ER Social Worker focused on limiting inappropriate ER utilization through case management, multi-disciplinary collaboration and community health education.Facilitated psychological assessment and discharge planning of patients to both inpatient and outpatient facilities.

Medical Social Worker assisting group of administrators and fellow Social Workers to build KSC's first population health program. Multidisciplinary team include Nutritionists, Social Work, Certified Nurse Practitioners, LVN’s and Analysts. Outpatient care collaborates with PCP's, various specialists, pharmacists and behavioral health care.

Supervising staff of 18 Social Workers and Registered Nurses. Liaison to health care partners, senior administration, community programs and fellow program leads. Focused on minimizing health care risk, assisting in population health data analysis, behavioral/ medical program development.

Working within a team of Registered Nurses, Administrators and Social Workers to develop company’s first care coordination program focused on high-risk elderly population. Duties included program development, collaboration with Primary Care Physicians, Nurse Practitioners, Hospitalists and various specialists. Managing caseload of 70 patients utilizing eClinical Works EHR, linkage to community resources, assessments, developing care plans to avoid repeat hospitalizations. Frequent referrals to Palliative, Hospice, Diabetes/ COPD management and home healthcare.

Fulfilled case manager duties, including screening new patients and working within a primary care multidisciplinary team. Completed psychosocial assessments, co- managed caseload of 60 veterans utilizing CMTRA tracking software, CPRS documentation, assisting inpatient social workers, advanced directive interviewing, outreach presentations to various organizations and liaison with VSOs. Provided returning Veterans linkage to VA and community resources to assist in managing financial, housing, employment and family stressors.

Counselor to 12 clients, in multiple programs, including crisis and residential, providing methodical therapy in life skills, drug rehabilitation methods, monitoring psychiatric medications and assisting in administrative tasks including: client case management, detailed observation and clinical note taking.

Working on suspension, expulsion and school transfer cases. Communicating needs and concerns to family members and working within a team to create productive academic plans.

Counselor to 14 individuals in a dual diagnosis residential treatment facility, including primary clients. Experienced in treatment planning, facilitation of group therapy and day treatment. Work includes teaching life skills, performing intakes, monitoring psychiatric medications and client case management. Accomplished in transitioning persons from jail or homeless situations to safe, productive lives. Directed emergency training and planning update including scheduled trainings. Directed Food Bank implementation to cut food costs for Loso Program.

Provided counseling to terminally ill clients. Worked closely with client's treatment team including hospice care and case managers. Assisted with client's last wishes and projects of remembrance.

Advisory role to the citizens and government of Vanuatu regarding health education and prevention methods for a handful of villages. Provided regional counseling to youth and families in money management, environmental concerns, business development and project management. Worked with NGO's including World Vision and the Red Cross to eradicate provincial HIV concerns with youth based programs. Created regional substance abuse curriculum benefiting approximately 1,000 individuals. Fluent in Bislama, the Pijin language of the South Pacific.