Volunteer Activities-
Lawrence Larragoite
Doctor Of Chiropractic, Certified Functional Medicine Practitioner
Pembroke Pines,FL
Summary
Doctor of Chiropractic seeking a position as Clinical Reviewer
- Evidenced based healthcare provider focusing on a patient-centered approach with 20+ years' experience in healthcare as a private practitioner and as a multidisciplinary pain team provider.
- Expertise in patient assessment/diagnosis, treatment of routine and complex musculoskeletal conditions, care plan development and self care/home exercise planning and implementation.
- Conducted in depth reviews of medical records, including physician and staff notes, imaging, current and previous consults and all laboratory reports that came from outside and within the facility, to evaluate the medical necessity and timely continuation and coordination of medical services.
- Collaborated with medical staff to ensure patient care services utilization was supported and maximized
- Consistently showed success providing individual patient and group education, combined with ability to increase participation in specialized health and wellness programs.
- Professional practice included working with a diverse patient population base specializing in complex cases with a wide range of physical pathologies and co-morbidities which were co-managed with local medical providers.
- Health coaching experience with individuals, groups and employees to meet personalized health care goals.
- Supervision of associate medical providers and ancillary staff. Experience in policy development, clinical work flow optimization and staff management procedures that positively impacted overall morale and productivity.
- Effective communication, conflict resolution, and relationship building to help improving patient satisfaction, physician satisfaction and drive overall operational improvements.
- Strong knowledge of diverse chiropractic manipulation techniques that include high velocity low amplitude and instrument assisted manipulations with additional skills in acupuncture, nutrition, health coaching, soft tissue and active therapy programs.
Overview
21
21
years of professional experience
Work History
Coverage Doctor of Chiropractic
Self
08.2021 - Current
- Manage and treat up to 125 patients per day for absent provider.
- Daily chart review of patient files to determine patient condition to provide continuity of care in a professional manner.
- Conducted patient history reviews and physical, neurological and orthopedic examinations to assess conditions and present disorders
- Collaborating with multidisciplinary team members to coordinate patient care, discuss treatment plans, and ensure comprehensive care delivery.
- Accessed and documented medical backgrounds and ordered diagnostic images to determine health problems.
- Treated patients weekly and accurately documented and maintained patient notes and charts.
- Created plans and communicated deadlines to ensure projects were completed on time.
Chiropractor
Downtown Chiropractic
01.2016 - 07.2021
- Implemented pain management strategies and specialized operations to improve patient health and reach recovery objectives for over 250 patients encounters weekly
- Multidisciplinary office provided Chiropractic leadership to staff
- Assessed patients to identify musculoskeletal and neuromuscular disorders and developed therapeutic treatment plans to correct abnormalities.
- Conducted patient history reviews and physical, neurological and orthopedic examinations to assess conditions and present disorders.
- Advocated for specialized support devices to patients, including braces, tapes, bandages, straps and pain management regimens to achieve recovery goals.
- Counseled patients about lifestyle choices impacting injuries, conditions and recovery.
- Helped patients set and achieve health and wellness goals
- Conducted group wellness presentations for classes up to 150 participants
- Provided individual health coaching to help clients optimize personal choices
- Led individual and group wellness seminars and educational programs on nutrition and exercise topics
- Co-Management of pain and other physical problems through chiropractic and acupuncture sessions.
Nutritional Health Coach
Natural Grocers
06.2017 - 04.2019
- As store's nutrition professional, provided science-based nutrition education/training and team building to store crew, customers and community
- Seek outreach opportunities and develop community relationships
- Internship coordinator and trainer of college interns.
- Project management and development with direct implementation with local store marketing strategies to promote in-store customer nutrition education experience, hold on/off site educational presentations monthly, cooking demonstrations, and other store events and services
- Prepare for and conduct, 3 x monthly employee training's, community outreach, and conducted in-store Nutritional Health Coaching Sessions with individuals and groups
- Recruit potential groups to use store's meeting space and guest presenters
- Take part in virtual meetings and project collaboration
- Enhanced training programs to strengthen employee knowledge and promote new managers from within
- Worked with regional supervisor to resolve problems, improve operations and provide exceptional customer service
- Developed team communications and information for nutritional education meetings
- Alleviated learning gaps and effectively instructed students on health and wellness practices through introduction of cutting edge educational tools and teaching aids
- Created lesson materials, visuals and digital presentations.
- Completed 120 continuing education hours in Clinical Nutrition annually
Volunteer- Office Of Patient Experience
University of Iowa Hospitals and Clinics Office
08.2017 - 09.2018
- Proactively through direct patient communication worked to identify, respond to mild to complex guest issues and complaints, implementing service recovery practices when appropriate; acting with discretion and notifying patient representative and/or department personnel when appropriate
- Interacting with, physician, patients, family members, and visitors to market the University of Iowa Health Care brand, provided excellent customer service and create a positive experience for customers in conjunction with University of Iowa Health Care mission, vision, and core values
- Organized individual referrals to obtain community service, including advocating for needs and resolving roadblocks
- Helped with office tasks including taking messages, scanning documents and answering phone inquiries
- Enhanced operations by completing a wide variety of tasks, freeing up valuable time for full-time employees
- Managed multi-line phone system with over 40 incoming calls each shift, directing individuals to desired personnel and providing general information on patient experience operations.
