Jenny Longenecker
Nashville,TN
Summary
Seasoned Review Coordinator with background in managing review processes for effective care transitions to the next appropriate level of care. Exemplary ability to coordinate effectively within a team, ensuring timely and accurate completion of reviews. Strengths include strong organizational skills, adept problem-solving capabilities, and solid communication abilities.
Overview
24
24
years of professional experience
Work History
Clinical Review Coordinator
Optum Services, Inc
Nashville, TN
03.2018 - Current
- Review pre-authorization requests for skilled nursing and rehabilitative services and determine if requests meet medical necessity for the requested level of care
- Review hospital discharge documentation, change-in-condition information, provider documentation, and therapy documentation
- Support timely transitions by completing reviews within established turnaround times
- Communicate with SNF/IRF staff, providers and internal teams about review status and documentation needs.
Lead Occupational Therapist
Tristar Skyline Medical Center
Nashville, TN
07.2005 - 03.2018
- Monitor the daily staffing needs for the occupational therapy department. Float therapists between the acute, inpatient rehabilitation and outpatient rehabilitation departments as needed to ensure coverage of patients
- Participate in the interview process, orientation, and training of new occupational therapy staff
- Point person to problem solve day to day issues that arise within the occupational therapy department
Occupational Therapist
Tristar Skyline Medical Center
Nashville, TN
03.2003 - 03.2018
- Provide occupational therapy services for patients in acute care, inpatient rehabilitation, and outpatient rehabilitation to restore function and prevent disability following injury or disease
- Evaluate a patient’s ability to effectively perform independent living skills and develop an appropriate plan of care
- Implement the plan of care using appropriate interventions. Monitor and modify the plan of care as needed
- Actively collaborate with the patient, family and health care team to develop a discharge plan with recommendations for an appropriate discharge setting, continued therapy services, and adaptive equipment
Education
Bachelor of Science - Occupational Therapy
Eastern Kentucky University
Richmond, KYSkills
- Focused on consistent, timely, and quality care
- Adaptive to changing environments and guidelines
- Excellent attention to detail
- Calm and professional demeanor at all times with patients, families, co-workers, and providers
- Effective self-management skills with the ability to prioritize daily workload
- Experience treating patients across the continuum of care from acute care to inpatient rehabilitation to outpatient rehabilitation
- Extensive experience treating conditions including stroke, brain injury, multi-trauma, and orthopedic conditions
Timeline
Clinical Review Coordinator
Optum Services, Inc
03.2018 - Current
Lead Occupational Therapist
Tristar Skyline Medical Center
07.2005 - 03.2018
Occupational Therapist
Tristar Skyline Medical Center
03.2003 - 03.2018
Bachelor of Science - Occupational Therapy
Eastern Kentucky University