Teresa Jacott Email & Phone Number

• LISW-S/ LCSW- medical social work speciality• Conducted bio-psycho-social, diagnostic, intake & ongoing assessments, mental health screenings/ evaluations to aid in determining patient level of care need• Discharge planning- Set up DME, Home Health Care, Dialysis & Hospice Care; Arranged Skilled Nursing/ Rehab/Long-Term Care Placements; Transportation services for patient care• Case Management- Collaborate with Community Agencies & Medical providers to develop relationship & coordinate patient care; Assist patients with supportive, supplement applications & Advance Directives/Living Will/POA documents; Educate patients on health conditions• Develop & maintain care & discharge plans independently & as part of Interdisciplinary Treatment Team. Maintain detailed documentation of patient care.• Referrals/ linkage of patients to community agencies for support &/or resources• Conducted quality assurance, utilization reviews & authorzations for services; Worked under CMS guidelines & regulations,Contracts & Grant guidelines. • Patient & family interventions & support services addressing physical, social, emotional, & mental well being for treatment compliance, recovery &/or care/discharge planning • Use Cognitive Behavioral, Motivational Interviewing, Brief counseling to address Major Life Adjustments, Chronic/Terminal Illness, Greif/ Loss, Mood Disorders, Domestic Violence; & educate on using coping skills & behavior modification• Victims of Domestic Violence & Parenting Skills therapy groups • Use Electronic Records & Microsoft programs for record maintainance, statistical database, & reports.• Supervise staff• Assist in developing & Implementing Projects/ Programs; Participate in Community, Health Education Events; Non-Profit Fundraising; Speaker on Renal Disease & Transplant• Presentations related to Cultural Diversity; Tobacco Cessation; Elderly Substance Abuse &/or Mental Health disorder;Understanding & Managing End Stage Renal Disease & Transplant

Listed skills include Mental Health, Social Services, Community Outreach, Case Management, and 6 others.