Jennifer Hayes

• Provides advocacy for patient and families

• Coordinate discharge planning for patients, ensuring safe and effective transitions to home or community care.
• Manage interdisciplinary care plans and provide resources to patients and families.

• Advocate for patients by aligning medical, social, and community resources with individual care needs.
• Facilitate communication among interdisciplinary teams to optimize patient care outcomes.
• Identify in developmental strategies to reduce length of stay
• Efficient in Powerchart, EPIC, Careport, and Ensocare

• Assess patients for mental health, suicidal ideation, substance abuse and other barriers
• Gather community resources to help assist with discharge needs
• Coordinate and arrangement of home services for several disciplines
• Following and planning techniques for positive discharges

•. Conducted psychosocial assessments, including evaluations for mental health, substance abuse, and barriers to care.
•. Implemented discharge planning services, coordinated home services, and connected patients with community resources.
•. Facilitated weekly interdisciplinary team meetings to review diagnoses, discharge plans, and family education.
• Recommended psychiatric evaluations when necessary, ensuring patients received comprehensive care

• Implementing discharge planning services to interdisciplinary settings
• Providing advocacy for patients
• Gathering community resources that can further help patients after discharge
• Facilitated weekly team meetings , including diagnosis, discharge dates, and family education

• Conducted face to face weekly contacts to ensure clients are abiding by organizational policies and guidelines
• Provided necessary resources, opportunities, and support for personal and professional development
• Designed and implemented strategies for clients to achieve personal, financial, and career objectives
• Develop and maintain supportive relationships emphasizing accountability
• Consulted with teachers, parents, and administrative staff to offer observation, direction, and support for student achievement
• Provided case management when needed to offer resources and support to students and families
• Provide advocacy in the areas of health, employment, and housing
• Conducted crisis interventions, completed initial assessments, and developed actions plans as necessary to preserve the wellbeing of clients and families