Summary
Overview
Work History
Education
Skills
Accomplishments
References
Timeline
Generic

Christine Buchanan

Cranston,RI

Summary

Resourceful professional in healthcare management known for high productivity and efficiency in task completion. Skilled in strategic planning, regulatory compliance, and patient care coordination. Excel at team leadership, problem-solving, and communication, ensuring seamless operations and quality service delivery in fast-paced environments.

Overview

15
15
years of professional experience

Work History

Utilization Review Coordinator

Optum
Cranston, RI
06.2021 - Current
  • Assessed the appropriateness of medical services and procedures based on clinical documentation and criteria.
  • Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
  • Analyzed medical records to ensure compliance with regulatory requirements.
  • Referred cases to secondary review for failure to meet criteria.

Director of Rehab Services

Genesis Rehabilitation Services
Warwick, RI
06.2016 - 06.2021
  • Formulated individually-designed treatment programs to restore, maintain and improve physical functioning, alleviate pain and prevent disability.
  • Participated in interdisciplinary team meetings to coordinate care plans.
  • Conducted performance reviews of staff members to ensure quality of care.
  • Served as a liaison between department personnel, physicians, patients, families.
  • Reviewed clinical documentation to ensure accuracy and completeness.
  • Provided regular coaching and mentoring to staff members as needed.

Director of Rehab Services

TRM
Warwick, RI
07.2015 - 06.2016
  • Formulated individually-designed treatment programs to restore, maintain and improve physical functioning, alleviate pain and prevent disability.
  • Conducted annual performance appraisals for therapy staff, conferring with regional director on performance and merit reviews.
  • Created reports regarding patient outcomes and departmental operations.
  • Participated in interdisciplinary team meetings to coordinate care plans.
  • Served as a liaison between department personnel, physicians, patients, families.

Physical Therapist

Accent Care Home Health
Lawrenceville, GA
02.2013 - 05.2015
  • Treated conditions to aid developmental, neurological and orthopedic disorders.
  • Designed treatment program to achieve established goals.
  • Participated in clinical conferences where case studies were discussed among peers.
  • Monitored patient progress and modified treatment plans accordingly.

Area/Regional Manager

Heritage Healthcare
Greenville, SC
03.2010 - 03.2012
  • Rehab Director for a continuing care retirement community. Direct treatment of patients under Medicare part A and part B, private insurance, commercial insurance.
  • Area Manager for Georgia. Responsible for managing clinical and financial operations for skilled nursing and assisted living facilities.
  • Regional Manager for 7 assisted living facilities. Facilitated caseload development, provided direct patient care, supervised PTAs.

Education

Master of Science - Physical Therapy

Springfield College
Springfield, MA
06-1994

Bachelor of Science - Physical Therapy

Springfield College
Springfield, MA
06-1993

Skills

  • Clinical documentation
  • Utilization management
  • Interdisciplinary collaboration
  • Critical thinking
  • Attention to detail

Accomplishments

  • Exceeded annual expectations for productivity and case completion.
  • Certified clinical education through Emory University

References

References available upon request.

Timeline

Utilization Review Coordinator

Optum
06.2021 - Current

Director of Rehab Services

Genesis Rehabilitation Services
06.2016 - 06.2021

Director of Rehab Services

TRM
07.2015 - 06.2016

Physical Therapist

Accent Care Home Health
02.2013 - 05.2015

Area/Regional Manager

Heritage Healthcare
03.2010 - 03.2012

Master of Science - Physical Therapy

Springfield College

Bachelor of Science - Physical Therapy

Springfield College

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Christine Buchanan