Nicole Biddle
Licensed Healthcare Professional
Pittsburgh,PA
Summary
Licensed Healthcare Professional with 10 years of experience in the healthcare industry, including case management, quality assurance, utilization management, and clinical service delivery across various rehabilitation settings. Compassionate, organized, and quality-driven with a focus on professional growth and advancing healthcare quality. Skilled in chart auditing, supervisory roles, training, project coordination, and process improvement. Currently excelling as a Home Health Care Coordinator with strong performance outcomes and quality assurance expertise. Actively pursuing a Google Project Management certification to further enhance contributions to organizational success and quality healthcare delivery.
Overview
10
10
years of professional experience
2
2
Certifications
Work History
Home Health Care Coordinator
Home & Community Care Transitions, Optum
04.2022 - Current
- Performs 50-60 comprehensive multi-disciplinary reviews of medical records weekly using clinical judgment and CMS guidelines
- Advocates for patients' rights within the healthcare system, working diligently to address concerns or barriers to care
- Collaborates with team and department committees on root cause analysis projects, queue management, quality assurance, and workflow improvements
- Consistently exceeds productivity targets, reducing over-utilization of home health services by 9% in 2024
- Achieved 94.9% productivity rate in 2024, surpassing the national department average of 87%
- Maintained 100% on Quality Assurance Reviews, supporting departmental compliance metrics
- Served as Team Lead, mentor, and committee member, building leadership and project management skills
Physical Therapist
Care Plus Homecare
12.2021 - 04.2022
- Developed strong relationships with patients, establishing trust and rapport to facilitate successful therapy outcomes
- Managed a 15 patient caseload providing care to patients with various health conditions utilizing evidence-based practices, ensuring high-quality outcomes
- Maintained CMS-compliant documentation and supported process improvements
Physical Therapist
St. Barnabas Health System
03.2015 - 06.2021
- Managed a high volume caseload of 25-30 patients, consistently exceeding productivity benchmarks
- Conducted multi-disciplinary chart audits, improving compliance and quality assurance
- Implemented workflow optimizations to enhance scheduling and care delivery
- Independently navigated a fast paced healthcare environment including care delivery services, daily supervision and weekly scheduling for 1-3 Physical Therapy Assistants
Lead Physical Therapist
NHS Allegheny Valley School
01.2015 - 04.2016
- Led therapy services in a 75-bed intermediate care facility for individuals with developmental and neuromuscular disorders
- Developed and implemented training programs for staff and Motor Development Specialists, enhancing care quality
- Elevated patient care standards by actively participating in continuing education courses and implementing learned techniques into practice
Education
Doctor of Physical Therapy -
Slippery Rock University of Pennsylvania
05-2014
Bachelor of Science - Therapeutic Recreational Therapy
Slippery Rock University of Pennsylvania
07-2011
Skills
- Detail-oriented and highly organized
- Effective interpersonal and communication skills
- Cross-functional collaboration
- Quality assurance and compliance
- Medical necessity, Managed Care, and CMS expertise
- Proficient in Microsoft Word, Excel, Visio, and PowerPoint
- Foundational project management skills
- Training facilitation expertise
- Fundamental analytical skills
- Problem-solving
Certification
Commonwealth of Pennsylvania Physical Therapy License, PT024025
Accomplishments
- Employee of the Month, April 2024 (selected from 300+ care coordinators)
Timeline
Home Health Care Coordinator
Home & Community Care Transitions, Optum
04.2022 - Current
Physical Therapist
Care Plus Homecare
12.2021 - 04.2022
Physical Therapist
St. Barnabas Health System
03.2015 - 06.2021
Lead Physical Therapist
NHS Allegheny Valley School
01.2015 - 04.2016
Commonwealth of Pennsylvania Physical Therapy License, PT024025
Foundations of Project Management - Google Project Management Certification, 02/2025
Doctor of Physical Therapy -
Slippery Rock University of Pennsylvania
Bachelor of Science - Therapeutic Recreational Therapy
Slippery Rock University of Pennsylvania
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