HUD-VASH Client Care Coordinator
Resume:
FRANCES N. CHUKWUMA
(***) *** – **** / ******@***.***
EDUCATION: MSW Social Work, August, 2014
Adelphi University
Garden City, New York
BA Honors Degree - History
University of Benin
Edo State, Nigeria
WORK EXPERIENCE:
Sept 2019 – Present HUD-VASH Social Worker
Department of Veteran Affairs/Carlos l. Lopez & Associates, New York, NY
Essential Functions:
Working as part of an interdisciplinary team of professionals engage and provide case management services to intensive high needs homeless/formerly homeless Veterans with active mental illness, and substance abuse disorders and co-occurring medical conditions in the community and their homes.
Accurately assessing psychosocial functioning and needs of Veterans and their family.
Conducting psychosocial assessments and providing service coordination to prevent negative outcomes and events among high-risk Veterans.
Coordinating with the Housing Team in the home finding process.
Monitoring Veterans’ ability to function independently and maintaining wellness in the community.
Jan. 2016 – Jan. 2019 Housing Case Manager (Hempstead offices)
Community Housing Innovation (CHI),
Bay shore, NY
Essential Functions:
Adheres to and enforces program regulations, policies, and procedures. Ensures that all clients are receiving quality services that are in compliance with the program.
Assists customers developing an Independent Living Plan (ILP) by identifying needs and goals; and, evaluates customer's progress on short- and long-term goals.
Provides information, referrals, counseling, crisis intervention, direct service, and advocacy services for all family members.
Develops and maintains a resource network for referrals as related to the needs of the individuals being served in supervised programs.
Collaborates with DSS, property owners, and other service providers to assist families in fulfilling ILP and program requirements.
Conducts face-to-face meetings with Head of Household twice a week. Each other Individual family member must be met with once a month.
Assists family members with direct services such as current and projected family budget, current resume as appropriate, assistance with ADL skills, etc.
Conducts face-to-face meetings with Head of Household twice a week. Each other Individual family member must be met with once a month.
Inspects living space regularly as required by the program to assess family's ADL needs and program compliance to assist family with maintaining housing.
Limits and documents improper use of agency resources by clients such as unit damages, furniture, or appliances
Evaluates, documents, and informs Property Manager of physical plant needs of the housing unit and/or common areas
Completes discharge plans with family.
Submit all internal and external reports in timely and correct manner as required by funding agencies and/or CHI (housing logs, unit Inspection sheets, progress notes, ILPs, authorization forms required by DSS special projects, etc.),
Maintains charts and files in an orderly fashion
Responsible for all program participants are equipped with services necessary to promote personal and economic independence, to have skills required to obtain, maintain and retain permanent housing and living in a well-maintained unit.
Worked with homeless, substance abuse, mental illness, developmental disabilities and welfare benefits.
Jun. 2015 – Jan. 2016 Care Coordinator, (Hempstead offices, closed Jan. 2016)
Jewish Board for Family & Children Services (JBFCS),
Hempstead, NY
Essential Functions:
Task supervisor to student intern.
Conduct initial and ongoing assessments of assigned clients to document strengths, needs, goals and resources.
Participate in the development/ documentation/review and update of client centered comprehensive, integrated, interdisciplinary care plan in consultation with care Manager and other team members to ensure focus on desired outcomes.
Maintain effective communications with clients, primary care physicians, substance abuse and mental healthcare providers, family, collateral resources and other Agency staff.
Maintain documents, records, statistics, and other related reports in an organized, timely and accurate manner as per policy and procedure.
Coordinates care planning with other providers of services/resources to ensure goal directed, collaborate care, including care transitions.
Work as parts of a Care Coordination team: attends and participate in team meetings to provide input/feedback around psychosocial conditions/comorbidities to review client status, update plans and goals, review outcomes to further program goals.
Act as a resources/consultant to all team members on psychosocial and/or substance abuse issues and resources.
Provide telephone, face to face outreach, engagement, and service planning in the field.
Act as a linkage to community services including medical, behavioral, residential, entitlement and any other needed services per interdisciplinary care plan.
Monitor overall services delivery to clients to ensure coordination and continuity; advocates with service providers/resources as needed.
Provide crisis intervention and follow-ups.
Aug. 2012 – May 2015 Care Coordinator, (Hempstead offices)
Health Home / F.E.G.S., Hempstead, NY
(Acquired J.B.F.C.S in June. 2015)
Essential Functions:
Task supervisor to student intern.
Conduct initial and ongoing assessments of assigned clients to document strengths, needs, goals and resources.
Participate in the development/ documentation/review and update of client centered comprehensive, integrated,1 interdisciplinary care plan in consultation with care Manager and other team members to ensure focus on desired outcomes.
Maintain effective communications with clients, primary care physicians, substance abuse and mental healthcare providers, family, collateral resources and other Agency staff .
Maintain documents, records, statistics, and other related reports in an organized, timely and accurate manner as per policy and procedure.
Coordinates care planning with other providers of services/resources to ensure goal directed, collaborate care, including care transitions.
Work as parts of a Care Coordination team: attends and participate in team meetings to provide input/feedback around psychosocial conditions/comorbidities to review client status, update plans and goals, review outcomes to further program goals.
Act as a resources/consultant to all team members on psychosocial and/or substance abuse issues and resources.
Provide telephone, face to face outreach, engagement, and service planning in the field.
Act as a linkage to community services including medical, behavioral, residential, entitlement and any other needed services per interdisciplinary care plan.
Monitor overall services delivery to clients to ensure coordination and continuity; advocates with service providers/resources as needed.
Provide crisis intervention and follow-ups.
Feb. 2004 – Aug. 2012 Supporting Case Manager, (Amityville & Hempstead offices)
F.E.G.S., Hempstead, NY
Responsible for the following Intervention & follow-up programs, including:
Provide services in the community to a specialized client group who are severely mentally ill individuals, many with substance abuse history.
Assess client strengths, service and treatment needs.
Coordinate treatment planning with various providers of services in the community.
Act as linkage to community services including residential, outpatient, entitlement and any other service need.
Monitor overall service delivery to clients to ensure continuity; advocates with service providers as needed.
Participate in case management meetings where the clinical status of team members’ clients are discussed and clinical supervision provided.
Advocate for and/or secure services clients may need to cope successfully in the community.
Assist with daily living skills activities, including monitoring and training clients
May be assigned other tasks and duties reasonably related to their job responsibilities
References: Available upon request.
Skills: MS Office, including Word, Excel, Powerpoint
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