ADRIANNA ROHANI

Performed admission reviews based for medical necessity based upon surgical/procedural specification. Supervised and maintained all utilization review documentation through ACMP/Compass/Facets. Submitted cases for criteria failures and helped facilitate resolutions and approvals. Provided skilled, timely and level-headed emergency response to critically-ill patients. Evaluated medical guidelines and benefit coverage to determine appropriateness of services and obtained authorizations from multiple insurance carriers for various levels of care. Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies. Communicated with healthcare team members to plan, implement and enhance treatment strategies. Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.

Behavior therapists utilize a behavior analysis method to provide behavioral improvement for patients with mental disorders ranging from depression, alcoholism to schizophrenia, and autism/developmental challenges. By observing and responding to different behaviors, behavior therapists provide guidance to patients with the intention of helping to alter those behaviors in an observable way through research and science. Kept accurate records by documenting progress and adhering to prescribed behavior plan. Worked as part of collaborative team to address changing needs of children and families.

Conducted functional behavior assessments, functional analysis, preference assessments and assessments of basic learning and language skills to identify target behaviors and purpose of behaviors. Kept accurate records by documenting progress and adhering to prescribed behavior plan while working as part of collaborative team to address changing needs of children and families. Took and monitored vital signs, administered medications and managed patient behavior. Coordinated with medical and paramedical professionals to provide appropriate input and effectively formulate and implement treatment plans for patients.

• Lifeguard: Monitor pool activities and ensure member safety, remain up to date on rescue and emergency medical procedures, complete in-service training and evaluations, complete incident reports, and perform pool maintenance
• Wellness Coach: Greet patrons and members, monitor fitness center member and equipment to ensure safety, demonstrate proper use of equipment, offer/sell personal training services, administrative task keeping accurate schedules and reschedule and/or cancel appointments.

Oversaw day-to-day business and clinical activities by establishing goals, objectives, standards of performance and policies and procedures when managing annual budget.Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable.Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel. Assessed processes and procedures, complying with OSHA and HIPAA regulations.Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills. Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.