Georgiana Lopez, MSW, LSW, CCM

**** ********* ****

Stroudsburg PA 18360

570-***-****

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

Contact this candidate