Cathy Thao

Experience

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  Milwaukee Center For Independence

  Oct 2013 - Nov 2014

  Client Care Coordinator

  Client point of contact, coordination of client services, supervised caregivers, entry of client care assessments into Generations, obtaining a weekly schedule for client services, ensuring caregivers are complying to schedule that has been set forth, staffing of caregiver to client as needed, trained new hires/orientation

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  Milwaukee Christian Center

  Nov 2014 - Mar 2016

  Case Manager

  ∙Works as a team with Registered Nurse to provide case coordination to adults ages 18 and up who have long-term disabilities related to development, aging, and/or physical disabilities∙Identifies long term goals, natural supports, and paid services which are then funded through My Choice Family Care∙Maintains monthly contacts with each client, completing psycho-social assessment at least every 6 months, assisting each client with maintaining their T-19 eligibility and connecting each member to community based resources∙Contacts/visits with clients are completed at their homes, group home, nursing home, day program, work environment or within community schools∙Knowledge of community resources available to meet the needs of clients served and has a thorough understanding of the range and type of long term care options available in the community∙Certified LTCFS screener to obtain information related to clients functional status, health status and need for assistance from an array of programs for the frail elderly and those with physical, developmental/intellectual disabilities∙initial and ongoing assessment, care plan development and revision of care planning with changes of condition, coordination with primary and acute care systems ∙monitoring and conducting follow-up with hospitalizations as needed, participating in routine health monitoring initiatives/care conferences ∙assessing for health and safety and developing risk reduction strategies∙Programs: MIDAS, Gateway, Google mail∙Certification: LTCFS Show less

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  Wellspring of Milwaukee

  Mar 2016 - Mar 2017

  Non-clinical Rehab Director/Social Worker

  ∙Provides each resident with social, emotional and psychological needs including family members and the continuing development of the resident’s full potential during his/her stay at the facility and assist in planning for his/her discharge∙Timely completion of social services portion of MDS, resident assessments, resident care plans, and progress notes as well as social services assessments and other forms by the Administrator in order to comply with federal and state regulations and facility∙Participate with resident care planning by identifying the social and emotional needs of the residents∙Make referrals to support agencies when the need for such services is determined by the interdisciplinary team, keeping records of such referrals∙Participate in the development of discharge plans as appropriate and prepare the resident for transition∙Coordinate resident room changes, transportation to appointments, community events, and other facilities as directed.∙Coordinate/schedule care conferences with resident and/or legal representatives and interdisciplinary team to participate in evaluation of the resident∙Make referrals and work closely with mental health provider to ensure that all resident psychosocial needs are identified and services are provided.∙Protect residents from neglect, mistreatment, and abuse∙Protect the personal property of the residents of the facility∙Complete self-reports to the state as necessary per federal and state regulations∙Address and follow-up with resident/family concerns as necessary per facility protocol∙Work closely as a team member of the interdisciplinary team to coordinate all cares needed for each resident at the facility∙Work directly with residents or legal representatives and their families at the facility in the Rehab and Traumatic Brain Injury Units and covering other units (Long Term and Mental Health/Dementia units) as needed∙Comply with HIPAA regulations∙In charge of code statuses and updating as necessary Show less

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  Mary-Jude Nursing Home

  Mar 2017 - May 2019

  Director of Social Services/Admissions/Marketing

  ∙Work closely with physicians and other health care professionals in patient evaluation and treatment ∙Complete and update social service assessments as part of the comprehensive resident assessment process. Helps identify resident’s current needs for social service interventions to improve or maintain functional abilities and those residents at risk of psycho-social deterioration. ∙Provides services planned to restore resident to optimum social and health adjustment within resident’s capacity. Arranges for other mental health counseling services as needed to attain or maintain highest practicable mental and psycho-social well-being.∙Works with IDT to develop, implement, and evaluate a plan of care for each resident. Attends, coordinates and schedules all resident care conferences. ∙Acts as role model for direct care staff in matters of protecting and promoting residents’ rights. ∙Records progress notes in the clinical record including subjective findings, objective symptoms, observations of behavior, interventions provided to resident.∙Identify ways to accommodate resident’s choices, preferences and customary routines. ∙Provides residents and prospective residents, family members and legal representatives information (orally and in writing, in a language they can understand) about the residents’ rights in the facility including rights under state law to make choices about health care decisions. ∙Provides discharge planning services when discharge is anticipated that reflect the resident’s and family’s preferences for care, coordination of post discharge care and services, including transportation, and how the resident will access and payfor services. ∙Assist with facility marketing. On-sites completed for potential referrals including outreach to hospital discharge planners and community providers.∙Assists with preadmission and care planning for admissions to the facility. ∙Attends continuing professional education programs and inservice education. Show less

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  Luther Manor, a Life Plan Community

  May 2019 - now

  Director of Care Transitions

  • Work closely with the Social Work team in all program areas to reduce the barriers thatkeep patients/residents from receiving timely care by identifying needs and providing theappropriate resources• Oversees the management and exchange of information amongst the participants who areresponsible for the different aspects of care during the transition process• Ensures coordination and continuity of care based on a comprehensive care plan andcurrent knowledge regarding the patients/residents treatment goals, preferences andhealth or clinical status. This includes but not limited to resident and family educationand coordination of health professionals involved in the transition• Responsible for establishing and achieving key performance indicators whichdemonstrate desired outcomes both clinically and financially• Develops and manages budgeting for the Social Services team in all program areas andother financial expectations• Fulfills the role of Director of Social Services within the Health Care Center:∙Responsible for compliance of the Grievance process and state reportables∙Works with the Care Transition team to resolve resident/family concerns∙Works with the Social Work Lead to ensure program compliance∙Supervises the Social Work team leads throughout the program areas• Supervises the Admissions team within the Health Care Center• Works closely with the Admission Lead to establish strong working relationships withreferral sources∙Provides support to the admission process via tours, pre-admission assessmentsand obtaining necessary documentation for compliance∙Works with the admission team to achieve establish census goals• Collaborates with nursing, social services, finance and other departments establishing acomprehensive resident centered care plan regarding resident goals and objectives• Champion/Coordinator of Connect Home for the Health Care Center, a programimplemented with the assistance of Lutheran Services in America. Show less