Shandra Wilson Email & Phone Number

Atlanta, Georgia, United States

Provided onsite case management, care coordination, and discharge planning in various acute care settings across the US. Key responsibilities included: Participating in daily interdisciplinary rounds to assist with formulating safe and appropriate discharge plansCompleting initial psychosocial assessments assessments and incorporating social determinants of health into transition care planningCoordinating post discharge placements to LTAC, SNF and acute rehab settingsFacilitated safe discharge plans home with home health care and appropriate DMEAssisting with arrangement of initial hemodialysis clinic chair for ESRD patients by forwarding chest x-rays, hepatitis B panels, and flowsheet clinical documentation to outpatient dialysis centersArranged BLS, ALS and wheelchair transportationProvide patient notification and documentation for compliance: IMFM letters, MOON letters, and Condition Code 44 letters

Alpharetta, Georgia

Provided compassionate emotional, psychosocial and practical support to patients and their families facing end-of-life care. Collaborated with the hospice interdisciplinary team to develop personalized care plans that addressed the unique needs and wishes of each patient.Offered individual and family counseling to address grief, anxiety, depression, and other emotional concerns. Provided a safe space for patients and families to express their feelings and concerns.Educated and assisted patients and families in making informed decisions about end-of-life care, including advance directives, POLSTs, funeral planning/arrangements, and other hospice care options.Connected patients and families with community resources, placement, caregiver respite, and services to enhance their quality of life and address practical needs.

Atlanta, Georgia

Worked collaboratively with physicians and other interdisciplinary team members to assess and plan for safe discharge, care delivery and transition planning to the next level of care. Actively participated in the interdisciplinary approach to patient care management to screen for high risk patients, identify appropriate length of stay per DRG, advance the patient's plan of care, identify and act to resolve barriers, coordinate safe and appropriate discharge to the proper level of care within the appropriate time frame. Responsible for: assessment of patient's and family's needs for post-acute care and placement, SDOHs, resource identification, disposition planning, and transitions of care activities.

Atlanta, Georgia

Perform all aspects of the hospital’s intake, assessment, admission and referral processes. Responsibilities include, but are not limited to: • Efficient and effective handling of intake and inquiry calls • Maintaining daily census records• Providing hospital and program information to individuals, agencies, facilities, and professionals • Making outside referrals, when appropriate • Assessing and triaging an individual’s mental health and/or chemical dependency status; • Determining appropriate levels of care with MDs• Entering all intake and admission data into a hospital computer database• Making patient safety and level of care recommendations to the physicians(s); • Identifying insurance benefits and pre-certification of patient care; • Completing thorough intake assessments; • Communicating patient safety concerns and pertinent patient information to unit nursing staff • Maintaining phone, assessment and EMTALA logs.

Hiram, Georgia

Federal Grant Funded position | Conducted outreach and education activities to inform consumers, businesses, schools, community organizations and other stakeholders about insurance affordability through Medicaid and/or CHIP• Provided outreach, education, referral and enrollment assistance to consumers requesting help with Medicaid/CHIP application. • Possessed thorough knowledge of public assistance program policies and procedures; interviewing techniques to elicit and probe for personal, financial, medical, or other sensitive information. • Provided excellent case management practices and techniques; evaluation processes, and support services resources.• Utilized GAMMIS to verify client eligibility and check status of applications• Developed, Implemented and Established outreach strategies and community partnerships to promote availability of health coverage and encourage participation of consumers in under-served communities• Conducted public education activities and provided awareness of grant program at community events• Communicated orally and in writing with clients in a culturally and linguistically appropriate manner

Hiram, Georgia

Provided community support services consisting of rehabilitative, environmental support and resources coordination. Assisted clients and family in gaining access to necessary services and creating environments that promoted resiliency. Supported the emotional and functional growth and development of the client. Duties and responsibilities included:• Providing skill building services to clients• Consulting with referral sources concerning treatment plan implementation• Conducting interventions that closely follow the treatment plan• Attending IEP meetings and parent/teacher conferences to advocate on client’s behalf• Attending court hearings on behalf of clients• Developing and maintaining complete and accurate clinical documentation• Submitting progress notes to clinical supervisor within deadlines• Communicating with clients, stakeholders, supervisors & team members frequently to provide updates

Tucker, Georgia

Provided support and direct care to patients and families under the supervision of Hospice Social Worker.• Worked with Social Worker to identify case findings that required intervention in conjunction with the interdisciplinary team (IDT). Assisted in coordinating the psychosocial component for plan of care for hospice patients/families.• Provided on-going individual and family support as need was determined by the IDT.• Assessed the ongoing social and emotional factors related to patient/family coping with illness, financial difficulties, and grief. Reported on effects of and educated other members of IDT in understanding the significance of social and emotional factors related to patient’s health issues.• Participated in IDT meetings and provided input regarding psychosocial aspect of care as needed.• Participated in discharge planning when determined necessary by IDT.• Assisted patient and families with long term care placement for patients if needed, or respite placement.• Completed documentation regarding patient care and patient and family contacts.• Assisted with bereavement needs of family as needed.• Attended memorial services in support of family when needed/appropriate• Assisted patients/families with community resource referrals as needed.• Met with Hospice Social Worker regularly for supervision and discussion.

Marietta, Georgia

Under general supervision, performed social service/mental health functions to youth and their families. Responsibilities included:• Completion of complex psychosocial assessments• Multi-disciplinary treatment team participation • Treatment planning/monitoring and discharge planning• Therapeutic counseling to youth/clients and/or served as a community liaison for social services.

Doctorate, Social Work

Activities and Societies: Phi Alpha National Honor Society, 2023 National Society of Leadership and Success, 2022 President's List, 2022 &.

Master Of Social Work (Msw), Health/Mental Health, 4.0 Gpa

Activities and Societies: NASW Member of Phi Kappa Phi Honor Society Member of Alpha Epsilon Lambda Honor Society Member of Phi Alpha.

Bachelor'S Degree, Business Administration And Management, General