Janice E. Thron-Kelly, MSW, LSW,LCSW
Tucson, AZ 85757
***********@*****.***
PROFESSIONAL EXPERIENCE:
* Extensive theories and modalities used in the specialized treatment of complex physical and mental illness. Ability to incorporate complex multiple causation in differential diagnosis and treatment of all patients, including Hospice, dementia, mental health and Traumatic Brain Injury. Formulating psychosocial and psychiatric diagnoses within approved clinical privileges for the practice of Social Service. Ability to determine priority for services and provide specialized treatment services.
* Specialized interventions and treatment modalities used in specialty treatment programs or with special patient populations. This includes individual, group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management interventions used in the treatment of patients/resident not excluding the Veteran population.
* Advanced experience and knowledge in outcomes for social work practice and services in a specialty area, utilizing outcome evaluations to improve treatment services. ability to coordinate the delivery of specialized psychosocial services and programs as well as to design system changes based on empirical findings.
* Providing information and consultation to colleagues and students on the psychosocial treatment of patients treated in a specific area. Ability to teach and mentor staff and students in the specialty area of practice and to provide supervision for those in a primary care setting. Utilizing work experience and professional opinions based on experience and expertise and role modeling effective for social work practice skills.
* Ability to expand on and lend clinical knowledge in the profession, demonstrating innovation in the creation of new models of psychosocial assessment or intervention to identify and address specialized clinical needs. Ability to write policies, procedures, and/or practice guidelines pertaining to the specialty population or specialty treatment program.
* Formulating and negotiating with community entities for Hospice and Veterans. Contract negotiation for home bound patients within the community as well as VA Hospice patients in nursing home settings, home settings as well as Assisted Living Communities.
*Supervise Social Workers and staff in the primary care setting, including interviews, termination, management of time and leave, coordination of clinical coverage, monitoring staff productivity for the social work staff primary Care, acute Care, rehab and long term care. Putting social work theory to practice while having the ability to work with staff and students to enable them to provide quality care, while developing and evaluating care management programs, including ongoing evaluation of interdisciplinary training programs and community relation's work. Ensuring continuity of care to all patients and families. Actively participate in program planning, development and evaluation of the programs involving but not limited primary care. This will involve providing departmental and interdisciplinary training programs and community relation's work, as well as participating in building staff morale.
Coordinate, organize and mediate staff members when disputes occur while always remaining impartial. facilitate disgruntled family members when opposing ideology between families and staff members and medical decisions. Responsible for investigating formal complaints that have been made towards a staff member and or management. Coordinating interviews and responsible for formulating the written outcome and presenting the final findings according to the policy and procedure. Investigate complaints and concerns in coordination with Federal policy and procedure for skilled nursing facility as well as staff complaints placed within the facility. Meet with and interview clients, family members and staff in an effort to obtain all pertinent information regarding complaints/concerns. Record all information and discuss with team members. Problem solve and gather all data, analyze information pertinent to case presented. Enter track and follow all recorded data for any trends that could result in a fraction of the federal rules and regulations and discuss with team leaders the data investigated and its results.
Coordinate social work services, with veterans, and families; serve as a Social Worker/Family Therapist when diagnosed with Traumatic Brain Injury and Mental Health diagnoses. Provide clinical services, including completing a bio-psychosocial assessment, psychotherapeutic services, treatment planning, and/or case management. Develop short- and long-term treatment plans in an interdisciplinary setting as a member of the IDT. (Interdisciplinary Department Team) of psychiatrists, nurses, care coordinators, physical therapists, and provide consultative services to other team members as needed a spiritual service and grieving as well. Plan, coordinate, and provide comprehensive referral services to veterans and families. Engage in professional casework with individuals, couples, and families, function as a therapist in patient support groups. Coordinate and implement discharge plans by arranging all VA and outside needs.
