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Director of Case Management

Far Rockaway, New York, United States
March 31, 2019

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Simone Silvera, MSW/MBA (M.S)

**** ******* ****., ***. **, Far Rockaway, NY 11691 646-***-****


Experienced in the areas of case management, individual and group therapy, service coordination, quality assurance (QA), client advocacy and treatment planning activities. A highly competent and enthusiastic Master’s level Social Work (with an advanced degree in Social Work and Business) professional in pursuit of further developing senior level human services skills. Demonstrated success in Program implementation and Management; Intake and Assessment activities; Quantitative/Qualitative Research and Analysis; Service Coordination Liaison; Supervisory/Management skills


Supportive Counseling Intake Assessment Client Advocacy/ Client Advocacy

Pediatric/Adult Psychiatric Patients Service Coordination Individual/Group Therapy

Psychosocial Evaluation Treatment Planning Development, Implement & Assess ISP, & SCOR Reports


Masters of Science in Nonprofit Leadership (Advanced Degree in MSW/MBA), Fordham University, New York, NY 08/2017

Master of Social Work, Specialization Certificate: International Services (with Children & Families), Fordham University, New York, NY 8/2010

Bachelor of Arts – Double Major: Psychology/Sociology & Bio-Medical with a Minor in Business, Long Island University, Brooklyn, NY 05/2004


Independences Care System, Inc. (ICS), NY, NY

Certified Dementia Practitioner/Clinical Social Worker (for Dementia Unit) 06/16- 04/19

Clinical Social Worker (for Spinal Cord Injury Unit) 05/12-06/16


Established a collaborative working relationship with the Team Leader, the Senior Nurse and the members of the IDT

Facilitated IDT meetings as assigned by the Team Leader and ensure compliance with care guidelines and protocols

Managed Social Workers in the IDT and identify areas to increase skill level of the social workers within the IDT

Conducts visits, assess member’s status, and needs:

Prepared for member visits by reviewing case materials, completing Member Complexity Assessment, and bringing relevant data. During visit, explain the purpose and answer questions about ICS policies and procedures.

Assesses and prioritize medical needs and interventions, behavioral health, functional abilities, home environment, finances, family and community supports, understanding of diagnosis and disabilities

Assisted with discharge planning during Inpatient Meeting and/or Hospital Discharge Coverage

Documentation, Reporting, Compliance – clear/complete documentation, and reports that adhere to timeframes and ICS guidelines:

Documented care plan in member’s record, member contacts, and revise written care plan as needed.

All member-related interactions and information are thoroughly documented and reflects an understanding of member issues and needs, and appropriate interventions.

Met agency productivity expectations regarding all matters related to care planning and in accordance with state regulatory standards (monthly member contacts, care plans, advance directives, etc.)

Participated in other activities related to regulatory compliance, (i.e. state audits, IPRO projects).

Catholic Guardian Society & Home Bureau, B2H: HCBS Medicaid Waiver Program, NY, NY

B2H Waiver Services Provider (WSP) III-MSW 08/10-Present

New Alternatives Children, Inc. (NAC), NY, NY 06/12 to 03/14

B2H Waiver Services Provider (WSP) III-MSW

Work with children with developmental disabilities, serious emotional disturbance, medically fragile and challenging behaviors such as self-abuse and aggression toward others who are placed in foster care.

Intervenes when child, adolescents, and/or parents or foster parents are in crisis using behavioral modification, CPI and other therapeutic approaches. Uses verbal calming techniques. Maintains daily documentation of interventions and progress.

Coach and/or mentor to support child and/or family/caregiver efforts to avoid and/or manage crises. Training on appropriate actions that may prevent or minimize crises (to parents/or foster parent). Psycho-education (one-on-one or group) involving the child and/or the family/caregiver and training to address specific issues that disrupt or jeopardize the child’s successful functioning in the community. Conduct scheduled/unscheduled visits to the family/caregiver environment to monitor activities.

Collects behavioral data as needed on school age student and analyze the data. Participates in team meetings. Provide sub coverage as necessary. Service may be provided in individual sessions or group settings

Services include Developing/updating the Detailed Service Plan OCFS-8020 that identifies “sentinel events” and creates strategies or interventions to avoid predictable crises. Developing the Detailed Service Plans, Intervention Plan, and how the services will be done for the services of Skill Building, Family/Caregiver Supports and Services, Immediate Crisis Response, Intensive In-home Supports and Crisis Respite when such services have been identified as appropriate strategies or interventions. Crisis de-escalation, crisis resolution support, and the development of a crisis stabilization plan (the Detailed Service Plan OCFS- 8020), in coordination with the HCI, for any additional crisis response services that are needed to resolve the immediate crisis.

Contemporary Guidance Services, Inc., NY, NY

Coordinator of Waiver Services & Acting Director/Clinical Social Worker 08/11-12/11

Administered clinical meetings and presented recommendations. Managed group discussion and ensured that each member practiced appropriate social skills and provided crisis intervention as needed.

