Experience
Care Management Coordinator
Northwell: Health Solutions
August 2018- Present
Manages and assists high risk patient’s with needs transitioning from hospital to home/community; Advocate for patient’s/caregivers needs; Works with interdisciplinary team which provides care coordination, managing medical, social and behavioral health needs of members; Provides timely communication with patients as required; Research, find, and link patients to resources, services and support mechanism. Case managing COVID-19 patients upon discharge; Qualified for Clinical Call Center to triage patients. Document each patient’s individualized care plan in practices EMR’s.
Social Work
New Vanderbilt Rehabilitation and Care Center
May 2015 – August 2018
Provide social work services to residents and families in sub-acute, long term care, Vent/Trach population as well as palliative care residents; quality assurance audits; discharge planning; psychosocial assessments, MDS 3.0; initiation of advanced directives; monitor and advocate for resident needs; crisis intervention; family intervention; work closely with interdisciplinary team; CCP meetings; rehab rounds; psychological monitoring; ordering of DME equipment
Case Manager
The Jewish Community Center of Staten Island
December 2013 – May 2015
Maintain case management caseload of clients age 60 and over; Provide initial in-home assessments as well as annual re- assessments and event based assessment; assess the needs of clients and provide them with information on appropriate services; Assist clients on obtaining benefits and entitlements such as SNAP/Food Stamps and Medicaid; Assist in the collection of documents and complete necessary paperwork on behalf of clients; Processed referrals to appropriate linked agencies of Staten Island Meals on Wheels, Richmond Home Needs, and Adult Protective Services
Education
Bachelor of Science Degree in Social Work
The City University of New York, College of Staten Island
August 2013
Internship
Eger Health Care and Rehabilitation
September 2012- May 2013
Welcome new admissions, assist in managing files and provided ongoing support to residents. Attended in-service training on Resident’s Rights, Advance Directives, Sexual Harassment and Customer Service. Attended Care Planning family meeting and Rehabilitation Team meetings. Worked closely with Therapeutic Recreation Department and with Social Service Department at Eger’s Harbor House (Assisted Living Facility).
Job Related Skills & Certification
New York State – DOH Screen Certified
The Conversation & Communication Module of End- of Life Nursing Education Consortium Training Program.
Ethical Considerations & MOLST Module of End-of-Life Nursing Education Consortium Training Program
Spiritual & Cultural Considerations Module of End-of-Life Nursing Education Consortium Training Program.
Bereavement Module of End-of- Life Nursing Education Consortium Training Program
Senior Planning-Medicaid Eligibility and Compliance
Department for the Aging: Case Management Principles, Policies and Practices
Proficient in Sigma Care and Peer Place