Reviewing in CPRS for the Care giver Support Program, investigating all documentation for ADL’s, medical, and mental health reports. Review eligibility within the guidelines for its approval as well as being part of the review team for appeals. Trained in NUMI for inpatient psychiatric stays an in effort to ensure eligibility, review patients record of stay and assist with difficult discharging and placement issues. PROFESSIONAL EMPLOYMENT:
Travel contract:
Maui Memorial Hospital – 13 week Acute Care Social worker June 13, 2022, - Sept 10, 2022
Reviewing consults for behavioral health issues and placement, assessments in the emergency room, assisting with Power of Attorneys, surrogacies and Advanced Directives. Completing bio- psychosocial,’s, networking with MD’s case management and the multidisciplinary team for safe discharges.
SENIOR SOCIAL WORKER GS-12
EMERGENCY DEPARTMENT
October 24, 2021, Present
Responsible for assessing and completing bio-psychosocial assessment on patients seen in the emergency room and admitted, completing suicide risk mental health assessments, petitions for involuntary at-risk Veterans. Care coordination case management and assessments for patients who present to the ED. Provide referrals and resources, educate families on dementia and provide information from the VA to the community for assistance. Complete travel arrangements through bene-travel. On Call social work services monthly. Responsible for all areas of the VA for social work services on weekend and wen hours. Assist providers with assessments and social work practice for ETOH, admissions. Covering for all areas of social work practice when needed including acute care coverage, and suicide prevention. Accepts calls from suicidal Veterans who call the emergency room to provide appropriate counseling and coordinate first responders arrival to ensure safety. Assess Veterans for passive SI, and its lethality. Provide appropriate services and documentation for emergency room patients. Educate other social workers in areas of knowledge such as dementia, the different types as well as stages. Assess and provide education to patients and families on Hospice services. Educate, and assist with the completion of Advanced Directives as needed. Provide education to social workers as well as patients and families on the differences of assisted living vs long term care SNF. Assist with all state applications as needed for ALTCCS and AHCCCS benefit. Educate Veterans as needed in regard to benefits and how to obtain them. Network with all areas of the VA to ensure a warm handoff and a continuum of care. Reviewing family members needs for Fisher House consults and assessing for appropriateness and eligibility for FH stays, completing, placing and documenting all information regarding the Fisher House family stays. Completing consults for the CLC, Hospice, Home Health, smoking cessation, ETOH, mental health, outpatient and inpatient rehab for substance abuse.
NICoE ( A Division of Walter Reed National Military Medical Center Animal Assisted Therapist
March 16, 2021 – July 12th, 2021
Responsible for reviewing the medical records of referred TBI/PTSD active military members for cognitive therapy in coordination with purpose bred dogs. Multidisciplinary meetings with primary medical professionals for continued therapeutic benefits. Evaluating the needs of each individual patient while bridging these needs with the dog trainers for optimal benefit that will assist the dog with the specific needs of the patients. Documenting and evaluating the results over a 6-month period. Providing group sessions for specific TBI/PTSD groups with active-duty members and their wives. Providing referrals and coordinating meetings to discuss continued care in areas of need, such as sleep studies, nutrition, physical therapy, occupational therapy, and other therapies as needed. Responsible for observing and documenting all results while designing a matrix of results for NICoE programming. The Department of Veterans Affairs
Tucson Arizona
SENIOR SOCIAL WORKER GS-12
EMERGENCY DEPARTMENT
SEPTEMBER 30, 2019 TO March 12, 2021
Responsible for assessing and completing bio-psychosocial assessment on patients seen in the emergency room and admitted, completing suicide risk mental health assessments, petitions for involuntary at-risk Veterans. Care coordination case management and assessments for patients who present to the ED. Provide referrals and resources, educate families on dementia and provide information from the VA to the community for assistance. Complete travel arrangements through bene-travel. On Call social work services monthly. Responsible for all areas of the VA for social work services on weekend and wen hours. Assist providers with assessments and social work practice for ETOH, admissions. Covering for all areas of social work practice when needed including acute care coverage, and suicide prevention. Accepts calls from suicidal Veterans who call the emergency room to provide appropriate counseling and coordinate first responders arrival to ensure safety. Assess Veterans for passive SI, and its lethality. Provide appropriate services and documentation for emergency room patients. Educate other social workers in areas of knowledge such as dementia, the different types as well as stages. Assess and provide education to patients and families on Hospice services. Educate, and assist with the completion of Advanced Directives as needed. Provide education to social workers as well as patients and families on the differences of assisted living vs long term care SNF. Assist with all state applications as needed for ALTCCS and AHCCCS benefit. Educate Veterans as needed in regard to benefits and how to obtain them. Network with all areas of the VA to ensure a warm handoff and a continuum of care. Reviewing family members needs for Fisher House consults and assessing for appropriateness and eligibility for FH stays, completing, placing and documenting all information regarding the Fisher House family stays. Completing consults for the CLC, Hospice, Home Health, smoking cessation, ETOH, mental health, outpatient and inpatient rehab for substance abuse.
