Work in Call Center. Talk to members and assess their needs to determine appropriate risk level. Provide information to specific services as needed. Document assessments in timely manner. Provide customer services.Also responsible for sorting the mail for the department.

Provide Hospice social work services to patients in their homes and in facilities. This service includes assessments, support, planning, referrals, placements, and working with the entire team to meet the needs of the patient• Complete comprehensive psychosocial assessments and consents• Met regularly with patients and families and provide for their social work needs which may be gift of presence, emotional support, life reflection, long term planning, and discharge planning• Continue to support patient and family through end of life, counseled pt and family though terminal stage of ESRD. When pt stopped dialysis MSW followed family through funeral and calls after for greif support.• Meet regularly with team members in IDG to determine plan of care for each patient • Provide Education to staff and facilities as scheduled (Odyssey)

Provide Hospice social work services to patients in their homes and in facilities. This service includes assessments, support, planning, referrals, placements, and working with the entire team to meet the needs of the patient• Complete comprehensive psychosocial assessments and consents• Covered entire agency of patients for 2 months (AseraCare)• Meet regularly with patients and families and provide for their social work needs which may be gift of presence, emotional support, life reflection, long term planning, and discharge planning• Continue to support patient and family through end of life, counseled pt and family though terminal stage of ESRD and patient's consideration of terminating dialysis.• Meet regularly with team members in IDG to determine plan of care for each patient • Provide Education to staff and facilities as scheduled (Odyssey)

Provide social work services including clinical assessment, counseling, and coordination of supportive services, referral and advocacy for community services, including long range and discharge planning, and consultation to the multidisciplinary team members. Developed and implemented a plan of care to resolve social and emotional problems impacting on the patient’s medical condition. • Completed comprehensive psychosocial assessments and necessary social work services to homecare and palliative care patients in their homes including, referrals, placements, advocacy, and support.• Covered high caseload of patients• Enrolled underinsured patients into patient assistance programs and made other community connections.• Educated dialysis patients about dialysis and encouraged patient and family to speak to doctor and staff at their unit. One patient and his daughters especially did not understand the implications of shortening his dialysis time. I provided ongoing education to this patient and his family and spoke with dialysis social worker to have pt and family speak with nephrologist for more education.

This position held the responsibility to enroll clients into the head injury program. Funded by state dollars, this program was locally administered by the Brain Injury Association of PA.• Completed eligibility applications with potential clients who sustained a traumatic brain injury in Central PA • Assisted client in development of service plan.• Assisted clients to locate alternate resources and programs that best fit their rehabilitation needs including: waiver services, OVR and HIP programs.

Provide social work services to home care and hospice patients in their homes. Provide clinical assessments and coordination of supportive services, referral and advocacy• Completed comprehensive psychosocial assessments in the patient’s home.• Educated patients and families about the role of hospice and available supports.• Participated as a member of the hospice care team and served in a supportive role to the patient and other family members.

• Provided social work services to patients on medical/surgical floor• Participated as member of the multidisciplinary team to coordinate discharge planning• Served as an advocate for the patients and provided emotional support to patients and their families, particularly during periods of medical crisis.• Made referrals to hospice as appropriate and supported patients and their families through the decision process• Made appropriate referrals to local AAA for elder abuse and guardianship, etc• Counseled many new dialysis patients and referred them to local dialysis units, arranged transportation

Responsible for all adult neurology and vascular surgery inpatient and outpatient social work needs including: placements home health referrals, hospice, durable medical equipment, AAA referrals, transportation arrangements, dialysis, drug and alcohol, resources for medication, referrals for attendant care and any issues related to domestic violence.• Was responsible for heavy caseload of patients the entire time I worked for HMC, completed my responsibilities for the patients and documented my work daily and kept my statistics for my patients as required in a timely manner• Provided support, education, and motivation to neurology and vascular patients to help transition them to the next level of care• Contacted insurance companies to verify benefits and obtain authorization.• Utilized all known sources to locate appropriate resources for patients and physicians • master’s and bachelor’s level students• Many of my patients required new dialysis setup also referred them to disability, social security and SSI.• Provided the hospital and insurance company with a cost analysis in a order to obtain necessary care for patients

Provide Social Work services to Home care patients and hospice patients in communtiy

Provided social work services to the adult medicine services including internal medicine, family medicine,GI, infectious disease, pulmonary medicine, and medical ICU and intermediate care unit. Also covered adult out patient services for these services. Planned for the discharge needs for assigned patients which included nursing home placement, rehab placements, arranging home care, verified insurance benefits to be sure patients had needed coverage for discharge need, found other sources to obtain services and medications and supplies when patients did not have insurance coverage.