Janet Mikuro

• Performed evaluation, treatment, clinical services and specialized modalities utilized in the treatment of individuals with multiple physical disabilities and serious medical conditions Plan
• Develop and implement complex physical nutritional management programs and treatment protocols to treat, improve, or maintain Patent's level of health and function
• Participated in Interdisciplinary team to review and analyze assessments, progress reports, incident reports, and medical consults to determine root causes
• Participate in compliance monitoring of supports and services provided and determining effectiveness along side, quality assurance and quality enhancement activities related to provision of therapeutic services
• Participated in IDT meetings to facilitate diagnosis and treatment planning
• Maintained open and regular communication with the other departments, IDTs and administration to ensure the transfer of needed information and continuity of services
• Responsible for documentation in IRIS Program
• Conduct remote occupational therapy sessions for individuals
• Collaborate with clients to set and achieve therapeutic goals
• Write, reviews and analyzes assessments, progress reports, incident reports, and medical consults
• Oversee the planning, scheduling, and production of orthopedic equipment, the maintenance and repair programs
• Perform assessments of individuals who are determined to be a highest risk for Falls, Fractures, Aspiration, Respiratory compromise, Choking, Skin integrity concerns, Circulatory issues,
• Perform competency-based training for staff in working with individuals who are at high risk areas
• Critical thinking skills in the Physical Nutritional Management Team by Medical record interpretation, including diagnosis and treatment planning. Analyzing of data, making and implementing recommendations related to high risk medical areas.
• Conducted utilization review activities including concurrent reviews, retrospective reviews, and discharge planning.
• Assessed the appropriateness of length of stay for inpatient admissions.
• Provided direct supervision to clinical staff members in accordance with regulatory standards.
• Coordinated patient referrals to appropriate medical facilities and practitioners.
• Developed and implemented clinical protocols, policies, and procedures.
• Analyzed patient satisfaction survey results in order to identify areas needing improvement or enhancement.

• While in Contract - Acquired skills in different facilities to include: Skilled nursing home, Home health, Acute Hospital Setting, Rehabilitation center, Neuro Clinics with the following skills
• Collaborated with an interdisciplinary team to determine timely delivery of services.
• Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
• Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
• Provided interventions and treatments to improve patient abilities to perform daily activities, manage symptoms and prevent injury.
• Coordinated interventions with multidisciplinary treatment team.
• Provided education to empower patients and families to understand conditions, treatments and treatment options for managing symptoms.
• Performed evaluations and assessments to recommend best treatment for individual patients.
• Recommended equipment to use in-home to maximize opportunities for wellness.
• Helped patients with cognitive and mental health conditions to improve ability to think, learn and memorize.
• Evaluated patients to determine readiness to drive and for necessary modifications to vehicles.
• Developed work-hardening programs to prepare patients for safe returns to work.
• Provided clinical services to clients with various physical, mental and emotional impairments.

• Assessed and created plan of care in inpatient rehabilitation and acute hospital setting.
• Obtained/verified physician order for therapy and validated for appropriateness
• Evaluate each patient using age and diagnosis appropriate assessment tests and measurements Integrate assessment results to identify functional problems and prioritize care needs with patient and family
• Determined plan for care, appropriate therapeutic intervention to achieve goals Initiate therapy
• Provided SKilled Occupation therapy treatment while in the acute setting and followed up upon transition to the inpatient rehabilitation setting
• Set appropriate measurable, functional goals with time frames to address the identified problems including patient/family goals and preferences (Inpatient Rehabilitation setting Vs acute hospital setting)
• Reviewed available medical records, obtain pertinent medical history from patient or family and ensure patient has given informed consent to treatment
• D/C planning in collaboration with care team and patient based on prognosis and expected D/C disposition

• Interacted with customers and clients to identify business needs and requirements.
• Maintained and updated project related documents.
• Interacted with Providers ( therapist, adaptive devices contractors) to identify business needs and requirements to meet the patients needed supports/services.
• Updated director about project status, updates and concerns on daily basis regarding billing through Medicaid and or private insurance coverages.
• Monitored and managed project team to confirm project delivery within allotted budget and timelines by constant communication with the vendors.
• Conducted performance reviews to provide feedback to staff for improvements.
• Oversaw staff schedules and assignments to handle programming demands.
• Developed and recommended policies and procedures for evaluating programs as outlined in the Department of Aging and Disability services
• Identified risks and developed mitigation plans.
• Coordinate clients care for Type of therapy, AE needs, budget management, securing bid contracts for home modifications like ceiling lifts, WC ramps, toilet/ bathroom mods etc, Door openers Monitor service delivery for effectiveness and efficiency
• Monitor Medicaid eligibility and provide assistance to client/patient to maintain Medicaid benefits
• Follow–up with rejected billing and resolving issues with Department of Aging and disability
• Provided CPR certification/recertification classes to new and current employees.

• Assessed clients' needs, developed service plans and monitored progress towards goals.
• Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
• Provided crisis intervention support for clients in emergency situations.
• Conducted home visits to assess the safety of living environments for clients.
• Developed individualized care plans with input from clients and their families.
• Collaborated with medical professionals to coordinate treatment plans for clients.
• Maintained accurate case records and documentation according to agency guidelines.
• Compiled reports on cases and submitted them to supervisors as required.
• Counseled clients on available resources within the community that could help meet their needs.

Determined plan for care, appropriate therapeutic intervention to achieve goals Initiate therapy

• Provided referrals to appropriate health care providers or other community resources.
• Monitored client progress through regular follow-up contacts.
• Participated in interdisciplinary team meetings to discuss treatment options.
• Participated in professional development activities related to case management best practices.
• Advised staff members on effective strategies for working with challenging client behaviors.
• Linked clients with social services, health care providers and governmental agencies to help claim or reclaim individual autonomy.
• Developed trusting relationships with social services, health care providers and governmental agencies.
• Transitioned clients to different providers based on progress or needs.
• Reviewed treatment plans against individual goals and healthcare standards.
• Researched and analyzed community needs to determine program directions and goals.