Social Worker
VA Medical Center, Prescott, Arizona
July 12
th
, 2015 – September 2019
CLC-1 and Dementia/Hospice Social Worker for inpatient veterans, responsible for completing all psychosocial, advanced directives as well as VA applications for benefits. Screening Veterans for appropriateness of admissions, evaluating the veterans needs and contributing to their care inside the community as well as preparing for their
needs once they return home. Leading the teams with difficult discharge and family member issues. Utilizing knowledge obtained in the private sector nursing homes to advocate for resident rights. Assisting in private 1:1 counseling sessions for family members as well as veterans.
Individual, family and small group therapy, supportive counseling and grief and bereavement counseling. Provide strategic and medical crisis counseling for patients, as well as assisting Veterans with complicated legal issues. Negotiating with attorneys and speaking with judges for reduced or downgraded sentences. Speaking with local Judges to reduce fines or legal fees as well as negotiate drug and alcohol programs in lieu of jail time. Coordinate and implement discharge plans by arranging for transition to the next level of medical care in compliance with the multidisciplinary treatment plan. Function as a member of the IDT. Presenting reports at team conferences and participating in evaluation and treatment planning for patients. Provide comprehensive referral services to patients and families. Provide in-service training about complex social work services to multi-disciplinary treatment teams. Integral part of the Caregiver Support Program for the appeals process, reviewing documents and make recommendations in accordance to the CCP appeals process board. Responsible to lead all discharge planning for Veterans on the CLC-1 unit, including the dementia unit, as well as being the coordinator for difficult discharges. Which includes assisting acute care social workers as well as the PACT team social workers. Was given the responsibility of being the (AO) Approving officer for purchases for GEC and NIC offices, assigned to fact find for Congressionals placed as well as investigating ROC’s. Completing the reports and finalize findings. Completion of the 10-10EC’s for GEC and assisting families with benefit applications as well as state funded programs. Completing the sections assigned to the MDS 3.0 and assisting with educating others on the MDS process. Leading the CLC with difficult discharges and assisting all other departments when applicable for trouble shooting hard to place Veterans who are inpatient, including the DOM. Collaborating with the PACT team and educating other social workers in regard to Medicare, its rules and regulations, and how it impacts the Veterans. Responsible for APS (Adult Protective Services) reporting and assisting other social workers as needed in regard to the appropriate APS reports. Responsible for all social work issues regarding the inpatient rehab Veterans and assisting them back into the community with services that are needed as described by the acting providers. Responsible for maintaining the dignity and advocacy for each Veteran admitted to the 75 bed CLC. Social Service Director
Las Fuentes, Prescott, AZ
February 2014 – July 2015
125 bed skilled nursing facility with a rehab component, responsible for all admission and discharges completing demographics forms, as well as interviewing and completing the MDS. Arranging home health as well as medical equipment upon discharge. Formulating goals and approaches specifically designed for each individual residing in the facility. QA reports as well as managing social work assistants – advocating for the residents while balancing the therapy modalities to individuals on an as needed basis. Understanding Medicare rules and regulations as well as all state and federal policy and procedures. responsibilities as an employee for the facility. Providing cognitive behavioral services. Assessing patients for any psychological needs and networking with psychologists as well as other behavioral health entities when needed. Formulating and negotiating with community entities for Hospice and Veterans Association contracts for home bound patients within the community as well as VA Hospice patients in nursing home settings, home settings as well as Assisted Living Communities. Developed a well-rounded working relationship with the States Ombudsman as well as APS in order to provide proper and continued care for residents in and outside the facility.