Senior Disability Specialist-Medical Claims
Sedgwick Insurance
06.2016 - 01.2017
- Medically analyze and managed consistent claim load of 70-100 disability claims ensuring compliance with treatment duration, federal guidelines and plan provisions
- Abstract and disseminate detailed medical data and information to evaluate, determine case outcome, authorize or deny assigned claims, ensured proper handling and compliance and ultimately determined if any benefits were due, pursuant to the disability plan frame work as created by the business entity whom sponsored the plan for the employee
- Daily communication with medical providers to provide support, document education and obtain pertinent medical information
Cardiovascular Medical Records Reviewer
University of Iowa
01.2016 - 06.2016
- Interpret and analyze 50+ daily patient treatment notes for University of Iowa Hospital and Clinics Heart and Vascular Clinic
- Certify that each physician used proper documentation, coding and billing rules and procedures to ensure high level of accuracy
- If errors were discovered work with physician to verify and if necessary, clarify proper patient visit documentation
- Assign correct CPT code to match notes and documentation for billing purposes
- Interact with faculty and staff to enhance and clarify current ICD 10, HCPCS and CPT rules and procedures
- Proficiency with EPIC software, Microsoft Office, Microsoft Word, Power Point and Excel
Chiropractor and Acupuncture Provider
Arizona Pain Relief/Good Life Family Health
06.2003 - 12.2015
- Team based clinic provider who assessed patients to identify musculoskeletal and neuromuscular disorders and developed therapeutic treatment plans using chiropractic, acupuncture and physical medicine rehab.
- Triage incoming referrals and consults to determine patient prioritization, service coordination and leverage maximum utilization
- Co-management of 300+ patients week about lifestyle choices impacting injuries, conditions and recovery employing multimodal approach to combat acute and chronic pain conditions
- Implemented pain management strategies and specialized operations to improve patient health and reach recovery objectives.
- Educated patients, multidisciplinary team providers and caregiver's on diagnoses, medications and self-treatment options
- Assessed patients to identify musculoskeletal and neuromuscular disorders and developed active therapy treatment plans
- Diagnosed neuromuscular musculoskeletal conditions and performed chiropractic adjustments and or acupuncture.
- Conducted staff training to ensure quality and enhance care practices
- Small business owner/operator from start up to eventual sale
- Founding member of local business networking group
- Maintained detailed records of patient treatments, progress, and outcomes to facilitate effective care coordination and continuity
Education
Acupuncture - Acupuncture 100 Units/Hours
Acupuncture Society of America
Kansas City, MO 10.2019 - 2020.02
Functional Medicine University Certified Functional Medicine Practitioner - Functional Medicine 300 Units/Hours
Functional Medicine University
Greer SC 2016.06 - 2019.06
Fellowship in Medical Acupuncture - 100 Units/Hours Fellowship
International Academy of Medical Acupuncture
Phoenix Arizona 09.2015 - 2016.01
Doctor of Chiropractic - Chiropractic
Life Chiropractic College-West
Hayward, CA 08.1999 - 2003.03
Bachelor of Science - Criminal Justice Major And Psychology Minor
Northern Arizona University
Flagstaff, AZ 08.1995 - 1998.01
Skills
Expertise in dealing with complex cases
Interests
Head Coach- Blaze Regina Catholic Competitive Youth Softball 2016-Present
St Patrick Catholic Church 2015-Present
Iowa City Run for the Schools 2016-2019
Booster Club President West Broward Track & Field-Cross Country 2024-Present
Recent projects
1. National board of Chiropractic Part IV boards examiner Davenport site 5/2021-Present
Administration of practical examination, grading of over 125 individual students.
2. Delphi Panelist Member/Reviewer
Panelist on the following:
Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: a Clinical Practice Guideline, Journal Alternative Complement Medicine 2020.
- Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: a Clinical Practice Guideline, Journal Alternative Complement Medicine 2020.
- The role of chiropractic care in providing health promotion and clinical preventive services for adult patients with musculoskeletal pain: a clinical practice guideline" has been successfully accepted in the Journal of Alternative and Complementary Medicine J Altern Complement Med 2021 Oct;27
Pending- Chiropractic Management of Adult Patients with Cervicogenic or Tension-type Headaches: A Systematic Review and Clinical Practice Guideline 2024.
Timeline
Coverage Doctor of Chiropractic
Self
08.2021 - Current
Acupuncture - Acupuncture 100 Units/Hours
Acupuncture Society of America
10.2019 - 2020.02
Volunteer- Office Of Patient Experience
University of Iowa Hospitals and Clinics Office
08.2017 - 09.2018
Nutritional Health Coach
Natural Grocers
06.2017 - 04.2019
Senior Disability Specialist-Medical Claims
Sedgwick Insurance
06.2016 - 01.2017
Chiropractor
Downtown Chiropractic
01.2016 - 07.2021
Cardiovascular Medical Records Reviewer
University of Iowa
01.2016 - 06.2016
Fellowship in Medical Acupuncture - 100 Units/Hours Fellowship
International Academy of Medical Acupuncture
09.2015 - 2016.01
Chiropractor and Acupuncture Provider
Arizona Pain Relief/Good Life Family Health
06.2003 - 12.2015
Doctor of Chiropractic - Chiropractic
Life Chiropractic College-West
08.1999 - 2003.03
Bachelor of Science - Criminal Justice Major And Psychology Minor
Northern Arizona University
08.1995 - 1998.01
Functional Medicine University Certified Functional Medicine Practitioner - Functional Medicine 300 Units/Hours
Functional Medicine University
2016.06 - 2019.06