• Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development• Highly trained in completing Department of Elder Affairs 701B, 701T, and supplemental assessments• Complete 701B/T supplemental assessments • Complete fall risk assessments• Knowledgeable in Personal Direct Option guidelines and referral process.• Assist in providing 1:1 training and shadowing to new hires• Responsible for ensuring members records stay in compliance with state and federal regulation• Meet annual AHCA Nursing Home Transition goals by referring nursing home members • Proficient in achieving and maintain NCQA accreditation and meet AHCA requirements.• Provide smooth transition for members with Continuity of Care (COC)• Trained in submitting critical incident reports• Skilled at maintaining and improving provider partnerships with ALF’s & SNF’s• Provide prevention, continuity of care and coordination of services.• Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge, care plan, and coordination of acute care and long term care.• Proficient in electronic medical work systems, Microsoft office programs, excel, data entry, faxing, HEIDIS, Trucare, Sharepoint, Citrix• Assist member with filing and resolving complaints and appeal• Responsible for members gaining access to needed services through coordination and integration of medical and long-term care services for the purpose of orientation, care plan development, assessment, and care co-ordination.• Provide referrals and scheduling assistance, inpatient discharge planning and post-discharge care, coordination with practitioners, medical services, and social/community resources.• Complete monthly, quarterly, and annually face to face visits with community based members, as well as, custodial members.• Assist members in creating a customized Person Centered Plan of Care.

• Responsible for performing assessments and interventions. • Fully participate in the planning and the delivery of hospice care services.• Assist clients in utilizing the resources of their family and available community services; assists in linking the patient and family with community resources. • Serve as an On-Call Social Worker.• Responsible for assessment and intervention with the patient and family as a member of the interdisciplinary team. Perform duties that include assessment, intervention, care planning, outcome evaluation, documentation and collaboration/communication with the Interdisciplinary Team. • Trained in assessing patient/family factors to estimate coping with diseases, terminal illness, and death.• Provide counseling and support to patient and family for crisis intervention, preparing Advance Directives, funeral planning, issues involving transfer of fiscal, legal, and health care responsibilities, community resources, and bereavement needs. • Assist in nursing home and assisted living facility placement of patients.• Responsible for documenting the outcomes and evaluate interventions and goals on an ongoing basis. • Responsibility to obtain financial information patient/family. When patient has limited insurance/resources, facilitate Medicaid application.• Experience in applying for medicaid ICP, HMO, Waiver, and Diversion Program.

• Responsible for maintaining knowledge in programs offered and understanding admissions procedures and policies.• Utilized professional communication to enroll and maintain future students. • Enrolled and maintained future students.• Followed up with inquiries by telephoning prospective students and conducting interviews either on campus, by phone or e-mail. • Helped future students through the enrollment process, as well as, collaborated with other departments to ensure a smooth enrollment.• Use CampusVue to research prospective student leads and make notes as necessary• Work with the Admissions department to maintain monthly start goals.• Assist in coordinating and participating with external recruiting events, assist in job and career fairs conducted by the university and assist in developing and hosting open house events.• Aid prospective students in completing the admissions process.• Proficient in documentation of phone call records, meetings, and career planning sessions in daily report.• Provide peer to peer support and assist in trainings• Ability to connect with a diverse group of people

• Ability to interview and assess client needs, elicit information and establish community referral sources. • Prepared initial/ subsequent case plans; referred clients, patients and family members for community or social services, medical or psychological services, or housing, financial and employment assistance.• Ability to organize time, set priorities and manage a high caseload.• Responsible for coordinating visitation between parents and children, maintaining schedule for visitation, supervising visitation, assessing the outcome of visitation. • Ability to conduct a 96 Hour Administrative Hold, Order of Temporary Custody and/or file Neglect Petitions.• Trained in interviewing alleged victims and perpetrators of abuse and/or neglect and knowledgeable in ascertaining the level of risk and determining the validity of the reported allegations.• Responsible for conducting home visits on a weekly, bi-weekly, and/or monthly basis.• Assessed the safety and well-being of clients. • Counseled clients regarding community resource agencies and provide appropriate referrals. • Monitored case plan progress and evaluated reports from multiple service providers.• Responsible for testifying at court hearing regarding neglect petitions and permanency plans.• Monitored clients physical health, mental health, and educational needs.• Provided support to children, caregivers, and family members to assure stability of placement and achievement of permanency plan.• Attended multi-disciplinary staffing’s and coordinated cases with supervisor, team members, providers, and attorneys as needed.

• Provided in home therapy and case management to families.• Collaborated with clinician in assessment and treatment planning.• Offered therapeutic support and parent guidance to families.• Collaborated with clinician to provide advocacy, case management and concrete services in accordance with treatment plan and maintained progress notes.• Participated in supervision, case presentations, and home visits.• Maintained clinical records in IICAPS Web-based system.• Provide 1:1 onboard training to new employees through shadowing and providing tools to manage caseloads• Trained new employees on how to bill insurance • Connected child/family with professional and naturalistic supports and services to enhance the child’s ability to function successfully at home and in the community.

• Provided case management services.• Provided individual and family counselling for sexual abuse and/or domestic violence survivors. • Provided crisis intervention and support services to victims/survivors of sexual assault and/or domestic violence.• Coordinated with other staff to provide crisis coverage during business hours.• Ensured after hours coverage for Sexual Assault Hotline (English and Spanish) as well as ensure coordination of services with state and local system.• Prepared timely and accurate monthly, quarterly, and annual statistical reports.• Served on CONNSACS task force to develop, implement and staff a statewide Hispanic hotline.• Provided legal and medical advocacy to victims/survivors of sexual assault and their significant others.• Provided outreach and community education to the Latino and general community as needed. • Responsible for training interns and providing peer to peer support