Lori Torres-Polk

• Conducted comprehensive assessments to evaluate patient needs and develop personalized care plans.
• Collaborated with interdisciplinary teams to ensure holistic support for patients and families.
• Provided emotional support and counseling to patients facing end-of-life challenges.
• Educated families on available resources, coping strategies, and grief processes.
• Facilitated communication between healthcare providers and families to enhance care coordination.
• Developed and implemented community outreach programs to raise awareness of hospice services.
• Collaborated with interdisciplinary team members to provide comprehensive patient care.
• Developed strong rapport with diverse clientele by demonstrating cultural competency and sensitivity throughout service provision.
• Facilitated effective communication between patients, families, and interdisciplinary team members to ensure a seamless hospice experience.
• Maintained accurate documentation of all social work interventions in accordance with regulatory requirements and organizational policies.
• Empowered patients to make informed decisions about their end-of-life care through compassionate counseling sessions.
• Provided crisis intervention services for patients and families experiencing acute emotional distress during the end-of-life process.
• Enhanced patient and family understanding of hospice services by providing thorough education and resources.
• Conducted in-home visits to provide supportive services.
• Assisted patients in accessing housing, financial assistance and other community resources.
• Assessed risk factors of patients and made referrals for further services.
• Facilitated family meetings to discuss patient care plans.
• Participated in interdisciplinary care conferences to discuss patient care plans and referrals.

• Developed and implemented strategic initiatives to enhance patient engagement and retention.
• Oversaw operational workflows, ensuring adherence to regulatory standards and best practices.
• Led cross-functional teams to improve clinical outcomes through evidence-based practices.
• Managed budget allocation and resource optimization to maximize program efficiency.
• Fostered collaborative relationships with community partners to expand service offerings.
• Mentored leadership team on best practices for staff development and performance improvement.
• Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
• Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
• Cultivated a positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale.
• Strengthened internal controls by reviewing existing policies and procedures, ensuring compliance with regulatory requirements.
• Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
• Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
• Established team priorities, maintained schedules and monitored performance.
• Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
• Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
• Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
• Planned, created, tested and deployed system life cycle methodology to produce high quality systems to meet and exceed customer expectations.

and suggested improvements based on patient feedback and outcomes.

• Conducted comprehensive assessments to evaluate patient needs and develop personalized care plans.
• Collaborated with interdisciplinary teams to ensure holistic support for patients and families.
• Provided emotional support and counseling to patients facing end-of-life challenges.
• Educated families on available resources, coping strategies, and grief processes.
• Developed strong rapport with diverse clientele by demonstrating cultural competency and sensitivity throughout service provision.
• Facilitated effective communication between patients, families, and interdisciplinary team members to ensure a seamless hospice experience.
• Maintained accurate documentation of all social work interventions in accordance with regulatory requirements and organizational policies.
• Empowered patients to make informed decisions about their end-of-life care through compassionate counseling sessions.
• Enhanced patient and family understanding of hospice services by providing thorough education and resources.
• Maintained detailed records of patient progress, documentation of services and case notes.
• Conducted in-home visits to provide supportive services.
• Assisted patients in accessing housing, financial assistance and other community resources.
• Managed caseload to satisfy multiple patients with diverse needs.
• Participated in interdisciplinary care conferences to discuss patient care plans and referrals.

• Facilitated comprehensive psychosocial assessments for patients and families to identify needs and resources.
• Developed individualized care plans in collaboration with interdisciplinary teams to enhance patient quality of life.
• Provided emotional support and counseling to patients facing end-of-life issues, ensuring compassionate care.
• Coordinated community resources and services to assist families in navigating hospice care options effectively.
• Maintained accurate documentation of all social work interventions in accordance with regulatory requirements and organizational policies.
• Developed strong rapport with diverse clientele by demonstrating cultural competency and sensitivity throughout service provision.
• Supported patients in navigating complex healthcare systems, securing necessary resources, and addressing barriers to care.

• Coordinated discharge planning for patients, ensuring smooth transitions to post-acute care settings.
• Collaborated with multidisciplinary teams to develop individualized care plans tailored to patient needs
• Collaborated with multidisciplinary teams to develop individualized care plans tailored to patient needs.
• Assessed patients' social determinants of health, identifying barriers to successful discharge and follow-up care.
• Coordinated timely discharges by effectively communicating with physicians, nurses, social workers, and other relevant stakeholders.
• Established strong relationships with community agencies, enabling effective coordination of post-discharge support services.
• Solved problems related to abrupt changes in discharge, coordinated updates and communicated discharge plans.
• Served as a key resource for patients and families, providing guidance on post-discharge care options and resources.
• Coordinated travel arrangements and contacted family with travel information.
• Managed complex cases involving multiple medical issues or psychosocial challenges by utilizing critical thinking skills and professional expertise in discharge planning processes.
• Evaluated patient progress throughout their hospital stay, adjusting discharge plans accordingly to ensure successful reintegration into the community setting or placement in suitable long-term care facilities when necessary.
• Collaborated with interdisciplinary teams to ensure seamless transitions from hospital to home or other care facilities.
• Supported patients in navigating complex healthcare systems by providing clear guidance on available resources and services postdischarge.
• Ensured compliance with federal regulations and accreditation standards related to discharge planning activities within the organization.
• Promoted a patient-centered approach to discharge planning, incorporating individual preferences and needs into the development of tailored care plans.
• Worked with utilization review to establish prior authorization for timely discharges.
• Assisted patients in accessing financial assistance programs, helping to alleviate the burden of medical expenses during their transition from hospital care.
• Coordinated patient discharge planning and follow-up care.
• Coordinated individualized discharge plans to manage safe transition back into community and home environments.
• Completed psychosocial evaluations and needs assessments.
• Assessed risk factors of patients and made referrals for further services.
• Facilitated family meetings to discuss patient care plans.
• Maintained detailed records of patient progress, documentation of services and case notes.
• Assisted patients in accessing housing, financial assistance and other community resources.
• Participated in interdisciplinary care conferences to discuss patient care plans and referrals.
• Educated patients and families on discharge processes, enhancing understanding and compliance with aftercare instructions.
• Facilitated communication between healthcare providers, insurance representatives, and community resources for seamless service integration.

• Mentored new social workers in best practices for patient interaction and advocacy.
• Evaluated program effectiveness and suggested improvements based on patient feedback and outcomes.
• Mentored new social workers joining the organization—sharing best practices while fostering a supportive learning environment.
• Streamlined referral processes within the hospice by working closely with intake coordinators and establishing clear communication channels.