Experienced Case Manager in Long-Term Care
Resume:
Lajone Benson
CASE MANAGER
Dover, *****
************@*****.***
Skills
MS Office Suite
interpersonal skills
communication skills
Social Work
Care Management
In-home Visits
Continuum of Care
LTSS Services
Authorization
Medicaid
Care Transitions
Care Planning
Interdisciplinary
Collaboration
Electronic Health
Records
HIPAA
Flexibility
Microsoft Word
Microsoft Excel
Microsoft Outlook
Internet
Valid Driver's License
Deadline Management
Remote Work Setup
Geriatric Care
Behavioral Health
Home Health
Cultural Competency
Electronic
Documentation
Budgeting
Compliance
Licensed Bachelors
Social Worker
Behavioral Health
Population
Medicare
Managed Care
Summary
Dedicated and compassionate Case Manager with over 15 years of experience in social work and long-term care settings. Proven ability to advocate for patients, coordinate comprehensive care plans, and facilitate safe discharge planning. Skilled in assessing needs, navigating complex service delivery systems, and collaborating with interdisciplinary teams. Eager to leverage expertise in patient advocacy and care coordination to enhance member well-being and service delivery for Highmark Health. Work Experience
Case Manager, PAM Rehabilitation, Dover
01/2025 – 07/2025
Facilitated patient discharge planning, including scheduling appointments, ordering necessary equipment, and assisting with insurance coverage applications or health insurance enrollment. Advocated for patients by making necessary calls and arranging long- term placement solutions.
Ensured patients were discharged to safe and permanent living environments.
Director of Social Work, Bay Terrace, Dover
07/2024 – 01/2025
Guided residents in navigating daily challenges within the nursing home environment.
Documented and maintained comprehensive care plans for each resident.
Chaired care plan meetings with resident families to ensure alignment on care objectives.
Managed resident grievance files and facilitated resolutions. Participated in interdisciplinary team meetings to contribute social work perspectives.
Performed data entry for resident records and progress notes. Proactively identified and resolved resident issues through effective problem-solving.
Admission Director, Capitol Nursing and Rehabilitation, Dover 01/2024 – 07/2024
Oversaw patient admissions, verifying insurance eligibility and coverage. Reviewed medical information to ensure appropriate patient placement within the facility.
Conducted tours for prospective residents and their families, addressing inquiries and concerns.
Updated resident charts with necessary documentation and information. Managed incoming admission calls and inquiries.
Compiled daily census reports and communicated updates to the healthcare team regarding incoming admissions.
Assistant Social Worker, Compassionate Care Hospice, Milford 03/2023 – 10/2023
Supported the Social Worker in conducting community visits for patients transitioning through hospice care, offering support during their final days or as a wrap-around service.
Developed, organized, implemented, and evaluated all social work functions in strict adherence to applicable federal, state, OSHA, and local standards, guidelines, and regulations.
Promoted and maintained the highest degree of quality patient care under the guidance of the Master of Social Work and Administrator. Home Health Care Specialist (PRN), Coastal Home Care, Georgetown
04/2022 – PRESENT
Liaised with healthcare facilities to advocate for residents/patients and provide necessary staffing.
Conducted in-home assessments to evaluate patient needs and environments.
Facilitated the completion of paperwork for submission to state agencies.
Coordinated with external social service agencies to connect patients with essential resources such as meals, shelter, and medical appointments.
Director of Social Services and Admissions Coordinator, Manor House, Seaford
05/2018 – 04/2022
Orchestrated care conferences for residents and their families to discuss care plans and progress.
Completed PASSRs (Pre-Admission Screening and Resident Review) for short-term rehabilitation admissions.
Addressed and resolved all resident grievances promptly and effectively. Arranged and facilitated educational sessions for nursing assistants. Responded to resident concerns and collaborated with outside agencies to coordinate healthcare services.
Liaised with governmental agencies to represent resident interests and needs.
Director of Social Services, Delmar Nursing & Rehab, Delmar 07/2017 – 04/2018
Directed the Social Services department, encompassing the development, organization, implementation, and evaluation of all departmental functions.
Ensured all operations complied with current federal, state, OSHA, and local standards, guidelines, and regulations.
Promoted and maintained the highest degree of quality resident care under the supervision of the Nursing Home Administrator. Social Worker / Rehabilitation Unit, Harbor Healthcare, Lewes 10/2014 – 07/2017
Managed discharge coordination for the rehabilitation unit, ensuring smooth transitions for patients.
Addressed resident and family concerns, providing support and guidance.
Conducted and monitored care plans to ensure patient needs were met. Ordered necessary durable medical equipment for patient care. Outlined care options and resources with families regarding resident needs.
Handled phone calls and addressed concerns with outside agencies effectively.
Participated in interdisciplinary team meetings to facilitate resident discharge planning.
Performed data entry for patient records and progress tracking. Social Worker Asst./Admissions Asst., Capitol Nursing, Dover 04/2015 – 10/2015
Assisted residents in the healthcare center with daily living activities and concerns.
Monitored and contributed to the development of care plans. Led care plan meetings with resident families.
Participated in interdisciplinary team meetings to ensure holistic care. Managed data entry for resident information and care progress. CNA, Marketing Assistant, Interim Social Worker, Administrative Assistant,
Westminster Village, Dover
05/2005 – 04/2015
Certified Nursing Assistant (05/2005 – 01/2011): Provided direct daily patient care for up to twelve long-term care residents. Marketing Assistant (01/2011 – 01/2013): Contacted potential prospects for the Assisted Living community, facilitated resident transitions into the community, supported admissions processes, and assisted with marketing materials and event scheduling.
Interim Social Worker (09/2012 – 01/2013): Supported residents with daily issues, monitored care plans, led care plan meetings with families, and performed data entry.
Administrative Assistant (01/2013 – 04/2015): Assisted residents with maintenance issues, handled typing and light billing tasks, managed a small gift shop, oversaw supplies ordering, and performed other pertinent administrative duties.
CNA, Delaware Hospital for the Chronically Ill, Smyrna 05/2004 – 05/2005
Provided comprehensive daily patient care, including monitoring vital signs, performing sterile catheter care, providing oral hygiene, assisting with bathing, and accurately charting patient information. Senior Case Manager, Whatcoat Social Services Agency, Dover 05/1996 – 07/2004
Managed cases for the homeless population, families experiencing addictions, and victims of child abuse, domestic abuse, and neglect. Collaborated closely with families to implement relapse prevention strategies and ensure follow-up.
Partnered with the Division of Child Protection Services to evaluate client needs and refer them to appropriate service agencies. Developed and delivered workshops for clients on a variety of essential social services topics.
Education
Delaware Technical and Community College,
Associate Degree, Human Services, Dover
Wilmington College, Bachelor of Science, Behavioral Science, Dover
State of Delaware, Licensed Social Worker
Certificates
Licensed Social Worker, State of Delaware
2020
References
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