Provided training and Psycho-Education to Case Managers and the Assistants’ on how to address specific issues that disrupt or jeopardize the individual or other members’ success during programming or while in the community.

Maintained case files and completing documentation required by funding sources. Maintained appropriate tracking system for programming, Case Managers, billings, and other documents to ensure quality of services for clients.

Worked closely with the Director of DHP and Associate Director of Professional Services and other department staff to develop strategies to implement the consumer’s service plan and further treatment. Directed all Day Program placements and all DHP w/o walls sites; including volunteer sites, supervised (75+)staff and 200+ clients, audited internal program w/outcomes (QA) on Precision Care, Acting Director of DHP during Director’s absence. Conducted outreach for the agency programs.

Developed, coordinated and wrote the Day Hab. w/o walls plans & clinical intervention treatment plans. Reviewed Monthly Progress Notes by Case Manager, Oversaw off site programming and agency investigations for incidents and abuse from the agency and clinical social worker perspective.

Lead quality management activities. Assures that all program staff members are adequately trained.

Prepared monthly reports for the Director of DHP & VP of COO responsible for clinical oversight

Joseph P. Addabbo, Family Health Clinic, Inc., Far Rockaway, NY 09/09-08/10

Outpatient Mental Health Therapist (Intern)

Counseling including but not limited to: substance abuse, domestic violence, PINS cases, ACS cases, and Family Court cases

Implementing various counseling models such as Psycho-Education, Brief Treatment, Behavior Modification, Solution Focused Therapy and a Strengths Perspective, and Cognitive Behavioral Therapy (Trauma Focused Therapy).

Conducted individual verbal therapy sessions, collateral sessions, and family therapy sessions.

Provided crisis intervention to clients. Worked with adults, teenagers, and children. Communicated the progress and development of the client to the Clinic Psychiatrist.

Conducted/wrote the Full & Updated Psychosocial Evaluation, Case Notes, Comprehensive Treatment Plans, three0month review Treatment Plan Report, and Mental Status. Attended case conferences, OMH QI meetings.

Intake Assessments using a bio-psychological model and service plans.

Coordinated client support needs with school social workers and other treatment teams. Advocated for the clients regarding legal matters, housing, and entitlements.

AHRC-NYC, PemBrooke Residential IRA, New York, NY 09/08-08/09

Clinical Residential Social Worker (Intern)/ (Developmentally Disabled population)

Worked with individuals and groups on achieving personal and social goals.

Under the guidance of Social Work Intern Supervisor, and with the input of the team social work intern help to set and monitor goals and to teach strategies for dealing with frustration and difficulties. Development of treatment plans with specific goals.

Developed assessment skills, gain experience with care planning, working with service providers, individuals and families, and experience with county-level paperwork and funding.

Document and review of treatment outcomes (goals/value outcomes) & create intervention plan, etc.

Conducted and Developed Behavioral Psychiatric Assessment, Full Comprehensive Psychosocial Evaluation, Case Notes, Observations, Updated Management of clients’ progress, provided Behavioral Modification n to clients’ environment, etc.

Birch Family Services, Inc., Brooklyn, NY & Far Rockaway, NY 05/06 – 08/11

Medicaid Service Coordinator (MSC)


New Frontier Program (The Friendship Group): Socialization Counselor (12/10-08/11) NY, NY 05/06-08/11

Worked with teenagers & young adults with developmental disabilities, especially higher functioning individuals’ with Autism Spectrum Disorder & Asperger’s.

Carried out-group discussions and ensured that each member practice appropriate social skills during planned trip activities. Provided finest care and ability to function in society by further developing communication and socialization abilities/skills.

Assisted in appropriate socialization opportunities, monitored activities; ensured safety measures were taken when participants were in the community. Maintained regular communication with participants and their families.

Qualified Mental Retardation Professional (QMRP) 05/06-08/10

Developed, coordinated and monitored ICF treatment. Approved all clients support plans and interventions. Monitored progress and responded to deficiencies in services. Managed caseload and documentation for Mild to severe disabled children and adults.

Wrote assigned goals and plans for developmentally disabled consumers residing in the ICF home & wrote progress summaries and recommendations and update all goal plans. Ensured that all consumers in the Residence are receiving all the appropriate therapy and services on an individual basis. Worked with Health Care Coordinator to ensure completion of medical appointments

Documented programs: assessments, 30 days reviews, utilization reviews, etc. Ensured appropriate community involvement plans for each consumer on an individual basis. Represent program for agency, county, state or federal monitoring or surveys

Supervised and enforces implementation of programs and the delivery of services according to the CFA and the requirements of active treatment. Monitored the collection of data and evaluates the progress toward established goals, conducting periodic reviews to insure program effectiveness and staff diligence.

Collaborated with Senior Program Coordinator and Residence Supervisor to train the direct care staff to provide them with knowledge and skills necessary to serve consumer’s programmatic needs.

Ensured that staff were trained on Active Treatment as well as provide programmatic orientation for new staff. Coordinated the admission process for new consumers completes initial assessments and program plans. Arranged with clinical consultants and external service providers for ongoing evaluations of plans submitted by outside consultants/service providers.

