Elizabeth, New Jersey, United States
I am a patient-focused healthcare professional with 3+ years of experience in hospital and behavioral health settings. Bringing directly transferable strengths in patient screening, clinical eligibility assessment, chart review, data collection, documentation quality, patient education, and multidisciplinary coordination. MSW-trained in research methods, program evaluation, and evidence-based practice, with a strong foundation for supporting clinical study operations and participant safety.
Conduct comprehensive biopsychosocial assessments to evaluate psychiatric patients and determine appropriate levels of care. Review patient medical records and clinical histories using Epic to ensure accurate assessments and continuity of care. Maintain complete and accurate electronic documentation while adhering to hospital policies and regulatory standards. Coordinate care with psychiatrists, emergency physicians, nurses, social workers, and behavioral health professionals to facilitate patient treatment and disposition. Prepare legal and clinical documentation supporting involuntary psychiatric treatment in accordance with hospital guidelines. Analyze clinical information from multiple sources to support patient evaluations and documentation accuracy. Educate patients and families regarding evaluation procedures and treatment recommendations.
Conduct thorough biopsychosocial assessments to evaluate patients' mental health and risk levels, ensuring compliance with regulatory standards. Coordinate patient dispositions with psychiatric unit professionals, enhancing quality clinical services and improving patient outcomes. Draft and document legal screening documents for involuntary treatment in accordance with hospital guidelines. Efficiently document patient interactions using Epic Together, focusing on accuracy and regulatory compliance.
Document patient observations, behavioral outcomes, and daily care activities using Therap electronic documentation systems. Monitor patient progress and maintain accurate clinical records to support individualized care plans. Collaborate with interdisciplinary healthcare professionals to ensure continuity of care and regulatory compliance. Assist individuals with activities of daily living while promoting independence and quality of life. Maintain confidentiality while documenting patient information accurately and efficiently.
Addressed safety and behavioral management needs for youths, collaborating with a multidisciplinary team to implement treatment plans. Documented patient interactions and treatment progress on PerformCare, maintaining comprehensive and compliant records. Engaged parents with intensive behavioral intervention strategies, improving family involvement in treatment.
Assessed residents’ health and behavioral needs, utilizing findings to inform care plans and enhance service delivery. Facilitated psychoeducational groups, promoting understanding of mental health and behavioral strategies among residents. Developed strong rapport with youths, fostering a safe environment conducive to therapeutic progress.