Jennifer Grassmyer OTD, OTR/L
Bellwood,PA
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
17
17
years of professional experience
1
1
Certification
Work History
Home Health Care Coordinator - Remote
Optum Home & Community Care
05.2022 - Current
- Clinical Team Leader and mentor.
- Streamlined resource organization to enhance team efficiency.
- Analyzed dashboard reports to derive insights on utilization metrics.
- Executed thorough quality checks on charts during monthly audits.
- Analyzed workflows and created an HH OneNote guide for superior documentation standards.
- Analyzed utilization data to identify patterns and make recommendations for cost-effective care delivery.
- Referred cases to secondary review for failure to meet criteria.
- Analyzed medical records to ensure compliance with regulatory requirements.
- Developed clinical criteria for authorization decisions based on accepted standards of practice.
- Conducted comprehensive reviews of patient records to ensure medical necessity and compliance with healthcare standards.
- Utilized evidence-based guidelines to support utilization review decisions and recommendations.
- Collaborated with case managers to facilitate timely discharge planning and transition of care.
- Pilot program development.
Appeals and Denials Coordinator - Remote
naviHealth
01.2020 - 05.2022
- Managed evening shift coordination, optimizing workflow and productivity.
- Managed team queues during the evening shifts.
- Lead preceptor for the denials process.
- Developed training policies and guidelines for the uniformity of the precepting process.
- Directed the denials process as lead preceptor, maintaining high standards of accuracy and consistency.
- Facilitated meetings to communicate changes in work instructions.
- Subject Matter Expert (SME) for health plan specifications for denial letters.
- Established OneNote manual enhancing documentation quality.
- Maintained regulatory and policy compliance throughout the denial management process.
- Collaborated with other departments to ensure timely processing of denials.
- Prepared documents for submission during appeal hearings or external reviews.
Director of Rehabilitation/ Occupational Therapist
Care Venture/Flagship Rehab
04.2013 - 01.2020
- Led a diverse team of 10 direct reports.
- Managed timesheets, productivity metrics, quality assessments, KPI reports and HIM.
- Utilized comprehensive DME expertise to conduct OT evaluations and design effective home adaptations.
- Established a streamlined interaction model involving staff, family members, and external suppliers.
- Directed team operations to ensure consistent achievement of productivity benchmarks of 90%.
- Increased weekly average patient visit volume through efficient scheduling along with identification and targeting of at-risk patients.
- Administered fiscal operations for accounting, budget planning, authorizing expenditures and coordinating reporting.
- Conducted regular performance evaluations of clinical staff members to ensure high-quality care delivery standards are met.
- Served as a resource for other healthcare professionals in providing rehabilitative services to patients.
- Facilitated communication between physicians, therapists, nurses, case managers, families, and other stakeholders involved in the care of patients.
- Conducted annual performance appraisals for therapy staff, conferring with regional director on performance and merit reviews.
- Participated in community outreach programs designed to promote awareness about available rehabilitation resources.
- Oversaw budgeting processes related to staffing levels and supplies necessary for successful operation of the rehab facility.
Occupational Therapist
DME Consulting Group, Inc
10.2018 - 07.2019
- Provided expert recommendations for essential modifications and DME to improve patient outcomes.
- Performed thorough in-home evaluations to recommend appropriate home modifications and durable medical equipment.
- Performed detailed evaluations of patients' general health and functional abilities.
Regional Therapy Manager/ Occupational Therapist
Special Education and Behavioral Connections
08.2014 - 03.2015
- Oversaw staff performance in physical therapy, occupational therapy, and speech-language pathology for Western PA NHS Autism School.
- Communicated with staff daily to prioritize treatments and referrals.
- Handled multiple administrative tasks including payroll, scheduling, and billing.
- Recruited, hired and trained new staff.
- Conducted periodic audits to assess compliance with regulatory standards for the delivery of therapy services.
School Based Occupational Therapist
Camco Physical and Occupational Therapy
09.2008 - 07.2012
- Worked with interdisciplinary teams to provide comprehensive treatment and support.
- Assisted in the development of individual education plans for each student receiving services from the OT department.
- Integrated sensory-based activities into lesson plans to improve learning outcomes for students with special needs.
- Educated staff members about the role of occupational therapy within the educational system.
- Supervised undergraduate interns providing clinical experiences related to school-based OT practice.
- Advised teachers on strategies to promote success in the classroom environment.
Occupational Therapist
HealthSouth Rehabilitation
11.2007 - 09.2016
- Utilized sensory integration techniques to assist patients with sensory processing disorders.
- Designed and led occupational therapy programs for pediatric populations to support developmental milestones.
- Designed a specialized pediatric program to address the unique needs of children in therapy.
- Delivered tailored outpatient occupational therapy treatments to improve patient functionality and quality of life.
- Provided specialized aquatic therapy to enhance patient mobility and rehabilitation.
Education
Doctor of Occupational Therapy -
UNIVERSITY OF ST. AUGUSTINE
Bachelor of Science - Occupational Therapy
MOUNT ALOYSIUS COLLEGE
Skills
- Proficient in NCQA and CMS Regulations
- In-Depth Knowledge of OASIS
- Change Management
- Strategic Planning
- Pilot program development
- Data collection and analysis
- Strong Medicare and Medicaid background
- Mentoring and coaching
- Queue Management
- Proficient in Tableau and dashboard reports
- Microsoft Office products
Certification
- Certification by NBCOT, March 2003
- LSVT BIG Certification
- Certified EMT, October 1995
- BioNess H-200 Certification, April 2008
- Reo (Reorganization Robotic Device) Certification, February 2008
- Medicare and Retirement Levels 1,2 & 3 Certified
- Geriatric Certification 2024
- United Cultural Ambassador
- Six Sigma Foundation and White Belt
- First Level Leader Alumni 2024
Timeline
Home Health Care Coordinator - Remote
Optum Home & Community Care
05.2022 - Current
Appeals and Denials Coordinator - Remote
naviHealth
01.2020 - 05.2022
Occupational Therapist
DME Consulting Group, Inc
10.2018 - 07.2019
Regional Therapy Manager/ Occupational Therapist
Special Education and Behavioral Connections
08.2014 - 03.2015
Director of Rehabilitation/ Occupational Therapist
Care Venture/Flagship Rehab
04.2013 - 01.2020
School Based Occupational Therapist
Camco Physical and Occupational Therapy
09.2008 - 07.2012
Occupational Therapist
HealthSouth Rehabilitation
11.2007 - 09.2016
Doctor of Occupational Therapy -
UNIVERSITY OF ST. AUGUSTINE
Bachelor of Science - Occupational Therapy
MOUNT ALOYSIUS COLLEGE
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