Insurance Health Care
Resume:
Debra Marek
Milltown, NJ *****
**********@*****.***
OBJECTIVE
Position where my skills & abilities would be applicable to the applying position.
EMPLOYMENT HISTORY
Social Work Director/Supervisor, MSW, LSW
Royal Health Gate Nursing & Rehabilitation Center http://www.google.com/search?q=Royal%20Health%20Gate%20Nursing%20&%20Rehabilitation%20Center
July, 2015 November, 2015 (4 months)
Conduct initial Assessments, 1:1 and Family Interviews
MDS completions
Work with LTC/Sub acute residents, discharge planning, community referrals
Work closely with Hospice Facilities and multiple community agencies, for resident needs
Conduct weekly Care Plans with residents/resident's families.
Worked closely with Utilization Review, in obtaining pre-certifications and extended authorizations on patient’s insurances.
Continued working as a S.H.I.P. Counselor, being knowledgeable with Medicare/Medicaid/HMO’s/Private Insurance Plans. Assisted in giving information that would best meet the needs of the patient being covered (insurance-wise).
Social Worker & Service Coordinator Supervisor, MSW, LSW
Region Nine Housing Corporation http://www.google.com/search?q=Region%20Nine%20Housing%20Corporation
September, 2010 January, 2015 (4 years 4 months)
Assist residents to reside in an Independent Living setting by promoting/creating programs for Cognitive Stimulation to assure optimal Cognitive functioning
Assist residents by making contacts with outside Community Resources, to assist with heating/gas/electric, food, clothing, and many other resources to promote their independence
(Example: Low-Income Subsidy Programs, Charity Care, Medicare & Medicaid benefits and eligibility, Food Stamps, Prescription Assistance, etc
Responsible for all Initial Intakes, Psychosocial Intakes, and ADL Status Intakes
Responsible for writing/completing Grant for NJ HUD Housing, for assistance in continuing specific resident based programs
Assist with all Medicare, Medicaid, and Independent Health Care Insurance issues, problems or concerns
Supervise Rutgers University, Graduate School of Social Work, students for Field Placement
Conduct 1:1 counseling sessions with residents, as well as Family Counseling.
Social Work Director, MSW, LSW
New Brunswick Senior Citizen Resource Center - New Brunswick, NJ
March, 2008 August, 2010 (2 years 6 months)
Assisted with any/all needs for the senior population and their caregiver or family members, resulting in client resolutions to specific needs.
Counseled clients with all Medicare / Medicaid/Private Insurance information as I am a certified S.H.I.P Counselor, very knowledgeable with insurances.
Counseled with positive outcomes related to their primary needs
Conducted two group programs, with the program goal geared towards Health Care needs, leading to healthier eating habits and the seniors participating in the exercise program
Conducted 1:1 counseling/Family Counseling and conducted home visits for the homebound clients, evaluating services needed in the home.
Wrote/completed Grant(s) to obtain money for continuing facility programs successfully.
Responsible for Compiling & Writing updating information for our Monthly Newsletter
This allows the various services (conducted) to be open to the public and senior members in the community, in regards to Social Service abilities to provide these services of need.
Social Worker & Discharge Planner/MSW,LSW
Robert Wood Johnson University Hospital http://www.google.com/search?q=Robert%20Wood%20Johnson%20University%20Hospital
October, 2004 January, 2008 (3 years 3 months)
Engaged in 1:1 interventions with patients/families, providing services as needed
Provided community resources/discharge planning to patients & families, assuring a safe and effective discharge back to the community
Worked with IDCP Team to collaborate patient status and placement; worked as Utilization Management, assuring patients extended stays to be financially covered.
Social Work Director
FMC/BMA Dialysis Center of Trenton/Princeton - Trenton, NJ
May, 1996 September, 2004 (8 years 4 months)
Counseled renal patients & families on a daily basis; charted on each patient bi-monthly.
Responsible for all new admissions, updating insurances and obtaining pre-certifications (Utilization Management)
Initiated & completed forms through the computerized system (Vision), which was forwarded to the Renal Network.
Responsible for completing a yearly Grant (successfully) for obtaining monies for supplements & medications, for the indigent patients.
Made outside referrals as necessary to assure patient s needs were met 100%.
EDUCATION
Fordham University
Master of Social Work, Degree date: 1996
New Jersey State Licensed Social Worker: 44SL04619700
New Jersey Certified School Social Worker: 00244694
Kean University
Bachelor of Social Work, Degree date: 1994
Degree date: 1994
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