Abby L Scott PT, DPT, LATC
Venetia,PA
Summary
Results-driven and highly accomplished Physical Therapist and Care Coordinator with progressive leadership experience, including recent service as Southeast Regional Clinical Lead in Home & Community Care. Recognized for delivering high-quality, evidence-based utilization reviews and driving process improvement initiatives that enhance clinical outcomes and operational efficiency. Adept at applying clinical expertise, regulatory knowledge, and data-informed decision-making to ensure appropriate resource utilization and compliance. Passionate about advancing quality of care, supporting provider and member engagement, and educating interdisciplinary teams. Eager to contribute strong analytical, clinical, and leadership capabilities to a Utilization Review Clinician role with WellSky.
Overview
1
1
Certification
24
24
years of professional experience
Work History
Care Coordinator/North Carolina SNF SICC
Home & Community Care Transitions
01.2025 - Current
- Conduct continued stay reviews for SNF/post-acute members in North Carolina, applying clinical guidelines to determine medical necessity and appropriate level of care.
- Partner with physicians, facility providers, and members to optimize health outcomes and ensure care is high-quality, medically appropriate, and cost-effective.
- Utilize predictive analytics and clinical decision support tools (Predict) to drive safe and timely discharge planning.
- Educate members and providers on benefits, coverage, and available community resources; coordinate insurance-based and community referrals.
- Consistently exceed national performance benchmarks: Turnaround time: 1.51 (NOMNC); 100% provider engagement; 3.5 days to first provider contact; 100% task/schedule rate for referral programs; QAR 98.2%; Predict IRR test score 96%; CMS Ch 1/7/8/expedited determination criteria test score 100%.
Home Health Care Coordinator/Southeast Regional Clinical Lead
Home & Community Care Transitions
01.2022 - 01.2025
- Provided regional clinical and operational leadership to managers and coordinators, educating teams on guidelines, workflows, and process improvements while leading implementation of new initiatives across the Southeast region.
- Analyzed pending/residual reports to optimize queue management and drive efficiency; act as SE Regional Clinical Lead/NC Team Lead to escalate and resolve complex clinical issues.
- Led quality improvement efforts by analyzing NOMNC overturn trends, enhancing QAR processes, and improving Home Health Resource Guide tools to strengthen compliance and outcomes.
- Spearheaded Home & Community Care/Centerwell pilot, delivering leadership education on MD review workflows and streamlining cross-functional communication.
- Performed Home Health authorization reviews using CMS Chapter 7 guidelines and InterQual criteria; consistently exceeded benchmarks (>100% productivity, Top 10% nationally, 10-12 reviews/day; QAR 98.3% in 2024, 100% in 2022–2023; MAP 5/5) and recognized as 2023 Optum Home & Community Care Champion Nominee.
Physical Therapist/New Hire Onboarding Trainer
Allegheny General Hospital/Allegheny Health Network
01.2020 - 01.2022
- Led onboarding and training as an Epic Super User for all new hires across the South Pittsburgh region, providing education for Epic EHR implementation, clinical proficiency, and workflow integration.
- Developed standardized clinical documentation templates and conducted company-wide chart audits as part of the AHN Documentation Improvement Team, improving compliance and quality.
- Delivered comprehensive patient care in a high-volume outpatient setting, evaluating and treating orthopedic, sports, vestibular, and neurological conditions using evidence-based practices.
Physical Therapist/Performance Improvement Coordinator
Amedisys Home Health
01.2003 - 01.2022
- Conducted quarterly clinical record reviews; developed targeted action plans and delivered education to care teams, improving care quality, clinical performance, and patient satisfaction.
- Delivered hands-on training and mentorship for students and new hires while evaluating and treating diverse musculoskeletal and vestibular conditions using a holistic, outcomes-driven approach.
- Acted as a clinical liaison across hospital, rehab, and home health/hospice settings, ensuring coordinated care transitions and a seamless patient experience.
Physical Therapist
HCR ManorCare SNF
01.2010 - 01.2013
- Collaborated effectively with patients, families, physicians, and interdisciplinary teams to enhance care coordination, operational efficiency, and patient outcomes.
- Evaluated and treated subacute and long-term care residents, implementing evidence-based interventions for neurological, vestibular, and musculoskeletal conditions to ensure safe and timely transition to next level of care.
Education
Doctor of Physical Therapy -
Temple University
Philadelphia, PA05-2010
Master of Physical Therapy - undefined
University of Pittsburgh
Pittsburgh, PA06-2001
Bachelor of Science - Sports Medicine
University of Pittsburgh
Pittsburgh, PA12-1998
Skills
- Quality Mindset
- Detail Oriented
- Effective Communication Verbal and Written
- Excellent Time Management
- Focused and Driven
- Inquisitive and Creative
- Leadership Development
- Learning & Development Educational Focus
- Drive for Personal/Professional Development
- Compassionate and Empathetic
- Collaborative
- Case management
- Process improvement
- Medicare compliance
Certification
- Commonwealth of Pennsylvania Licensed Physical Therapist
- North Carolina Licensed Physical Therapist
- Pennsylvania Physical Therapist Direct Access License
- American Physical Therapy Association Credentialed Clinical Education Instructor
- Medicare & Retirement Professional Certification
- High Performing Teams
- Leadership Foundations
- Learning & Development Delivery Experience
- Inspire Mentee Participant
- American Heart Association BLS Provider Certification
Timeline
Care Coordinator/North Carolina SNF SICC
Home & Community Care Transitions
01.2025 - Current
Home Health Care Coordinator/Southeast Regional Clinical Lead
Home & Community Care Transitions
01.2022 - 01.2025
Physical Therapist/New Hire Onboarding Trainer
Allegheny General Hospital/Allegheny Health Network
01.2020 - 01.2022
Physical Therapist
HCR ManorCare SNF
01.2010 - 01.2013
Physical Therapist/Performance Improvement Coordinator
Amedisys Home Health
01.2003 - 01.2022
Bachelor of Science - Sports Medicine
University of Pittsburgh
Master of Physical Therapy - undefined
University of Pittsburgh
Doctor of Physical Therapy -
Temple University