Hilary S. Gans
York,PA
Summary
A challenging opportunity in the field of occupational therapy that would enable me to utilize my non-clinical and utilization management skills.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Regional Clinical Director
Periscope
01.2015 - Current
- Member of the clinical leadership team to manage a nationwide network of therapy consultants
- Complete assessments, in the member's home, for the medical necessity of DME, home modifications, and worker's compensation and submit an objective report to the health plan
- Serve as quality control check following therapists' assessment completion to determine accuracy of determinations and sign off on recommendations
- Participate in health plan and company wide meetings
- Part of the recruiting team to hire new consultants across the nation.
- Train and mentor new hires
- Oversee the worker's compensation line of business
Utilization Review Therapist
Dane Street, Allmed, National Medical Reviews
12.2011 - Current
- Review clinical charts for medical necessity for Occupational Therapy
- Complete peer-to-peer phone calls as needed.
- Wrote an insurance policy for the medical necessity of Occupational Therapy
Occupational Therapist
Wellspan Health
07.2012 - 01.2020
- Cover a PRN schedule in various settings throughout the system, to include, but not limited to outpatient, inpatient rehab, home health, and pediatrics
- Conduct evaluations and treatments of patients with a variety of diagnoses
- Collaborate with treating providers regarding patient coverage.
Academic Fieldwork Coordinator
Alvernia University
01.2017 - 12.2019
- Coordinate Occupational Therapy level I and II fieldwork placements for college students -Complete midterm phone calls and visits to discuss student's progress
- Interact with faculty members to coordinate fieldwork labs in conjunction with clinical skills
Occupational Therapist
U.S. Healthcare Solutions
08.2015 - 01.2017
- Treat cyber school children in their home, addressing sensory regulation, visual motor, and fine motor deficits as they relate to school related function.
Occupational Therapist
Therapy Source
12.2014 - 01.2017
- Treat cyber school children in their home, addressing sensory regulation, visual motor, and fine motor control deficits as they relate to school related function.
Occupational Therapist
Lutheran Home Care and Hospice
06.2011 - 11.2015
- Evaluate and treat patients with a variety of medical diagnoses in a home care setting
Occupational Therapist
Healthsouth, Therapy at Home
07.2007 - 06.2011
- Evaluate and treat patients with a variety of medical diagnoses in a home care setting -Communicate on a regular basis with other disciplines, including physicians, regarding patient plan of care -Medical review chart audits
Occupational Therapist
Gentile Hand Clinic
11.2004 - 07.2007
- Evaluated and treated adult and pediatric patients with a variety of orthopedic and neurological diagnoses involving the upper extremity in an outpatient setting -Fabricated a wide variety of upper extremity static and dynamic splints for adult and pediatric populations
Occupational Therapist
Visiting Nurse Association
11.2004 - 07.2007
- Evaluated and treated patients with a variety of medical diagnoses in a home care setting -Communicated on a regular basis with other disciplines, including physicians, regarding patient plan of care
Occupational Therapist
Hanover Hospital
07.2002 - 11.2004
- Evaluated and treated adult and pediatric patients with a variety of developmental, orthopedic, and neurological diagnoses in an outpatient setting, home care setting, hospital setting, and acute rehab setting -Weekly observation and assistance of a hand clinic with an orthopedic hand surgeon -Fabricated a wide variety of upper extremity static and dynamic splints for adult and pediatric populations
Education
Master of Science - Occupational Therapy
Gannon University
Erie, PABachelor of Science - Health Science
Skills
Worker's Compensation
Home Modifications
Utilization Management
Certification
Certified Aging in Place Specialist
Advanced Office Ergonomic Assessment Specialist
Timeline
Academic Fieldwork Coordinator
Alvernia University
01.2017 - 12.2019
Occupational Therapist
U.S. Healthcare Solutions
08.2015 - 01.2017
Regional Clinical Director
Periscope
01.2015 - Current
Occupational Therapist
Therapy Source
12.2014 - 01.2017
Occupational Therapist
Wellspan Health
07.2012 - 01.2020
Utilization Review Therapist
Dane Street, Allmed, National Medical Reviews
12.2011 - Current
Occupational Therapist
Lutheran Home Care and Hospice
06.2011 - 11.2015
Occupational Therapist
Healthsouth, Therapy at Home
07.2007 - 06.2011
Occupational Therapist
Gentile Hand Clinic
11.2004 - 07.2007
Occupational Therapist
Visiting Nurse Association
11.2004 - 07.2007
Occupational Therapist
Hanover Hospital
07.2002 - 11.2004
Master of Science - Occupational Therapy
Gannon University
Bachelor of Science - Health Science
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