Reviewing existing policy and procedures for accuracy and implementation as it coordinates with the needs of the community.
Formulating goals and approaches specifically designed for each individual residing in the facility. QA reports
as well as managing 1 assistant – advocating for the residents while balancing the responsibilities as an employee for the facility. Providing cognitive behavioral therapy modalities to individuals on an as needed basis. Understanding Medicare rules and regulations as well as all state and federal policy and procedures. Managing budgets.
Crisis Intervention Social Worker
South West Behavioral Health, Prescott Valley, AZ
October 2013 – June 2014
Remarkable experience with crisis intervention and working with adults. Vast knowledge of hospital, mental health and human service setting Knowledge of computer and data entry systems
Proficient with crisis assessment, treatment planning and case management Ability to maintain appropriate logs and documentation of cases, Imparted social work services to patients, families and staff.
Coordinated with varied agencies and community providers. Administered crisis intervention services.
Carried out ongoing safety and risk assessment
Bestowed case management services to assigned cases, collaborate with Psychiatrists and medical doctors
Facility Social Worker
Riverside Rehab and Nursing, Taylor, PA
April 2010, August 2013
A 168 Skilled nursing home facility, responsibilities include assessing the potential resident for appropriate level of care, completing all the necessary admission paperwork by interviewing the resident and obtaining all demographic information. Formulating goals and approaches designed for each individual admitted to the facility. Assessed residents for suicide lethality contacted local senior psychiatric hospital to facilitate admission. Consulted with MD’s as well as hospital social workers for continued care once placed in hospital. Reviewed documentation in all charts for appropriate Long Term Care terminology as well as reviewing medications for appropriate diagnosis. Completed involuntary paperwork ( 302) as necessary as it pertained to the county policy and admission procedures. Attended court proceedings as necessary for guardianships. Counseled families as well as residents for variety of issues. Coordinated discharges to home or to other facilities by networking with home health agencies for safety and continued care. Proficient experience in the area of dementia, working with families as well as the resident in understanding the disease, the disease process. Teaching validation therapy to those involved with the identified person, as well as coping skills.
Special Education Social Worker
Pittston Area School district, Pittston, PA
Dec 2008, June 2009
A 2 year contracted position I was responsible for children from 3 grade to 12 th
grade who had
special needs in school. All children who had an IEP (Individual Education Program) care plan were seen and assessed for appropriate behavioral and case management. These children ranged from mental illness diagnosis as well as physical diagnosis. I created several groups for these children depending on their age. Sat in classrooms to ensure continuity and implementation of their IEP. Participated in the IEP meetings with school officials, out of school agencies the identified patient and their parents as well as home visits with the families. Held group sessions with families to educate them on the specific needs of their child (children). Credited with creating a group targeted for high risk teenage girls to prevent pregnancy which was very successful. Assessed children for suicidal and homicidal feelings and lethality. Responsible for assessing drug and alcohol issues for children, and networking with the school, families and outside agencies for appropriate treatment. Assisted children with special needs during state testing. Completing all state and federal paperwork as well as keeping documentation for the school office.
High Risk Care Coordinator
Community Care Behavioral Health, Moosic PA
April, 2007, Dec 2008
Pennsylvania’s mental health insurance company (Access) in which I was responsible for approving or denying psychiatric, drug and alcohol in patient stays for the ages 18-100 – approved or denied outpatient continued service upon discharge. Spoke with Medical doctors, Psychiatrists, social workers, and nurses to gather information for over 100 patients. Visited hospitals or detox centers to interview and assess each recipient for appropriate levels of care. Was also responsible for obtaining permission and state funding on “special cases” for admissions to “out of network” hospital. Gathered and obtained daily progress information for each hospital stay – inputted all information and approved or denied continued stays as well as allotting appropriate funding from the state. Discussed level of cares for dual diagnosis patients with all disorders, including bulimia/anorexia. Networked with facilities all over the state of PA for appropriate placements. Also responsible for follow up calls once the patient was discharged in order to have a continuum of care.
