Director of Care Management - Consultant
(2020 - 2022)
Provides onsite consultation, evaluation of hospital social work, and discharge planning utilization management of community resources. Drives the care transitions strategy through collaboration with hospital leaders, physicians, community provider leaders and key service line stakeholders.
- Provides onsite consultation, evaluation of hospital social work, and discharge planning utilization management of community resources-SNF's, HHA/Hospice, DME, transportation, chronic care management/ambulatory care, pharmacy, housing, WIC/DSS and entitlements programs. Drives the care transitions strategy, and other functions through collaboration with hospital leaders, physicians, community provider leaders and key service line stakeholders
- Established a focused strategy for movement and placement of patients into and out of hospital from a multitude of access points through processes that enable volume growth and competitive advantage.
- Working with hospital management, departmental and interdepartmental staff and physicians in identifying operational opportunities and inefficiencies, assists in the development and evaluation of alternatives and solutions, and drives the establishment of action plans for improvement.
- Serves SME to identify issues and risks within and outside organization decision-making regarding care transitions to implement and influence change and to provide value-added services.
- Working with facility executive teams, medical and nursing leadership, and the Physician and Provider Relations team to promote volume growth and competitive advantage through development of differentiating strategies.
- Utilize market analytics; identify and communicate potential business opportunities to hospital leaders for growth.
Director Care Coordination/Social Work - Jamaica Medical Center - Queens NY
(2015 - 2020-11)
Provides leadership for day to day management and operation of social work/care management activities. Position reported to CFO with 4 direct reports and 52 FTE's equivalents. Directed the development and implementation of social work/care management practices and policies that support the organization's goals. Partner with administrative leaders clinicians, executives and community partners to improve care management & drive alignment.
- Worked collaboratively across the health care system to create and implement strategies to drive patient progression and throughput in a socially complex environment while optimizing key clinical and financial outcomes, best practices
- Solidified relationships with physician leaders, department staff, managers and other departments to guide operational direction through collaborative efforts
- Improved patient satisfaction, achieved department goals and financial performance while managing resources and overseeing continuous process improvement through collaborating with other leaders
- Initiated and executed several strategies to reduce LOS.
- Partnered with community agencies and resources to advance discharge planning efficiency
- Ensured staffing, project planning/development, facilities planning, budget preparation, regulatory compliance, and contract negotiation with vendors.
- Positioned the organization for success by identifying new opportunities and building the organization by developing and improving services. Aggressively cultivated and maintained strong partnerships with post acute care providers-developed new programs and resources to address difficult discharges.
- Worked with the Revenue Cycle department to ensure denial
Manager of Social Work - St. Luke's Roosevelt Hospital - NYC
(1996 - 2000)
- Supervised 15 LCSWs that provide home health social services to ensure patients are met according to regulatory and hospital standards. Monitor clinical, quality and audit documentation, prepare department for annual audits and Joint Commission Recertification.
Medical Social Worker - PerDiem LMSW to NYC hospitals - NYC
(1993 - 2000)
- St Luke's Roosevelt Hospital, NYC
- Mt Sinai Hospital, NYC
- St Vincent Hospital, NYC
- Cabrini Medical Center, NYC
- New York Hospital, NYC
- Primary role is to deliver services as medical social worker to various hospital and home health agencies in the NYC area. Specific services includes short term counseling, advocating for benefits and resources, referrals to community services, case management and case conferences in multidisciplinary team, communicate with medical doctors, nursing management on patients progress, prepare admission and discharge documentation according to regulations.
