Case Manager/Care Coordinator
Department Of Veteran Affairs
- Identified mental health, medical and psychosocial needs of individual patients and coordinated care based on these needs.
- Partnered with psychiatrists, primary care providers, social workers, etc to develop and implement individualized care plans and documented in electronic charting systems
- Managed support services and fostered communication among social workers, hospital staff and patients
- Worked with different disciplines to provide cohesive care to patients
- Collaborated with external agencies to meet needs of these individuals
- Managed case load of 12-15 Veterans diagnosed with a serious mental illness providing comprehensive, intensive community-based care
- Delivered high level of quality care to diverse populations of Veterans experiencing complex mental health and medical needs
- Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care
- Provided crisis intervention and management including facilitating voluntary and involuntary hospitalization
- Coordinated services and resources to enhance veteran support and accessibility.
- Trained new staff on case management procedures and best practices.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Provided crisis intervention support for clients experiencing emergencies, using appropriate techniques to de-escalate situations safely.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Collaborated with social services to connect patients with resources for housing, nutrition, and financial assistance, improving their overall wellbeing.