Director of Resident Affairs
Little Flower Manor, Wilkes-Barre, PA
Sept 2001, Dec 2003
A 175 skilled nursing facility as well as 75 bed assisted living center. Responsibility was to assess all potential residents for appropriate level of care, completed all admission paperwork, hired, trained and managed a team of social workers as well as training college students from 2 local accredited schools of social work. Managed all county, state and federal paperwork. Including PASSAR ID, MDS 2.0, MA 41, 409’s VA applications, long term care insurance applications and medical assistance. Responsible for keeping all admissions and discharges scheduled. Facilitated several programs including “Sensitivity Training” for all employees, (this program continues to this day). Responsible for interviewing all parties involved in accusations of abuse towards a resident. Educating and re-training those who were felt required extra sensitivity training. Direct contact with Medical director as well as all MD’s who had permission to treat in the facility, and was directly involved in all areas of care for each resident. Assessed suicide ideations for lethality and proceeded accordingly with voluntary or involuntary commitments. In charge of social service as well as the admission department budget. Reviewed documentation on charts for proper terminology as well as checking psychiatric diagnosis and their medications. Followed all federal and state regulations in accordance to Long Term Care. Involved with all Department of Health survey and directly responsible for answering to any and all social work/admission issues or problems. Networked with AAA, and Ombudsman on a daily basis for quality of care. Provided counseling to families and residents as needed. Director of Social Service
Stroud Manor, Stroudsburg, PA
Dec 2006, April 2007
A 160 Bed skilled nursing facility – completing admission paperwork with families assisting with Medical Assistance, VA and long term care paperwork. Hiring and training 1 other social worker. Responsible for formulating individual care plans for each resident admitted, designed obtainable goals and ensured that the care plan were being followed by employees. Involved with state and federal surveys- responsible for social service budget and knowing all state and federal regulations as it pertained to Long term care. Completing PASSAR ID, MA 51’s 409’s and maintaining all information on each resident. Reviewed mental health diagnosis and their medications to ensure appropriateness. Reviewed documentation to ensure Long Term Care legal terminology Involved with formulating new orientation programs, facilitating in-services for validation therapy, and overall understanding the geriatric population. Also supervised the Activity department for proper activities geared toward this population. Assessed residents when needed for suicidal or homicidal ideations and the lethality of same. Personally searched and networked out a group of psychiatrists and geriatric counselor for the facility which is still in place today. Involved with formulating a new program for assessing the appropriate care level in regard to Dementia residents.
Federal Long Term Care Surveyor
Comptech Assoc.,Baltimore, MD
Dec 2003, April 2005
A contract position – Responsible for surveying federal and state compliance in Long Term Care facilities. Interviewing residents and families for compliance in accordance to the law. Interviewed residents and families in response to any accusations of abuse – investigating all persons involved and completing the report Working with team members to illustrate findings. Responsible for understanding each State and Federal Long term care regulations. Inspecting all areas of nursing home, including kitchens, med stations, etc. Reviewing the state DOH survey and investigating its finding in accordance to federal laws. If a discrepancy was a more intense investigation was completed.
Other work experience:
Adjunct Faculty: University of Scranton
College Misericordia
Luzerne County Community College
Courses: Intro to Sociology, Gerontology, Documentation, Cultural Diversity Social Ethics and dilemmas in the modern world, Death and Dying, Suicide and the geriatric population,
Marriage and family dynamics, Ethics, Long Term Care Regulations Hospice Social Work 2001
Hospital Social Work 2000-2004
Court appointed Pennsylvania supervisor: 2008-2010 Dialysis Social Worker 1998-1999
Education:
Fordham University, New York, New York, graduated 1998 with an MSW Professional Licensure:
Pennsylvania LSW,
Hawaii LCSW
References: Jean M Brennan : 480-***-****
Martha Bamkin : 570-***-****
Keri Hanna : 520-***-****