Veteran Program Analyst versed in ongoing program evaluations and eager for new professional challenges. Highly effective at reviewing and validating data, conducting complex reviews and assessing program operations.
Defined Patient Driven Payment Model (PDPM) classification for skilled residents, submitting to Registered Nurse Assessment Coordinator (RNAC) and Minimum Data Set (MDS) Coordinator to establish assessment reference dates (ARD) to be achieved; Adhered to COVID policy, ensured staff compliance with safety precautions set by SNF administration; Supervised therapy staff, interviewed/oriented new team members, managed personnel records, reviewed leave requests and requests for reimbursement; Controlled resident therapy documents using electronic filing database following HIPAA guidelines; Completed end of month triple check for monthly close out with MDS, RNAC and business office manager; Completed daily treatment schedules for each discipline, ensuring productivity goals were met
Attended quality assurance and performance improvement (QAPI) meetings and reported therapy clinical outcome measures to facility administration
Analyzed program operations data, submitted weekly report to Regional Director presenting solutions to maintain departmental performance goals; Responded to internal, and external customer inquiries; Controlled screening process for all residents to appropriately assign staff to meet resident therapy needs; Provided direct patient care 5 hours each day.
Served as agency representative marketing Medicare A services offered in CCP; Completed daily quality assurance activities with referral sources to ensure monthly admission goals were met and/or exceeded; Conducted monthly health promotion seminars in each CCP; Served as liaison between CCP & clinical team; Submitted weekly updates to Director of Sales providing performance strategies for top 5 accounts.
Managed program development, quality improvement, community education, and staff productivity; Supervised clinical team of 8 clinicians and one rehabilitation technician assuring all patient care activities were performed according to company policies/procedures and applicable state/federal laws/regulatory agencies;
Completed daily patient therapy schedule projecting patient medicare treatment goals; Ensured program staffing seven days a week maintaining a reliable PRN and contract clinical pool; Monitored team competency, licenses/certifications, and memberships in applicable professional organizations, coordinating team development through structured learning activities
Promoted adherence to policies and practices of applicable professional organizations, facility and RehabCare; Participated in coordination of facility quality management and program evaluation activities
Submitted quality review data to facility administration, interpreting reports/data to improve quality of care
Controlled/monitored program budget, submitting daily and monthly billing to facility; Collaborated with Area Director to develop, institute, revise and promote plans for achievement of program goals; Demonstrated knowledge of criteria/accreditation standards (JCAHO, CARF, HCFA, etc.) and assisted with survey preparation; Participated in clinical performance site visits; Collaborated with program consultants to effectively implement components identified in company policies and procedures; Completed OT treatments four hours each day.
Coordinated daily operations of department; provided training, mentored staff; Monitored risk management operations for department; demonstrated appropriate utilization of resources, accurately billing for services provided; Monitored staff to ensure job responsibilities were conducted in accordance with company standards, applicable federal/state laws, and applicable professional standards; Controlled case-mix index (CMI) caseload, coordinating milestone treatment dates with Minimum Data Set (MDS) Coordinator; Served as liaison between patient families, facility nursing staff, and administration; Coordinated/planned daily patient treatment schedule overseeing Program Assistant; Scheduled patient daily treatment for achievement of Medicare A RUG levels
Completed occupational therapy treatments 30% of the time during the work day.
Procured and managed new contracts to offer Bayada services with strong emphasis in senior housing
Negotiated pre-award terms of contract, serving as liaison between contact, Bayada administration & clinicians; Developed & implemented plan to continuously review performance of contract post-award, recommending corrective actions as needed; Routinely conducted meetings with contractors and marketing director on acquisition related issues; Advised Bayada local and regional director’s on performance of acquisitions, proposing solutions to any problems; Managed day-to-day operations for team of 15 clinicians, providing guidance on terms of procurement and contract agreements; Served as preceptor for new team members
Completed medical chart reviews for quality assurance and adherence to Medicare regulation and Bayada policy
Completed OT treatments/assessments as needed.
