Lori Ann Spilabotte

Manager Medical Clinical Operations

Optum Home And Community

10.2020 - Current

Award winning clinician responsible for day-to-day management of people and operational leadership of a team of 16 individual contributors with a concentration in utilization management / case management of Medicare Advantage, BPCI, DCE/ACO, and VBC plans in PAC, ALF, IRF, LTAC, and Home Health settings according to medicare guidelines including PDGM and PDPM.
Effectively collaborated directly with executive leadership for revenue cycle management showcasing remarkable project management skills leading to an adoption of daily queue management across the home health department nationwide.
Served as a delegate to Director of clinical operations.
Demonstrated history in leading high performing and highly satisfied teams based on employee surveys with a 99% employee retention rate over a 4 year period.
Award winning Inspire mentor with proven successful results in motivation
Responsible for onboarding new leaders.
Responsible for driving impactful change within a dynamic fast paced environment across healthcare sectors.
Successfully spearheaded various projects in collaboration with medical directors and executive leadership for process and product management including the QAPI (Quality and Performance Assurance Improvement) tool for consistency and inter rater reliability of audits and standardization across each stage of development.
Extensive knowledge and training on strategy and process improvement of quarterly census, readmission to hospital rate reduction strategies, root cause analysis, satisfaction surveys, and barriers to care with effective resolution plans.
Accomplished multiple tasks within established timeframes.
Maintained professional, organized, and safe environment for employees.
Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
Onboarded new employees with training and new hire documentation.
Cross-trained existing employees to maximize team agility and performance.
Controlled costs to keep business operating within budget and increase profits.
Communicated clearly with employees, and stakeholders to keep working toward established business goals.
Controlled resources and assets for department activities to comply with industry standards and government regulations.
Leveraged data and analytics to make informed decisions and drive business improvements.
Reduced waste and pursued revenue development strategies to keep department aligned with sales and profit targets using Lean Six Sigma and Pareto Principles.
Identified and communicated customer needs.
Set aggressive targets for employees to drive company success and strengthen motivation.
Developed detailed plans based on broad guidance and direction.
Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
Successfully managed budgets and allocated resources to maximize productivity and profitability.
Assisted in organizing and overseeing assignments to drive operational excellence.
Established performance goals for employees and provided feedback on methods for reaching those milestones.
Used industry expertise, customer service skills and analytical nature to resolve customer concerns.
Interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
Evaluated employee performance and conveyed constructive feedback to improve skills.
Established team priorities, maintained schedules and monitored performance.
Maintained positive customer relations by addressing problems timely and implementing successful corrective actions.
Established robust risk mitigation strategies to safeguard against potential operational challenges or disruptions.
Conducted competitive analysis to identify market trends and capitalize on emerging opportunities for growth.
Implemented innovative marketing campaigns that boosted brand awareness and generated significant sales leads.
Drove operational efficiency through data-driven decision-making processes, leveraging analytics tools for informed strategy development.
Led change management initiatives to drive organizational transformation without compromising employee morale or productivity levels.
Championed diversity, equity, and inclusion efforts within the workplace, resulting in an inclusive environment that fostered creativity and innovation among employees from various backgrounds.
Streamlined workflows by identifying bottlenecks in existing systems and proactively addressing these challenges through appropriate solutions implementation.
Optimized resource allocation by conducting regular performance evaluations and providing personalized coaching for staff development.
Mentored team leads for career advancement, fostering a pipeline of future leaders within the organization.
Planned and budgeted accurately to provide business with resources needed to operate smoothly.
Ensured compliance with industry regulations and legal requirements by implementing comprehensive policies and training programs for staff members.
Achieved departmental goals by developing and executing strategic plans and performance metrics.
Managed budgets effectively, ensuring optimal financial performance while investing in necessary resources for business growth.
Developed and implemented business strategies to achieve business goals and stay competitive.
Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments.
Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.

Summary

Overview

Work History

Manager Medical Clinical Operations

Education

Bachelor of Science - Physical Therapy

Skills

Accomplishments

Certification

Additional Information

Timeline

Manager Medical Clinical Operations

Bachelor of Science - Physical Therapy

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