Michelle Jacobson
Mountain Top,PA
Summary
Adept at driving quality improvement and cost savings, my tenure at Optum, UnitedHealth Group, showcased my strong organizational skills and proficiency in healthcare operations. Through strategic planning and interdisciplinary collaboration, I enhanced patient safety and streamlined processes, significantly improving care delivery and operational efficiency.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Clinical Care Coordinator
Optum, UnitedHealth Group
Minnetonka, MN
03.2022 - Current
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Collaborated with case managers to facilitate timely discharge planning and transition of care.
- Identified opportunities for improvement regarding cost containment efforts within the organization.
- Maintained communication and transparency with governing boards, department heads and medical staff.
- Assisted with appeals processes related to denied claims or requests for additional information from payers.
- Documented all utilization review activities, findings, and decisions in patient records and databases.
- Analyzed utilization data to identify patterns and make recommendations for cost-effective care delivery.
- Educated healthcare providers on utilization review processes, criteria, and best practices.
- Maintained awareness of government regulations, health insurance changes and financing options.
- Collaborated with multidisciplinary teams to develop strategies for improving quality of care and reducing costs.
- Communicated authorization decisions to providers and patients in a timely manner.
Occupational Therapist
Genesis Rehabilitation Services
10.2011 - 03.2022
- Worked with interdisciplinary teams to provide comprehensive treatment and support.
- Assessed physical, mental and vocational statuses of clients to develop rehabilitation plans.
- Monitored and documented patient progress, adjusting treatment plans as necessary.
- Implemented programs and social activities to help patients learn work or school skills and adjust to handicaps.
- Personalized treatment plans to complement specific abilities and recovery goals of each patient.
- Collaborated with other health care professionals to develop comprehensive treatment programs for patients.
- Advocated for patients to receive necessary services and supports within their community.
- Achieved cost-savings by developing functional solutions to problems.
Occupational Therapist
Aveanna Heathcare
08.2015 - 11.2021
- Worked with cross-functional teams to achieve goals.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
- Used therapeutic exercises and activities to improve strength, endurance and range of motion in patients.
- Created reports documenting patient assessments, treatments provided, progress made towards goals and recommendations for future care.
Occupational Therapist
Geisinger
05.2012 - 03.2021
- Counseled patients on lifestyle modifications needed to achieve optimal health outcomes.
- Documented patient progress and outcomes in electronic health records according to regulatory standards.
- Educated families about therapeutic activities that can be done at home to help improve the patient's functioning.
- Engaged in discharge planning for seamless transition to subsequent care.
Education
Master of Science - Health Administration
Capella Univeristy
12-2025
Master of Science - Occupational Therapy
Misericordia University
Dallas, PA05-2004
Bachelor of Science - Psychology
Misericordia University
Dallas, PA05-2004
Skills
- Organizational skills
- Clinical documentation
- Patient confidentiality
- Medical terminology
- Patient safety
- Organizational standards
- Process improvements
- Vital signs monitoring
- Patient education
- Documentation
- Program oversight
- Procedure implementation
- Quality improvement
- Interdisciplinary collaboration
- Healthcare operations
- HIPAA compliance
- Insurance practices
- Strategic planning
- Goal setting
- Interdepartmental collaboration
- Case management
- Healthcare regulations
Certification
- National Board for Certification in Occupational Therapy Certified
- PA Occupational Therapy License
References
References available upon request.
Timeline
Clinical Care Coordinator
Optum, UnitedHealth Group
03.2022 - Current
Occupational Therapist
Aveanna Heathcare
08.2015 - 11.2021
Occupational Therapist
Geisinger
05.2012 - 03.2021
Occupational Therapist
Genesis Rehabilitation Services
10.2011 - 03.2022
Master of Science - Health Administration
Capella Univeristy
Master of Science - Occupational Therapy
Misericordia University
Bachelor of Science - Psychology
Misericordia University
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