Silvia Martinez

Experience

1. Case Manager

   Florida Community Care

   Oct 2020 — Present · Miami, FL, US

   Manage caseload for elderly population in the long-term careComplete initial assessment and annual assessment face to face using the Florida 701B to identify the client’s conditions and resources.Complete supplemental assessments.Evaluate the effectiveness of the care plan in meeting the established care goals; revises components of the care plan as needed to reflect changing needs, problems, and goals.Identify client’s strengths and barriersDevelop and review care plan in conjunction with client/ client’s representative.Arrange appropriate services and coordinate services delivery with other professionals involved with service provision.Encourage and provide education and training to caregivers, family members or friends.Complete and maintain a client record with progress reports and forms related to service provision and ongoing documentations.Interact telephonically with member to maintain member’s individualized care plan using the available data.Promote member self-management and empowers members/ caregivers to achieve maximum levels of wellness and independence.Documentation entered within 48 hours of occurrence.Participate in regular team meetings and departmental in-servicesServe as a liaison to providers, members, and caregivers for coordination of services.Work in conjunction with others on the team and promotes collaborative teamwork.Coordinate continuum of care activities for the enrollees.Develop a comprehensive and individualized care plan using a person -centered approach in conjunction with enrollee and caregiver.Work with multidisciplinary team collaboration.Meet with client at their homes or health care to discuss client needs and concern.Follow up with clients to ensure they are receiving they care they need.Interact in a manner, which is professional, respectful, positive, helpful, and promote trust.

Education

• Universitat de les Illes Balears

  Bachelor's degree in Social Work

  2018