Jerline B. Email & Phone Number

Miami, Fl, Us

• Perform detailed analysis on all readmissions less than 30 days and identify patient/family problems as well as recommend strategies to address these issues.• Responsible for closely monitoring and managing changes in patients’ medical condition and routinely update documentation of specific to patient social and medical needs.• Collaborate across teams to identify and provide solutions when errors arise and address and respond to triage requests from assigned projects/clients•… Show more • Perform detailed analysis on all readmissions less than 30 days and identify patient/family problems as well as recommend strategies to address these issues.• Responsible for closely monitoring and managing changes in patients’ medical condition and routinely update documentation of specific to patient social and medical needs.• Collaborate across teams to identify and provide solutions when errors arise and address and respond to triage requests from assigned projects/clients• Provide ad-hoc support to create and analyze complex documentation reports for internal and external stakeholders.• Review and troubleshoot inquires related to healthcare claims through EPIC , and Medicare eligibility files for patients• Maintain contact with the patient, family, RN, physician, and team members to ensure the most cost-effective plan of care is being carried out and appropriate in network providers are being utilized.• Responsible for closely monitoring timelines and task completion and immediately escalating any challenges impacting timelines• Serve as the main point of contact for patient/family inquires related to post-discharge needs and collaborate across internal teams to identify resolutions to any challengesDirector of Show less

Miami/Fort Lauderdale Area

Planned and implemented innovative system-wide safety procedures and policies. Contributed to multidisciplinary committees relevant to incidents, claims, litigations, and risk management activities. Investigated claim reports, provided expert answers to claimant concerns, and prepared a corrective action plan. Prepared and submitted reports to regulatory state and federal agencies. Performed facility inspections and risk assessments and developed resourceful corrective actions and plans.

Miami, Florida

Provided leadership direction and supervision to 20 + social workers and case managers in all aspects of hospital activities to ensure quality of patient care, compliance with plan of care, and appropriate discharge plan. Evaluated and investigated events and develop a plan of remediation. Worked collaboratively with Senior Management and Medical Staff on developing and implementing hospital wide project to meet length of stay goals.

Miami, Fl

Promoted and participated in hospital model for treating patients with complex ethical, legal, medical and social barriers. Served as a consultant for other social workers and medical staff within the hospital. Worked with interdisciplinary teams to discharge patients with significantly complex needs and situations. Managed and track financial funds related to discharge planning that are provided by specialized funds.

Miami, Fl

Provided individuals, families, and groups with the psychosocial support needed to cope with chronic, acute, or terminal illnesses. Serviced patients and families with education and counseling, and making referrals for other services. Provided care and case management/interventions designed to promote health, prevent disease, and address barriers to access to healthcare

Master'S Degree, Social Work

Risk Management

Certification in Healthcare Risk Management

Bachelor'S Degree, Psychology