Alexandra Elmes
New Hartford,CT
Summary
Current role is Manager of Clinical and Medical Operations as well as a Certified Case Manager in the process of obtaining an MBA in Healthcare Administration. Currently leading a team of nine skilled inpatient care coordinators in skilled nursing facilities across CT and RI. Obtained a masters degree in occupational therapy and a minor in psychology with a goal to expand skills and knowledge base into the managerial aspects of health care. Experiences include marketing and selling services to the community/local hospitals/doctors offices to maximize census at the outpatient/skilled nursing rehab facilities during role as DOR. Worked to establish an outpatient therapy department through marketing, public speaking and advocacy. Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings. Education and training has included management experience as the Director of Rehab at a skilled nursing facility as well as hands-on experience in high-level care of patients, the competent support of clinical operations and the training and awareness of cost-effective management of healthcare operations. To that end, striving to align current skills and can-do personality to join with the proper employer in an effort to deliver outstanding patient care.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Manager of Medical Clinical Operations
naviHealth
06.2021 - Current
- Responsible for day to day management and leadership of an assigned field clinical operations team
- Participates in the hiring and onboarding of new colleagues and the continued development of all colleagues
- Ensures SICCs understand and adhere to established protocols and processes
- KPIs have been successfully met as well as top in the region in areas of engagement, appeal rates and turn around time.
- Increased team productivity by implementing streamlined processes and effective communication strategies.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
- Reduced operational costs through comprehensive process improvement initiatives and resource management.
- Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
Skilled and Transitional Inpatient Care Coordinator
SICC/TCC
04.2020 - 06.2021
- Interqual trained and certified
- Experience performing the dual role of TCC/SICC in both health plan and BPCI-A Markets as well as providing backup leadership support to current CTM
- Managing personal caseload and assisting in managing coworker's caseloads
- Playing an integral role in optimizing patients' recovery journeys by completing weekly functional assessments and engaging the Acute and PAC interdisciplinary care team by providing them with the proprietary nH Outcome tool to align expectations for discharge planning
- Engaging and encouraging patients and families to share information to help facilitate informed decisions while serving as the link between patients and the appropriate health care personnel responsible for ensuring efficient, smooth, and prompt transitions of care
- KPIs have successfully been met each month while ensuring positive patient outcomes.
- Managed project timelines for successful completion, ensuring milestones were met and deadlines were adhered to.
- Increased efficiency by streamlining coordination processes and implementing new organizational systems.
Occupational Therapy Manager-Full Time
Vassar Brother Medical Center
07.2019 - 04.2021
- Responsibilities included making schedules for the OT staff, as well as conducting hands-on evaluations of patients with a wide variety of illness and disabilities to maximize independence with activities of daily living
- Assessed through questioning the home and work environments to help establish a safe discharge plan.
- Increased team productivity by implementing streamlined processes and effective communication strategies.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
Director of Rehabilitation
Preferred Therapy Solutions
07.2017 - 07.2019
- Oversaw departmental staff operations at a subacute rehab, ILF, ALF, and outpatient setting with a focus on business planning and budget development
- Founded, advocated, campaigned for and treated the first OT in the outpatient department
- Marketed services in the community, physicians' offices and local hospitals to improve census
- Performed home assessments to ensure safe discharge
- Planned and directed the rehabilitation program including PT, OT, and SLP therapists
- Oversaw the treatments, services, and reporting of patient cases
- Responsible for hands-on evaluations, screens, and supervision for two COTA's.
Occupational Therapist-Per Diem
The Grand Healthcare System
08.2017 - 06.2019
- Oversaw the treatments, services, and reporting of patient cases on a per diem basis
- Worked with patients and families to adapt their environment, modify tasks, and use equipment to improve participation in all areas of daily living.
Education
Master's in Occupational Therapy -
Misericordia University
Dallas, PA05.2017
Skills
- Proficient in all areas of Occupational Therapy and rehabilitative services with an emphasis on quality medical care and positive human interaction
- Exceptional managerial, interpersonal and communication skills with the ability to remain highly focused and self-possessed in fast-paced, high-stress environments
- Excellent organizational, time-management and communication skills with the flexibility required to adjust to rapidly changing schedules and frequently shifting priorities
Certification
- OTR/L, New York
- Licensed in New York and Connecticut
- CM - Certified Manager Certification
- Change Management
- Crucial Conversations
- Emotional Intelligence
- Interqual
Timeline
Manager of Medical Clinical Operations
naviHealth
06.2021 - Current
Skilled and Transitional Inpatient Care Coordinator
SICC/TCC
04.2020 - 06.2021
Occupational Therapy Manager-Full Time
Vassar Brother Medical Center
07.2019 - 04.2021
Occupational Therapist-Per Diem
The Grand Healthcare System
08.2017 - 06.2019
Director of Rehabilitation
Preferred Therapy Solutions
07.2017 - 07.2019
Master's in Occupational Therapy -
Misericordia University