Licensed Master Social Worker / Case manager - Weslaco Regional Rehabilitation Hospital - Weslaco, TX 78596
(2026-01)
- Managed rehab hospital caseloads, coordinating discharge planning and continuity of care across amputee, stroke, and cardiac programs.
- Collaborated with interdisciplinary teams to develop individualized care plans and complete patient assessments.
- Educated patients and families on MPOA, advance directives, and post-discharge resources.
- Coordinated referrals, DME, insurance authorizations, and community services to support safe discharge.
- Completed documentation including core/barrier notes and PASRR in compliance with regulations.
- Provided emotional support to patients and families during care transitions.
Licensed Master Social Worker / Case manager - DHR Health - Edinburg, TX 78539
(2025-08 - 2026-01)
- Coordinated discharge planning and transitions of care in a fast pace health care environment.
- Collaborated with interdisciplinary healthcare teams.
- Connected patients and families with community resources and support services.
- Managed discharge planning across multiple acute care units.
- Educated patients and families on care plans and available services.
- Documented assessments, care plans, and patient progress.
- Coordinated with healthcare liaisons and community partners.
- Assisted with hospice referrals and end-of-life planning.
- Completed Adult Protective Services (APS) referrals as needed.
- Medical Power of Attorney
Licensed Master Social Worker - Greater Valley Hospice - McAllen, TX 78501
(2024-01 - 2025-09)
- Psychosocial Assessments
- Home / Nursing Home Visits
- Educate and Obtain Signatures for DNR
- Assess for ANE / Safety Risk
- Bereavement Risk Assessment
- Interdisciplinary Group Meetings
- Assist with Funeral Arrangements
- Providing Resources for Funeral Homes, Provider Services, Counseling, and State Benefits
- Assist Patient / Family on Applying for State Benefits and State of Texas Emergency Assistance Registry
- PASRR
- Coordinate Respite Care
- Educate on Hospice Philosophy and Comfort Care
- Implement and Update Plan of Care
- Educate on Signs and Symptoms of Near End of Death
- Patient Life Review
- Assess and Evaluate Patient and Family Ability to Cope Mentally, Physically, and Emotionally
Case Manager (Knapp Community Care Foundation) - Tropical Texas Behavioral Health - Weslaco, TX 78596
(2023-09 - 2024-01)
- Case Management for Clients in the Knapp Community Care Foundation Program who have Diabetes, Hypertension, and Obesity Diagnosis.
- CANS/ANSA
- Person Center Recovery Plan
- Support Group Sessions for Adults
- Home Visits
- Evaluate Clients Social, Emotional and Psychological needs to Create Treatment Plans
- Intervention Planning for Adults in Developing and Setting SMART Goals to Promote Positive Change.
- Monitoring and Evaluating Clients Progress
Master Social Work Intern - Nueva Luz Foundation - Weslaco, TX
(2023-05 - 2023-08)
- Co-facilitator for Veteran's Group
- Veteran Intakes for Group
- Group Facilitator for At Risk Youth
- Develop Therapeutic Activities for Children's Group
- Biopsychosocial Assessments for Immigration Hardship Reports
- Psychosocial Assessments for Trauma Clients
- Debriefing First Responders
- Supportive Counseling for Children and Adults who are mentally challenged from Trauma and/or PTSD
- Analyzing and Developing Therapeutic Activities using Theory for Individual Supportive Counseling Sessions that Meets the Clients Needs.
- Intervention Planning
- Provided Psychoeducation on the Physiology Symptoms of PTSD and Trauma to Children, Adults, and Educational Institutions
- Networking with Agencies
- Developed an Immigration Hardship Template and Template Guide to Improve Agency's Services to Clients.
- Breathing Techniques
- Heart Rate Variability Sessions (HRV)
- Community Outreach for Veteran Coalition and Veteran Affairs (VA) Veteran BBQ Event on behalf of the agency
Internship - Doctor's Hospital at Renaissance (Behavioral and Women's Hospital) - Edinburg, TX
(2022-01 - 2022-04)
- Assessments
- Intervention planning for Adult and Geriatric Patients
- Providing Resources (Rehab, NA, AA, WIC, Texas benefits, Skilled Facility Nursing, Assistant Living Programs)
- Contacting Agencies
- Filed/Served Order of Protection Custody