CEO, responsible for day-to-today functions and all new acquisitions; Provided home health agencies with Physical Therapists, Occupational Therapists, and Speech Language Pathologists on a contractual basis; Procured and managed new contracts with home health agencies, negotiating terms of contract with the agency's regional administration; Reviewed pre/post terms of contract, recommending modifications as needed; Acquired and supervised subcontractors to execute terms of contract, reviewing terms of contract with each subcontractor instituting incentives based upon performance; Completed bi-monthly payroll for each sub-contractor
Established pricing agreements with both agency and sub-contractors; Coordinated and executed meetings to discuss performance of contract with agency and sub-contractors proposing modifications as needed
Served as liaison between agencies and subcontractors
Completed bi-monthly, quarterly, and annual fiscal updates for Affinity and sub-contractors; Completed in-home occupational therapy visits for home health agencies; Completed data entry of patient findings, communicated findings to patient doctor
Developed and implemented patient treatment plan and goals; Completed bi-monthly invoices
Maintained relationship between Affinity Rehab
Home health agencies; Complied with Medicare and private insurance regulations for healthcare delivery
Met federal and state laws/regulation for business operations.
Sole point of control responsible for review of all office guidance documents, provided guidance to division point of contact on format of document per FDA Paperwork Reduction Act (PRA), Good Guidance Practices (GGPs) and CFR 21 Part 1, audited and recorded tracked changes, maintained office document electronic database, procured contractual services to prepare draft document, approved final draft version, and submitted to Associate Office Director for final approval, submitted Level I documents to Division of Dockets Management (DDM) for immediate public access, submitted Level II documents to the DDM for listing on FDA website for public comment, coordinated revisions with division contacts, archived final version in office electronic database.
Completed review of PMA's, IDE's, 510(k)'s, & 513(g)'s to determine adequacy of content based on appropriate regulation and FDA guidance, assembled review team, set milestone goals to facilitate timely scientific review per MUDUFA guidelines, collected final review and combined into draft for Branch Chief approval, coordinated and documented industry meetings at all phases of application review, maintained branch electronic database, point of contact for industry companies providing guidance on regulatory requirements for application submission, served as lead reviewer for PMAs, Class I & II 510(k)'s, & 513(g)'s providing formal FDA response to application, served as a Freedom of Information Act Officer, retrieved and redacted documents in response to FOIA requests, e-Room Coordinator, Medical Device User Fee (MDUFMA) team member, Alternate Consumer Safety Technician (CST), member of the Inter-Center (CDER/CDRH) Wound Care Solutions Workgroup, member of workgroup to track pre-market meetings, division team leader for 513(g) program, awarded FDA/CDRH-Outstanding Inter-center Scientific Collaboration: For Outstanding collaboration in the review and recommended approval of a first-of-a-kind Expedited implant device.
Administrator for Center for Drug Evaluation and Research (CDER) Nursing Outreach Program; Assisted in development of time management curriculum for Project Managers; Co-Facilitator for Senior Management Training & Clinical Reviewer Retreat; Alternate contact for video conference dial-in seminars; Certified as BLS Instructor & Provider; Compiled various summative reports (i.e
Budget, course evaluation); Member of Quality Assurance Working Group; Chairperson of Celebration Committee
Developed & implemented therapeutic programs to include money management, reading, and community coping skills
On a monthly basis, provided direct occupational therapy services to approximately 40 adult chronic mental clients in the Intensive Day Treatment Program, 6 geriatric clients in the community setting, and 40 dually diagnosed substance abuse clients; Served as Consultant to Case Managers for discharge placement of clients
Completed home evaluations for least restrictive community placement of clients in the Independent Living Program; Provided pre-vocational training to approximately 15 clients in the Psycho-social day program; Accumulated over 940 hours as Clinical Supervisor to Senior Occupational Therapy Students.