Amanda Dantoni

• Perform utilization review in accordance with applicable medical policy and regulations.
• Obtain and review medical necessity and other supporting information including treatment plan requests to conduct reviews and validate physician’s orders to ensure appropriate and cost-effective services to patients.

• Process requests for durable medical equipment, orthotic/prosthetic, enteral nutrition and medical supplies.

• Provide clinical oversight to the case review department by reviewing and signing off on cases in accordance with applicable policy.

• Document review information and case notes in Northwood’s information system.

• Serve as a resource person for clinically related questions.
• Participate in the research, review and revision of medical policies on an as-needed and annual basis.
• Perform utilization follow-up contacts with patients as assigned.

• Coordinate with the clinical team to provide oversight of the utilization management program including but not limited to developing, administering and reporting on utilization management audit compliance metrics.
• Perform administrative duties; receive, log in and file a variety of documentation, reports,

patient/client/provider records, interactions and other documents.

• set-up patients with ostomy, urological and incontinence supplies via phone communication through patient, caregiver, physician or other care provider.
• troubleshooting issues and questions about the supplies and their proper use.
• understanding of insurance rules, reimbursements, guidelines and quantities.
• setting up patients with supplies that are both functional for the patient and economical for the company and insurance.
• collaborated with other health care providers and doctors to ensure that the patients needs are met.
• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
• Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
• Resolved concerns with products or services to ensure that the patients were satisfied and able to use the products
• Improved operational efficiencies while managing customers requests,
• Offered basic technical support for clients on wide range of medical products.
• Collaborated with store management and program leadership to suggest actionable improvements to services and supplies.
• Maintained accurate and current customer account data with manual forms processing and digital information updates.
• Answered customer telephone calls promptly to avoid on-hold wait times.
• Offered advice and assistance to customers, paying attention to special needs or wants.
• Answered constant flow of customer calls with minimal wait times.
• Recommended products to customers, thoroughly explaining details.
• Responded to customer requests for products, services and company information.
• Fielded customer questions regarding available merchandise, sales, current prices and upcoming company changes.
• documentation of all patient interactions, conversations and supplies.
• communicated and interpreted insurance rules/guidelines for the supplies in a manner that patients were able to understand.
• created and submitted written orders to physicians for authorization
• gained knowledge of ICD 10 and HCPC codes.

• Caring for spinal cord injury patients (quadriplegics) who are bed/chair bound and require extensive care at home.
• Documented accurate and complete patient information to address patient problems and expected outcomes.
• Administered controlled narcotics, inserted IVs and performed catheterizations.
• Performed routine evaluations of each patient's status, needs and preferences.
• Obtained patient vital signs and input/output measurements from inpatients.
• Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels.
• Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Used aseptic techniques to provide sterilized wound care and dressing applications.
• Comforted and counseled patients and families throughout care process.
• Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
• Cared for wounds, provided treatments and assisted with procedures.
• Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
• Minimized staff and patient infection risk by cleaning and disinfecting equipment instruments.
• Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
• Supported physicians during examinations and scans to assist with diagnostic procedures.
• assisted with ADLs and ROM.

• Documented accurate and complete patient information to address patient problems and expected outcomes.
• Administered controlled narcotics, inserted IVs and performed catheterizations.
• Performed routine evaluations of each patient's status, needs and preferences.
• Obtained patient vital signs and input/output measurements from inpatients.
• Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels.
• Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Used aseptic techniques to provide sterilized wound care and dressing applications.
• Comforted and counseled patients and families throughout care process.
• Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
• Cared for wounds, provided treatments and assisted with procedures.
• performed bowel program.
• oversaw CNAs to ensure all of patients needs are being met
• Gathered lab specimens, ordered testing and interpreted results to diagnose patients.
• Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
• Obtained biological specimens for ordered tests and prepared for laboratory transport.
• Minimized staff and patient infection risk by cleaning and disinfecting equipment instruments.
• Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
• Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
• Supported physicians during examinations and scans to assist with diagnostic procedures.
• Managed appointment calendar for scans, lab tests, and evaluations.
• Collaborated with family and physicians to assess patient needs, plan and modify care and implement interventions.

• Used established assembly instructions to complete jobs quickly, accurately and with zero errors.
• Assembled components with minimal supervision, exceeding expected project milestones.
• Assisted quality assurance by inspecting items and removing defective parts.
• Completed durable assemblies and subassemblies with hand and power tools.
• Followed outlined specifications to implement assembly plans.
• Performed hand-finishing of final products after assembling component parts for items.
• Conducted quality assurance inspections on finished components and identified issues.
• Checked position and alignment of each component to prevent errors and minimize materials waste.
• Calibrated equipment to maintain optimal performance.
• Prevented equipment jams or wasted materials by setting and verifying accurate parts clearances.
• Analyzed project specifications and other instructions prior to job start to pinpoint tasks and determine completion dates.
• Removed rough spots to enhance parts alignment and improve finishes.
• Used basic mathematical abilities to calculate materials, hourly rates and other relevant details.