Lisa Graham Email & Phone Number

Greater Minneapolis-St. Paul Area

Respectfully guiding client and caregiver decisions, providing assessment, care planning, medical advocacy, caregiver consultation, connection with community resources, mediating decisions, relocation assistance and ongoing support.

Roseville, Mn

Facilitate conversations with residents of nursing facility to assist them in identifying what matters most to them and to achieve their own unique work of aging. Minnesota state grant-funded project called ResoLute.

North St. Paul, Mn

Provided information and assistance to healthcare providers that increased referrals to Senior LinkAge Line and other agency programs. Created partnerships resulting in referrals for evidence-based health promotion programs. Provided technical assistance to MN Eldercare Development Partnership's Live Well at Home grantees, and developed and facilitated Live Well at Home framework training for community partners. Formed and led pilot project with North Memorial Health to enhance referrals and create feedback loop between clinic providers and Senior LinkAge Line.Project manager to Twin Cities Aging Network, providing technical assistance to partner organizations on healthcare landscape, health information technology and creating a value proposition for their services.

North St. Paul, Mn

Led project team, drafted project charter and business plan, accounting for timelines, communications, marketing, costs and tracking progress to meet deadlines. Launched and ran the program. Recruited and supervised care transitions coach, tracked metrics, created reports and gave targeted presentations to administrative and governing groups.

North St. Paul, Mn

Assisted with website development, promoted community partnerships and training in principles of palliative care and difference between palliative and hospice care.

North St. Paul, Mn

Led Community-based Care Transitions Program (CCTP) with North Memorial Health, Hennepin County Medical Center, CareChoice Cooperative and Stratis Health. Provided leadership to 5 care transitions coaches, completed monthly reports for CMS, participated in national learning community as Minnesota's only CCTP partnership. Developed and presented successful results to all partners, i.e., coached individuals readmitted to the hospital less than half as often as uncoached members of their cohort.

North St. Paul, Mn

Provided intensive care coordination and relocation assistance for frail nursing home residents to enable their return to the community. Developed, coordinated and implemented person-centered planning with consumers, caregivers, nursing facility interdisciplinary teams, community-based service providers, ombudsmen and others to facilitate successful transitions.

Wyoming, Mn

Led and managed operations, clinical and financial performance of Social Work, Discharge Planning and Interpreter Services in acute care and clinics. Provided care management to complex patients in oncology, family practice and internal medicine. Participated in multiple interdisciplinary teams to improve processes and outcomes.Formed partnerships with county and other post-acute providers to promote continuity of care. Chaired combined Biomedical and Organizational Ethics Committee and represented region on system Integrative Ethics Committee.

Burnsville, Mn

Provided psychosocial assessments and support to individuals and their caregivers, developed and implemented discharge plans, responded to crises and represented social work services to hospital and clinics. Caseload included patients on units: medical/surgical, intensive care, pediatrics, normal newborn and special care nursery. Developed and maintained partnerships with referral sources. Managed day-to-day operations during departmental restructuring.

Bachelor Of Science - Bs, Social Work

Master Of Arts - Ma, Human Development