Experienced Occupational Therapist with both clinical and non-clinical experience with a solid track record in delivering quality work.
A responsible and reliable health care clinician who is highly motivated to make a positive impact on client care.
Natural leader with the ability to motive teams to action, while being flexible and adaptable to change. Able to evaluate, establish, and modify individualized client centered care plans to reach desired outcomes.
Organized and efficient with a commitment to professionalism and quality delivery services.
Effective communicator with the ability to cultivate relationships and collaborate with clients, various medical professionals, and teammates.
Committed to achieving company goals and delivering exceptional service; passionate about continuous learning and professional development.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Occupational Therapist, Home Health Care Coordinator
NaviHealth/Optum
04.2021 - Current
Understands and applies CMS Chapter 7 guidelines for home health
Facilitates care coordination and management between the member, health plan, and the member’s home care provider(s)
Reviews for authorization of home health services according to CMS and national recognized guidelines
Completes medical necessity reviews for home health start of care visits, recertifications, resumption of care, and additional visit requests
Determines how many visits are authorized per nationally recognized guidelines; reviews health care providers documentation of services performed to determine if services are covered
Communicates with ATS and medical directors; notifies the health care provider of denials reviewed by the Medical Director; completes the NOMNC and coordinates with the agency the processing of the NOMNC
Keeps up to date on national recognized criteria for Utilization Management and CMS home health regulations
Knowledgeable of InterQual; knowledgeable of ICD-10 coding; knowledgeable of Medicare reimbursement guidelines for home health
Occupational Therapist, Skilled Inpatient Care Coordinator
NaviHealth/Optum
10.2018 - 04.2021
Provided services in a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates options and services required to meet the patient’s health needs using communication and available resources to promote quality, cost-effective outcomes
Served as the link between patients and the appropriate health care personnel, ensuring that efficient, smooth, and prompt health care services be delivered to the patient across the continuum of care; Understand and applied CMS Chapter 8 guidelines for skilled services
Coordinated comprehensive post discharge health care services, support programs, and referrals to community-based services
Collaborated effectively with the patient’s interdisciplinary health care team to coordinate target length of stay and an optimal transition plan to the most appropriate setting
Occupational Therapist
Five Star Home Healthcare
03.2017 - 09.2018
Evaluated and created client-centered plans of care, goals, and intervention strategies to drive client success
Consulted with direct-care staff and caregivers to implement home programs to achieve client-centered goals
Strategized with general contractors to complete home modifications/construction in order for clients to maintain safe and independent living at home
Independent coordinator of weekly schedules and client caseload
Occupational Therapist
The Virginian Home Health Services
03.2015 - 03.2017
Externally partnered with various medical professionals to create a treatment program for individuals specifically with Parkinson’s Disease
Established and led a weekly exercise program for clients in a senior living community
Assisted in the development of a weekly community-based group for free blood pressure checks and fall risk screenings
Marketed facility and rehab services to area hospitals, case managers, and physicians
Occupational Therapist
Genesis Rehab Services
02.2013 - 03.2015
Supervised Certified Occupational Therapy Assistants and mentored new graduates for skill development
Adhered to Medicare Part B and insurance protocols/guidelines to provide detailed documentation regarding justification of care for reimbursement
Implemented CarFit program to provide information and materials on community-specific resources to enhance the safety of older drivers and/or increase their mobility in the community
Participated in cross collaboration with various medical professionals to ensure the delivery of quality client care
Completed monthly trainings and continuing education to remain current on effective intervention strategies and techniques
Maintained therapy services in accordance with federal, state, and company guidelines
Occupational Therapist
Cherrydale Health and Rehabilitation
10.2011 - 02.2013
Maintained performance standards that addressed crucial elements of operation, such as patient care, safety, infection control, and consumer rights
Reviewed referrals and client records to determine appropriate treatment course
Participated in Joint Commission on Accreditation of Healthcare Organizations surveys to evaluate standards compliance
Held workshops for healthcare professionals and caregivers, providing education in ergonomics and safety to reduce risk for workplace injuries
Occupational Therapist
HCR ManorCare
09.2010 - 10.2011
Created self-management programs to enable clients with chronic diseases to optimize health and well-being through appropriate routines and meaningful occupations
Facilitated client success by matching the individual’s skills to the demands of the activity, using environmental supports, minimizing barriers, and offering solutions to challenges associated with changing health status, habits, and routines
Identified need and integrated assistive technology solutions into client routines to facilitate improved functional ability
Education
Masters of Science - Occupational Therapy
Utica College
Utica, New York
05.2010
Bachelors of Science - Health Studies
Utica College
Utica, New York
05.2009
Skills
Collaboration
Documentation
Interdisciplinary collaboration
Clinical reasoning
Patient needs assessment
Medical records management
Family and patient education
Discharge planning
Documentation skills
Resource utilization
Case management
Progress monitoring
Electronic documentation
Patient management
Indirect patient care
Outcome planning
Affiliations
American Occupational Therapy Association
National Board for Certification in Occupational Therapy
Certification
National Board for Certification in Occupational Therapy Registration, Current
Florida State Occupational Therapy License, Current
Virginia State Occupational Therapy License, Current
Cardiopulmonary Resuscitation and AED Certification, Current
Lee Silverman Voice Treatment (LSVT BIG) Certification, Current
References
References available upon request.
Timeline
Occupational Therapist, Home Health Care Coordinator
NaviHealth/Optum
04.2021 - Current
Occupational Therapist, Skilled Inpatient Care Coordinator
NaviHealth/Optum
10.2018 - 04.2021
Occupational Therapist
Five Star Home Healthcare
03.2017 - 09.2018
Occupational Therapist
The Virginian Home Health Services
03.2015 - 03.2017
Occupational Therapist
Genesis Rehab Services
02.2013 - 03.2015
Occupational Therapist
Cherrydale Health and Rehabilitation
10.2011 - 02.2013
Occupational Therapist
HCR ManorCare
09.2010 - 10.2011
Masters of Science - Occupational Therapy
Utica College
Bachelors of Science - Health Studies
Utica College
Similar Profiles
Tina HeverlingTina Heverling
PROVIDER RELATIONS REPRESENTATIVE at naviHealth/OptumPROVIDER RELATIONS REPRESENTATIVE at naviHealth/Optum