Anjelica Nielsen
Middletown
Summary
Knowledgeable Home Health Care Coordinator and Physical Therapist with an extensive background in conducting thorough quality assessments and ensuring compliance with industry standards. Proven track record in identifying discrepancies and implementing corrective actions effectively. Demonstrated ability to manage complex caseloads and use problem-solving skills to improve patient outcomes and deliver excellence service.
Overview
13
13
years of professional experience
1
1
Certification
Work History
HOME HEALTH CARE COORDINATOR
Optum
04.2022 - Current
- Company Overview: Utilization Management
- Current Team Lead which included coaching and training team members while promoting a positive work environment
- Detail-oriented and results-driven coordinator with extensive experience in utilization management focusing on optimizing patient care services and ensuring compliance with healthcare regulations
- Communicated vital patient information for seamless transitions between care settings.
- Proficient in conducting thorough chart reviews to assess the appropriateness of care plans and identify potential areas for improvement as well as identify when services are no longer meeting chapter 7 criteria for continued home health
- Streamlined patient care processes by implementing standardized protocols.
- Skilled in managing denial processes, collaborating with healthcare teams to address and resolve issues and implementing effective strategies to educate health care agencies on proper Medicare procedures
- Used company software and databases to maintain records of services performed and patient conditions.
- Demonstrated the ability to lead projects that enhance operational efficiency, improve patient outcomes, and support quality assurance initiatives
- Strong knowledge regarding medical coding, OASIS, NOMNC, and IDN
- Strong communication and interpersonal skills to facilitate collaboration among multidisciplinary teams and provide exceptional support to health care facilities
PHYSICAL THERAPIST
Hartford Healthcare at Home
02.2019 - 04.2022
- Company Overview: Home Health
- Primarily performed SOC and trained other therapists with OASIS and SOC for PT including guidance in summaries and coding
- Wrote and implemented educational services for therapists to improve documentation and decrease errors with audits
- Performed regular audits of PT, RN, OT and SLP documentation
- Worked closely with RN and coding to assist in training other therapists for more accurate OASIS
- Responsible for writing daily notes, progress notes, evaluations, and discharges in a home care setting
- Independently scheduling and managing a caseload of 30+ patients weekly within large territories as a traveler PT
- Independently contacting and communicating with other health care professionals including RN, MD, PT, PTA, OT, COTA regarding plan of care
- Contribution to weekly team meetings in order to effectively case manage and discharge plan
PHYSICAL THERAPIST
Masonicare Home Health and Hospice
07.2015 - 01.2019
- Company Overview: Home Health
- Responsible for writing daily notes, progress notes, evaluations, and discharges in a home care setting
- Independently scheduling and managing a caseload of 30+ patients weekly within large territories as a traveler PT
- Independently contacting and communicating with other health care professionals including RN, MD, PT, PTA, OT, COTA regarding plan of care
- Contribution to weekly team meetings in order to effectively case manage and discharge plan
Rehab Director
The Reservoir Center for Health and Rehabilitation
05.2018 - 08.2018
- Company Overview: Skilled Nursing Facility
- Responsible for scheduling and managing a staff of 6 therapists including PT, OT and SLP as well as obtaining per diem coverage as needed to provide care for patients 7 days a week
- Responsible for managing the plan of care as well as discharge for all rehab patients in daily meetings with all staff and insurance company liaisons
- Responsible for managing billing for all Medicare A, Medicare B and private insurance patients
- Responsible for maintaining a rehab caseload in addition to manage duties
- Rehab director position was brief secondary to relocation
PHYSICAL THERAPIST
Rehab Solutions
11.2013 - 07.2015
- Company Overview: Home Health Contract Agency
- Responsible for writing daily notes, progress notes, evaluations, and discharges in a home care setting
- Implementing exercise programs in order to restore functional mobility to ensure safe discharge into the community or outpatient setting
- Independently scheduling and managing a caseload of 30+ patients weekly
- Independently contacting and communicating with other health care professionals including RN, MD, PT, PTA, OT, COTA regarding plan of care
PHYSICAL THERAPIST
Ludlowe Center for Health and Rehabilitation
01.2013 - 11.2013
- Company Overview: Skilled Nursing Facility
- Responsible for writing daily notes, progress notes, evaluations, and discharges in a rehabilitation setting
- Implementing exercise programs in order to restore functional mobility to ensure
- Attending Medicare meetings as well as care plan meetings with other disciplines to discuss plan of care and discharge
PHYSICAL THERAPIST
Chapin and Havlicek Physical Therapy
10.2011 - 01.2013
- Company Overview: Outpatient Orthopedics
- Responsible for writing daily notes, progress notes, evaluations, and discharges in an orthopedic setting
- Implementing exercise programs, home exercise programs, as well as using manual therapy to aide patients in returning to their prior level of function
Education
Doctorate of Physical Therapy -
Quinnipiac University
Hamden, CT01.2011
Bachelor of Science - Physical Therapy
Quinnipiac University
Hamden, CT01.2009
Skills
- Microsoft Office
- Bilingual Spanish/English
- Epic, McKesson, ROX, Devero
- Case management
- Medical terminology understanding
- Documentation proficiency
- Multidisciplinary team collaboration
- Healthcare operations
- Process improvements
- Insurance practices
- Medicare compliance
Certification
CT PT license, Current
Timeline
HOME HEALTH CARE COORDINATOR
Optum
04.2022 - Current
PHYSICAL THERAPIST
Hartford Healthcare at Home
02.2019 - 04.2022
Rehab Director
The Reservoir Center for Health and Rehabilitation
05.2018 - 08.2018
PHYSICAL THERAPIST
Masonicare Home Health and Hospice
07.2015 - 01.2019
PHYSICAL THERAPIST
Rehab Solutions
11.2013 - 07.2015
PHYSICAL THERAPIST
Ludlowe Center for Health and Rehabilitation
01.2013 - 11.2013
PHYSICAL THERAPIST
Chapin and Havlicek Physical Therapy
10.2011 - 01.2013
Bachelor of Science - Physical Therapy
Quinnipiac University
Doctorate of Physical Therapy -
Quinnipiac University