Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Lisa Bell, MS OTR/L

Clairton,PA

Summary

Accomplished clinical leader at Optum with a proven track record in enhancing operational efficiency and spearheading high-impact initiatives. Expertise in data analysis and relationship-building has led to successful process improvements and effective team mentorship, consistently exceeding performance metrics. Innovative leadership has driven advancements in healthcare management, significantly improving patient outcomes.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Clinical Team Manager- Home Health- Remote

Optum
09.2021 - Current
  • Oversee day to day clinical operations of care coordinators, recruiting, precepting and onboarding activities
  • Contributed to the enhancement of current and new workflows for improved performance and cost savings goal.
  • Optimized response strategies for better handling during crisis periods.
  • Developed department policy's while building culture for a strong balance.
  • Successfully trained and mentored incoming managers during periods of growth.
  • Managed team leadership throughout various state launches and new product implementations.
  • Root cause analysis and process improvement to enhance workflows
  • Assessed key performance indicators, providing regular updates.
  • Developed relationships with internal and external business stakeholders, prioritizing the clinical model and finding ways to reduce abrasion.
  • Leveraged Tableau reports to assess performance and determine opportunities for growth while aligning with annual cost savings goals.
  • Facilitate collaboration among departments for process improvements and agency education.
  • Delivered various educational presentations to aid in professional growth.
  • Pilot program????

Appeals and Denials Coordinator- Remote

Navihealth
08.2020 - 09.2021
  • Created comprehensive procedural guidelines for new departmental Appeals and Denials HH workflows.
  • Prepared precise DENCs and Appeals adhering to CMS regulations.
  • Assessed decisions from medical insurance and Quality Improvement Organizations.
  • Produced compliance-focused denial letters following Optum and CMS protocols.
  • Worked alongside diverse teams including clinical personnel and health plans for effective member management.
  • Supervised the evening team, offering guidance on questions and problem-solving.

Clinical Manager/ Hospital Liaison

Concordia Visiting Nurses
09.2016 - 08.2020
  • Mentored and trained over 80 staff members and five contract companies across two offices, achieving a 98% retention rate.
  • Evaluated and provided clinical and operational services to ensure best practice outcomes for hospitals and post-acute partners.
  • Created, managed and delivered meaningful outcome analytics for orthopedic partners using value-based reporting while decreasing visits/episode .
  • Directed and optimized Concordia’s CJR program, enhancing communication with program navigators, orthopedic doctors, partner hospitals.
  • Participated in regular operational and quarterly PAC meetings with partners to analyze and review financial metrics.
  • Conducted routine documentation audits, collaborated with staff for weekly case management, and evaluated performance effectiveness.
  • Coordinated efforts among case management, utilization review, and social work for effective patient care.

Clinical Director

Advantage Home Health
07.2012 - 09.2016
  • Managed Rehabilitation staff in three offices across the state
  • Cultivated client relationships via strategic networking to grow each offices senses.
  • Implemented and maintained quality assurance standards.
  • Applied strategies identified through utilization analysis.
  • Designed solutions that increased overall effectiveness within the organization.
  • Modernized policies and procedures.
  • Coordinated with SNF, PC, IL and LTAC teams to enhance patient outcomes.
  • Facilitated completion of surveys for state operations with 100% passing scores on both internal and CMS audits
  • Overseeing management of treatments in diverse healthcare settings.

Education

Bachelor of Science - Occupational Therapy

UNIVERSITY OF PITTSBURGH
01.2006

Masters of Occupational Therapy -

UNIVERSITY OF PITTSBURGH
01.2004

Skills

  • Utilization Review/Management
  • Data Collection and Analysis
  • Strong problem solving and decision making
  • Change Management
  • Mentoring/coaching in leadership development
  • Pilot program design, operations and modifications
  • Proficient in Tableau Reports, QIO, Oracle, Microsoft Office Products and various EMR's in HC settings
  • Quality improvement
  • Operational efficiency
  • Program and Policy development in both clinical and operational settings
  • Multidisciplinary team collaboration

Certification

  • Certification by NBCOT
  • PA OT License Lisa Spellman OC010451

Timeline

Clinical Team Manager- Home Health- Remote

Optum
09.2021 - Current

Appeals and Denials Coordinator- Remote

Navihealth
08.2020 - 09.2021

Clinical Manager/ Hospital Liaison

Concordia Visiting Nurses
09.2016 - 08.2020

Clinical Director

Advantage Home Health
07.2012 - 09.2016

Bachelor of Science - Occupational Therapy

UNIVERSITY OF PITTSBURGH

Masters of Occupational Therapy -

UNIVERSITY OF PITTSBURGH

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Lisa Bell, MS OTR/L