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Professional Overview

A skillful and qualified Social Worker with 12 years of experience within Outpatient Case Management, hospital environment and nursing home environments. Experience includes:

  • Care Transitions
  • Discharge Planning
  • Adult and Pediatric Medicaid
  • Knowledge of Medicare
  • Disease Case Management
  • Care Coordination
  • Community Resources
  • Home Health
  • Hospice
  • Neurological Social Worker ( ALS clinic, Parkinsons 1:1, MS, MDA, Stroke, Dementia, Alzheimer's) 
  • Care Giver Support Groups
Summary of Skills
  • Critical Thinking
  • Problem Solving
  • Goal Setting and Implementation
  • Social Perceptiveness
  • Team Building
  • Empathy
  • Organization
  • Coordination
  • Advocate
  • Qualified
  • Active Listening
Bachelor of Arts: Sociology minor Social Work 2008 Bethune Cookman University Daytona Beach, FL, Volusia
Professional Experience
Social Services Coordinator 08/2016 UF Health Jacksonville Jacksonville, FL
  • Conducts psychosocial assessments that encompass the patient's physical, emotional, economic, and social needs.
  • Develop internal and external relationships with representatives in other departments, agencies/organizations to support patients is attaining services such as free medications, financial assistance, medical resources, housing, food, etc.   
  • Provide information and education to promote access to available resources and ensure patient/family have the necessary tools to make informed decisions.
  • Counsel with patients and families in need of emotional, grief, or other support as needed.
  • Facilitates hospice, home health, DME, transportation, and nursing home placement referrals.
  • Maintains accurate up-to-date documentation in the medical and departmental records.
  • Acts as an advocate for patient and family.
  • Educates staff and families on psychosocial issues that may affect continued care.
LTC Case Manager 01/2015 to 08/2016 Sunshine Health Jacksonville, FL
  • Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care plan development, assessment, and care coordination.                        
  • Complete assessments with member/caregiver/provider to obtain information regarding client status, support system, and need for services for care plan development  
  • Monitor delivery of services and follow-up with members/caregivers/providers through member face to face  
  • Ensure provider services are delivered without gaps and identifies functional deficiencies in plans of care  
  • Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long term care services
  • Work with community outreach/member advocates to coordinate member care
  • Educate providers and community resources on program components and available support services
  • Educate members with special needs to foster compliance with program and positively impact outcomes
  • Conduct site visits as appropriate for programs and provide support to other special programs
  • Develop and modify care plans in conjunction with member, member's family and managing physician
  • Development of plan specific literature and education materials in conjunction with medical director and corporate oversight 


Transitional Care Social Worker I 08/2012 to 11/2014 UF Health Jacksonville First Coast Advantage LLC Jacksonville, Fl
  • Provide telephonic and face-to-face assessments (inpatient) with support by developing care plans with members including self management goals, connections to needed resources, education and coaching.
  • Conduct an on-site hospital visit with members, caretakers, or inpatient Case Manager's prior discharge to assure continuity of care and prevent unnecessary readmission.
  • Following members for up to 30 days following ER visit or inpatient hospitalization.
  • Accompany members to physician visits and visit members prior hospital discharge to educate on the outpatient Case Management program and to establish rapport with the member and family.
  • Facilitate hospice, home health, DME, transportation, and nursing home placement referrals.
Social Worker 08/2010 to 08/2012 Jacksonville Nursing and Rehab Center Jacksonville, FL
  • Experience in a nursing home setting especially in Advanced Directives, MDS 3.0/Care Plans, and discharge planning.
  • Complete a social history and psychosocial assessment for each resident that identifies social, emotional, and psychological needs.
  • Coordinate the resident discharge planning process and make referrals for appropriate home care services prior to the resident's return to the community.
  • Able to manage the psychosocial well-being of a high Medicare patient volume, vent and trach unit, secured/ locked Alzheimer's unit.
  • Provide assessments, coordination, treatment planning, information & referral to community resources & other social work services.
  • Responsible for developing & implementing individual Plan of Treatment which assist patients/families to cope or restore social, emotional, financial & environmental factors which affected by illness.
  • Palliative Care, Experience in initiating & participating in end of life discussions with patients/families, & hospice referrals, providing home visits.
Social Worker Assistant 08/2008 to 12/2008 Piedmont Hospital Atlanta, Georgia
  • Assists patients with nursing home placement paperwork and other placement activities.
  • Acquired and maintained knowledge of nursing home services, eligibility requirements, and admissions processes.
  • Provides support to nursing home placement social workers and case managers.
  • Educates patients and families regarding financial considerations of nursing home placement.
  • Plan and arranged admission to special care facilities as indicated by physician's request/needs.
  • Assures completion of discharge summaries/discharge instructions.
  • Documents according to policies and procedures.
  • Interview patients and families to obtain social histories and assures completion of psychosocial assessment.
Emergency Department/ Registrar 06/2006 to 07/2008 Halifax Health Daytona Beach , Fl

•Receive all patients in the emergency department.

•Verify all demographic information in a timely and accurate manner.

•Load, verify all insurance information.

•Evaluate self-pay and insurance deficient patient accounts for financial assistance programs.

•Transfer critical patients to another facility if prioritizes departmental workflow needed.

•Responsible for completing charity care applications and issuing and follow up on Florida Medicaid, and county applications.

•Interviews patients to obtain appropriate demographic and financial insurance information.

•Multi-task throughout emergency department; traumas and EVAC patients.

•Maintain stable work environment in high pressure situations.

Social Worker assistant (Intern) 01/2006 to 05/2008 Halifax Health Daytona Beach, FL
  • Identify and recognize presenting patients' physical, emotional, economic, and social needs.
  • Assure that patients meet long-term acute care criteria from admission through discharge and that patient care is delivered in the most effective manner.
  • Perform assessment and intervention of patient's psychosocial and spiritual needs.
  • Coordinate services as needed with Behavioral Health Providers and ensures the appropriate triage of calls.
  • Review utilization of inpatient and outpatient services for authorization and continued authorization.
  • Discharge plan: evaluate the patients/family wishes and resources to develop a discharge plan, communicate with patient, family and staff to re-evaluate the plan; use appropriate referred resources or other agencies to implement the plan Home: initiate educational programs to provide a safe transition to home; refer patient to home health and DME agencies
  • Update M.D. of patients discharge plan and condition; provide community resources that may be available to patient and offer grievance counseling as needed; provide alternative placements.
Volunteer Positions

Clara White Mission

IM Sulzbacher Homeless Shelter

Sick and Shut in Ministry