Georgiana Lopez, MSW, LSW, CCM
Stroudsburg PA 18360
acdiu7@r.postjobfree.com
OBJECTIVE:
Administrative or management position in healthcare industry that will
further develop my strong leadership and organizational skills.
CAREER PROFILE:
A highly motivated professional with a strong focus on quality healthcare.
Team player with excellent organizational, interpersonal and supervisory
skills. Demonstrated ability to successfully perform multiple tasks in a
detailed, fast paced environment. Excel in program and organizational
planning with documented success overcoming challenges of limited resources
and financial constraints to ensure delivery of high quality, cost
effective, and comprehensive services.
. Eighteen years of acute care/ home health experience
. Director of Case Management for Blue Mountain Health System
. Clinical Coordinator for PHS
. Primary Case Manager in the Emergency dept
. Former Lead Case Manager for Hospitalist Program
. Active participant in Joint Commission accreditations
PROFESSIONAL EXPERIENCE
BLUE MOUNTAIN HEALTH SYSTEM, Lehighton, PA 2012-present
( Director of Case Management for BMHS. Manages and directs the
Case Management Department at
both Gnaden Heutten and Palmerton Hospitals which is comprised of
RN's and Social Workers. Also
provides oversight for the Behavioral Health Department to
ensure appropriate utilization of services
and reimbursement from payors.
( Developed weekend Case Management program and ED Clinical Nurse
Navigator role.
( Member of multiple committees to increase patient satisfaction and
increase out-patient revenue
( Member of Project Red through Hospital Engagement Network to
reduce re-admissions
( Member and organizer of the Utilization Review Committee
( Provides statistical reports for Quality committee
( Reviews all denials from Recovery Audit Contractors and assists in
writing of appeal letters
( Provides education to medical staff on documentation and admission
criteria
( Participates in marketing activities and health fairs
POCONO HEALTH SYSTEM, East Stroudsburg, PA 1998 to 2012
. Clinical Coordinator for hospital in preparation for Recovery
Audits. All patients screened for
. medical appropriateness for admission. Education provided to
physicians, nurses and staff on criteria according to established
guidelines. Screening tool developed to monitor Medicare admissions
and track re-admissions.
. Primary Case Manager for the Emergency Department and Intensive
Care Unit.
. Lead Case Manager for Hospitalist program and support staff for
medical team.
. Comprehensive case management services provided to patients in
acute care setting which include discharge planning assessment,
referral and coordination of services. Expertise in the
coordination of services for difficult discharges.
. Patients screened for medical appropriateness using InterQual
criteria and utilization review provided to payers for pre-
certification. Major focus on decreasing length of stay while
providing quality healthcare.
Georgiana Lopez
Page 2
. Management responsibility for Case Management Department including
attending management meetings and functions, supervisor to social
work interns and new employees. Encourage team building and
collaboration in order to promote job satisfaction.
. Integral part in the development of the Rapid Treatment Center and
with the education of staff on Observation level of care.
. Member of Trauma Team and accreditation process. Provide in-
services and training to trauma staff.
. Participate in Joint Commission accreditations and mandates by
meeting with surveyors and providing information on internal
departmental policies and procedures.
. Developed a Disease Management program for frail and elderly
chronically ill patient to reduce frequent hospital admissions and
increase awareness on preventative health.
. Instrumental in implementing processes to reduce hospital costs
while promoting patient satisfaction.
VETERANS ADMINISTRATION MEDICAL CENTER, Bay Pines, FL
Medical Social Worker April, 2005 to June, 2005
. Social Worker of med/surg unit working with medically complex
veterans. Provided discharge planning assessment, referrals and
coordination of post discharge services.
POCONO MEDICAL HOME CARE, Stroudsburg, PA
Medical Social Worker, per-diem 1996 - 2012
. Provide medical social work services to home health care patients.
Services include psychosocial assessment, supportive counseling and
community referrals.
. Consultant to agency, providing expertise and information to health
care team.
. Member of Advisory Board Committee.
GENTIVA HOME HEALTH CARE, Stroudsburg, PA
Medical Social Worker, per-diem 2006 to present
. Medical Social Work services provided to home health patients and
consultant to medical staff.
RIVERSIDE REHABILITATION, East Stroudsburg, PA,
Medical Social Worker, per-diem 2000 to 2005
. Social Work services provided to patient's receiving physical
rehabilitation due to major illness and traumatic injury. Duties
included psychosocial assessment, counseling, assistance with
community resources, long range planning and consultant to agency
staff.
. Member Advisory Board Committee
VISITING NURSE ASSOCIATION AND HOSPICE OF MONROE COUNTY
East Stroudsburg, PA
Medical Social Worker, per-diem 1999 to 2001
. Provides medical social work services to home health and hospice
patients. Clinical expertise in working with the terminally ill and
dying patient. Bereavement services including counseling provided to
families.
Georgiana
Lopez
Page 3
HOME HEALTH CORP OF AMERICA, Bartonsville, PA
Medical Social Worker, part time 1996 to 1999
. Provide medical social work services to home health and psychiatric
patients. Collaborated with nursing staff and community agencies to
coordinate and develop patients' plan of care. Consultant to agency
staff.
MONROE COUNTY CHILDREN AND YOUTH, Stroudsburg, PA
Caseworker temp, Family Services Preservation Unit, July, 1996 to December,
1996 Georgiana Lopez
INTERNSHIPS
NEW YORK FOUNDLING, Staten Island, NY
Recreation Coordinator, Counselor, September, 1990 to February, 1991
BROOKDALE HOSPITAL, Brooklyn, NY
Medical Social Work, Intern, September, 1992 to May, 1993
. Worked on maternity floor and adolescent OB/GYN clinic. Provided
initial screening of high risk patients and facilitated weekly
educational groups in the medical clinic.
WYCOFF HEIGHTS MEDICAL CENTER & EAST NEW YORK HIGH SCHOOL OF TRANSIT
TECHNOLOGY, Brooklyn, NY
Medical Social Work, Intern, November, 1993 to June, 1994
. Worked on pediatric unit and emergency department with high risk
patients. Provided crisis intervention, counseling and community
referrals.
. Assigned to medical clinic to provide assessments, counseling and
teach problem solving skills to students. Worked with high risk inner
city high school students.
EDUCATION and TRAINING
Masters in Social Work, Adelphi University, 1994
Licensed Social Worker, PA
Certified Case Manager
Bachelors in Sociology/Anthropology, College of Staten Island, NY, 1991
Deans list Junior and Senior year
. Certification in Leadership Development
. Continuing Education required for licensure and case management
functions including courses in leadership, legal issues on
guardianship, POA, geriatric mental health and child welfare.
. Health Care Hero, Pocono Health Systems
. Field Instructor, East Stroudsburg University, Marywood University
PROFESSIONAL AFFILIATIONS
. American Case Management Association
. National Association of Social Workers
. Eastern PA Healthcare Executives Network
( Board Member for Joey's Eagles
. Presenter at NASW annual conference