TEACCH trained and implemented TEACCH within ICF. May discipline staff under the guidance of the program director as circumstances require? May act in place of the Residence Manager or Supervisor in his or her absence. Reports to the Residence Director or Senior Program Coordinator & so forth on. Acts as resident advocate, assuring that all residents’ rights are respected and that all grievances and complaints are addressed in a timely and equitable manner in accordance with all applicable laws and regulations.

Monitored admissions procedure to ensure compliance with OPWDD guidelines. Supervised the maintenance of adequate and up-to-date records on all residents, as well as supervise record-keeping responsibilities of staff in accordance with applicable regulatory standards and Birch Family Services, Inc. policies.

Quality Assurance (MSC Unit, ICF Unit, & Day Hab Unit) 05/06-08/10

Ability to establish a functional working relationship and work productively with staff within the agency and outside entities

Communicated clearly both verbally and in writing

Audited internal program outcomes: Day Habilitation Program, ICF Residences, & MSC caseload file

Managed time effectively and meet regulatory timeframes for completion of internal audit.

Worked with management to monitor program compliance with required trainings

Served as a role model for all Agency staff in promoting the Agency’s Value, Mission, and Vision

Collaborated with the Agency staff on the development of policies and procedures to comply with regulations and requirements of the various program services

Ensured knowledge of all current applicable City, State and Federal regulations

Attended training relevant to position

Provided additional supports according to agency needs

Assisted with tracking, monitoring needs and wants; including compliance training by staff for staff

MSC Supervisor/Intake Coordinator/Acting Program Supervisor 05/06-10/07

Oversaw day program placements for consumers and worked with day program specialists to ensure continuum of care.

Ensured employees received MSC training. Enrolled consumers into day habilitation programs. Attended transitional fairs, schedule intake screening for waivers, and MSC services at individuals’ homes, conducted intake screening.

Performed as the Acting Program Supervisor for the Brooklyn Day Habilitation Program. Conducted interviews with the Director of the day program. With the Director, assisted in implementing community events and the valued outcomes.

Supervised staff, audited internal program outcomes, wrote due process, community services plan, coordinated, and attended exit meetings for those moving from an ICF to an IRA. Enrolled consumers into agency residence, communicated with CSPE DDSO representative, coordinated referrals and case management.

Additional roles:

AHRC-NYC, Styler ADS Center, Bronx, NY, Integration Coordinator (Developmentally Disabled & Mental Health population), 05/05-05/06

AHRC-NYC, Home Care Services Dept., New York, NY, Residential Habilitation Counselor (Developmentally Disabled, TBI, & OMH population: including as a TBI- Coordinator), 05/02-05/05

Long Island University, Brooklyn, NY, Teacher Assistant, through Student Activities Grant Scholarship: IS 296, 09/02-6/03

Liberty Partnership Program, J.H.S 296, Brooklyn, NY, Academic Tutor/Teacher Assistant, through America Reads Grant Program, 09/01-02/02

Resort Nursing Home, Rockaway Beach, NY, Elderly Care Recreational, Assistant & Physical Therapy Assistant 06/97-10/03

F.E.G.S. /P.A.V.E., Rockaway Park, NY Intern/Peer Tutor/Public Relations Assistant 01/97-06/00


LMSW-Limited Permit, License # P82977

(National Council of Certified Dementia Practitioners) Certified Dementia Practitioner: #231504

School Social Worker Provisional Certificate #782042131

CPR and First Aid

Identification and Reporting of Child Abuse and Maltreatment


OPWDD Advanced Child & Adult Abuse & Neglect- 09/13

Human Rights Coalition

Basic ASL (American Sign Language)

United-For-Haiti (co-founder/member)

B2H Crisis Avoidance, Management, Training

Specialist (CAMT)

Angel Tree- Prison Fellowship member (active)

National Association of Social Work member(NASW-active)

Co-Founder/Former President of Gender Studies/Skittles Ententes, LIU

International AIDS Vaccines Initiative (IAVI) (active member)

America Cancer Society Association (Research member: active)

American Psychological Association (member)

CBT-Trauma Focus Therapy/Parenting Assessment Training/Crisis Intervention


Psychiatry Research Assistant (09/03-8/04): Granted a 2-year fellowship from NIMH at Downstate University Hospital. Duties: collecting and scoring medical records; conduct psychiatric evaluations, with supervision and subject follow-up as needed.

Research Assistant – (09/01-9/03): Granted a 2-year fellowship from NIMH at the Center for the Studies of Ethnicity and Human Development. Duties: recruitment and screening of study participants with chronic diseases.


American Psychological Association Convention – Washington D.C 9/03

Poster—Research “Prostate Cancer & Emotion Regulation”

American Psychological Association, NIMH (National Institute of Mental Health), & others Poster Presentation Conferences, Puerto Rico 8/04

Poster-Research “Long-Time Survivors of Pediatric HIV: Neurodevelopmental, Neuropsychological, Neurobehavioral & Neurological Characteristics”.

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