Felicia Moore
Nashville,TN
Summary
Experienced healthcare professional with strong background in utilization review and care coordination. Proven ability to assess medical necessity, optimize resource use, and ensure compliance with healthcare regulations. Focused on team collaboration and achieving results, adapting to changing needs efficiently. Highly skilled in clinical guideline adherence, patient advocacy, and effective communication.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Home Health Care Coordinator
Optum Home and Community
01.2023 - Current
- Coordinated daily utilization reviews for Home Health services.
- Collaborated with medical director and home health care coordinators to streamline authorization review process for skilled services.
- Coordinated with team members to optimize work instruction procedures, boosting clinical review efficiency.
- Completed 16 plus reviews daily to manage authorization for medical necessity of home health services.
Occupational Therapist
Aveanna Home Health / Willowbrook Home Health
07.2016 - 12.2022
- Supervised COTA in the Home , ALF, and skilled nursing facilities to assess patient quality and effectiveness with treatment plan of care.
- Collaborated with interdisciplinary team members for comprehensive patient care and optimal results for up to 30 patients weekly.
- Coordinated discharge planning efforts alongside case managers to ensure seamless transitions between care providers upon leaving facility.
- Adapted environments by making changes to patient homes, workplaces and school environments to promote safety, independence and participation.
Occupational Therapist
Gentiva/Kindred Home Health
06.2008 - 07.2016
- Conducted physical, academic, vocational, mental and other types of evaluations to identify clients' needs and devise rehabilitation plans.
- Adapted environments by making changes to patient homes, workplaces and school environments to promote safety, independence and participation.
- Advocated for occupational therapy services within healthcare system, highlighting value of occupational therapy in patient care.
- Provided clinical services to clients with various physical, mental and emotional impairments.
Occupational Therapist
Center For Comprehensive Health Services
12.2003 - 06.2008
- Performed evaluations and assessments to traumatic brain injury/acquired brain injury patients ranging in age recommending best treatment practices.
- Performed assessments during treatment to determine progress according to goals in an inpatient/outpatient and community base setting.
- Consulted with direct-care staff to implement best methods to achieve therapy goals.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
Continuous Treatment Team Case Manager
Pathways Behavioral Health Services
09.1999 - 10.2001
- Evaluated the effectiveness of care plans by monitoring patient progress and making necessary adjustments.
- Connected clients with appropriate support groups and therapy options, fostering greater social integration and emotional wellbeing.
- Collaborated with primary care providers to incorporate mental health considerations into overall treatment plans.
- Reduced hospital readmissions for patients with chronic mental health issues through effective case management practices.
- Advocated on behalf of clients during treatment planning meetings, ensuring their voices were heard throughout the decision-making process.
Education
Bachelor Of Applied Science - Occupational Therapy
Tennessee State University
08.1997
Skills
- Acute and Rehabilitative Care
- Community Re-Entry Services for TBI/ABI patients
- Genetic Disorders
- Orthopedic Rehabilitation
- Pediatric Services
- Crisis Intervention Program
- Documentation proficiency
- Quality Assurance
- Utilization management
Certification
- OTR - Occupational Therapist Registered
- Certified Thermal Modalities
- Traumatic Brain Injury Training - 2004- present
- Licensed NBCOT 2001- Present
- Continuing yearly educational courses on file 2001-Present
- Medicare and Retirement Certification- April 2024.
Timeline
Home Health Care Coordinator
Optum Home and Community
01.2023 - Current
Occupational Therapist
Aveanna Home Health / Willowbrook Home Health
07.2016 - 12.2022
Occupational Therapist
Gentiva/Kindred Home Health
06.2008 - 07.2016
Occupational Therapist
Center For Comprehensive Health Services
12.2003 - 06.2008
Continuous Treatment Team Case Manager
Pathways Behavioral Health Services
09.1999 - 10.2001
Bachelor Of Applied Science - Occupational Therapy
Tennessee State University