Orlene G. Campbell

Healthcare Social Worker-team Lead @Community Care Plan

Sunrise, FL, US

Provide linkages and psycho-social support for members• Participate in the development and monitoring of an individualized plan of care with the multi-disciplinary health care team, patient and family/caregivers that promote patient strengths, advance patient well-being, and assist patients achieve their goals.• Assess patients\' progress and participates in plan of care throughout enrollment in population health management program.• Mobilize resources, intervenes as necessary and evaluates actions to achieve expected goal.• Formulate and implements appropriate plans of care, and reduces barriers to care, to minimize the likelihood of hospital admissions and/or emergency room visits.• Participate in interdisciplinary Population Health staff meetings.• Document member and provider interactions in electronic medical record including the patient or family involvement and knowledge of the plan and care needs of the enrollee.• Coordinate with multi-disciplinary staff to determine and facilitate the most beneficial program, therapy or activity to strengthen the patient\'s ability to self-manage their health, based on the age population and psychosocial needs of the patients.• Develop and maintain a familiarity with community resources.• Demonstrate ability in documenting and updating all referrals and counseling sessions.• Conduct a comprehensive assessment of patient and family/caregiver\'s psychosocial functioning and needs as they relate to chronic illness, including prior functioning, appropriateness, social determinants, adequacy of support systems, reaction to illness and ability to cope.

Barry University

Master of Social Work (MSW), Social Work

Florida Atlantic University

Bachelor's degree, Social Work