced directives weekly for over 100 residents.
Director of Social Services, 05/2017 to 04/2019 Promedica Senior Care – Fort Myers, FL,
Implemented social services care plans for 110+ residents and updated plan annually in consultation with resident and family.
Fostered mutually beneficial working relationships with resources in the community.
Educated residents and families regarding private insurance, Medicare, Medicaid, Veterans Administration and other possible sources of funding for required care.
Assisted residents in adjustment to new environments including counseling for resident and family to assure psychosocial health and contentment.
Advocated for residents in response to stated needs for care quality, food, facilities and resident interactions.
Facilitated quarterly care meetings with resident and family to verify adherence to care plan and sufficiency of actual everyday care.
Handled or delegated resident support concerns respectfully to preserve residents' dignity, health and safety.
Developed and incorporated community-based programs (psych services, AA, dental, vision, audiology) to meet various needs and monitored each program's effectiveness.
Collaborated with team members to identify and accomplish agency objectives.
Coordinated referrals to community services by advocating for individual needs and addressing roadblocks.
Implemented a spreadsheet with Microsoft Excel for care conference dates with formatted calculation for next care conference and responsible for scheduling meeting.
Maintained a written record of resident’s grievances which explained the resolved and the status, following facility’s established procedures.
Facilitated monthly resident council meetings, took minutes, and informed administration of any concerns.
Properly prepare Order of Protection Custody (OPC) documents for residents who need behavioral health treatment and are not capable of making decisions on their own.
Education and Training
Bachelor of Science: Social Work, Expected in 04/2013 Edinboro University of Pennsylvania - Edinboro, PA GPA:
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