Nicole Lovell, PT, DPT, NCS
Kansas City,MO
Summary
- Dedicated to using research, investigation and project management abilities to optimize health care quality management at American Specialty Health. Precise and systematic with quick learning and collaborative nature.
- Student in Master of Legal Studies program at Cleveland-Marshall Law School with focus in Health Law. Goal is to also obtain certificate in Health Law or Health Care Compliance and graduate in 2023.
- 17 years of experience as a clinical physical therapist, working in various health care settings and locations throughout the United States.
- 7 years of experience in quality clinical evaluation at American Specialty Health, communicating with and educating health care providers nationally on clinical guidelines, evidence-based practice, and documentation standards to provide cost-effective and quality care
- Board Certified Clinical Specialist in Neurologic Physical Therapy since 2015, certified by American Board of Physical Therapy Specialties
- Prior periodic lecturer at California State University, Long Beach, in neurologic section of Doctor of Physical Therapy Department
- Holds current physical therapy licenses in MN, CA, and OH
Overview
15
15
years of professional experience
Work History
Manager of Clinical Quality Evaluations
American Specialty Health
San Diego, CA
09.2015 - Current
- Assists in the management of Clinical Quality Administrative functions within American Specialty Health as directed by Associate Director of Scope and Vice President of Clinical Services
- Ensures accuracy and productivity in project completion of research and communication of regulatory and legislative requirements of health services with understanding of scope of practice, CPT, ICD, and HCPC coding to Clinical Quality Administration team
- Manages medical necessity review of rehabilitation services for multiple major health plans
- Communicates decisions of medical necessity to health care providers and provides education based on experience, current clinical practice guidelines, and evidence-based research
- Serves as department resource for neurologic-based rehabilitative care, including rehabilitative diagnoses, assessments, treatment, and documentation standards
- Utilizes evidence-based care to author clinical practice guidelines
- Performs presentations to health care providers on submission processes, clinical practice guidelines, evidence-based research, and current practice trends
- Developed and leads Neurologic Journal Club to disseminate latest research data in field
- Successfully able to manage multiple tasks between departments and supervisors, meeting both deadline and productivity requirements
Periodic Lecturer/Clinical Support
California State University
Long Beach, CA
01.2017 - 01.2018
- Instructed and evaluated Doctor of Physical Therapy students in neurologic setting
Physical Therapist III
St. Mary's Medical Center
San Francisco, CA
06.2013 - 09.2015
- Delivered outpatient neurologic physical therapy services as part of multidisciplinary team in community hospital
- Successfully marketed outpatient physical therapy department in San Francisco to be considered preferred rehabilitation referral source for neurologic diagnoses
- Supervised physical therapy students and mentored new physical therapy professionals
Physical Therapist
ONR, Jewish Home For The Elderly
San Francisco, CA
02.2013 - 06.2013
- Provided physical therapy services in subacute setting
Senior Physical Therapist
Hennepin County Medical Center
Minneapolis, MN
01.2009 - 01.2013
- Provided outpatient neurologic physical therapy services to culturally and economically diverse population at Level 1 trauma center and public teaching hospital
- Performed interim inpatient physical therapy services to acute care, medical and surgical intensive care, orthopedic, neurology, neurosurgery, oncology, general medicine and surgery, renal, cardiology, burns, psychology, acute pediatrics, and aquatics
- Team member of neurology and neurosurgical rounds, mild to moderate traumatic brain injury rounds, Huntington's Disease Center of Excellence multi-disciplinary team, and workplace injury prevention team
- Established and led journal club to disseminate most recent research data
- Participated in quality assessment projects to decrease scheduling wait times
- Communicated effectively with health care providers across continuum of care to to provide best care practices
- Assisted with on-boarding new team members and supervised physical therapy students
Education
Master of Legal Studies - Health Law
Cleveland-Marshall School of Law
Cleveland, OH12.2023
Doctor - Physical Therapy
Chapman University
Orange, CA08.2019
Master of Science - Physical Therapy
Clarke College
Dubuque, IA05.1998
Bachelor of Arts - Human Health Sciences and Psychology, Biology
Clarke College
Dubuque, IA05.1997
Skills
- Clinical Expertise
- Project Management
- Legislative and Regulatory Review and Interpretation
- Memo Drafting
- Communication
- Education
- Presentations
- Flexibility
- Self-motivation
- Teamwork
Affiliations
- Member of American Physical Therapy Association (APTA), Ohio Physical Therapy Association, Neurology Section of APTA
- Member of following Special Interest Groups of the Academy Neurologic Physical Therapy: Assistive Technology/Seating & Wheeled Mobility, Balance and Falls, Brain Injury, Spinal Cord Injury, Stroke, Degenerative Diseases, and Vestibular Rehabilitation
- Toastmasters
- Participated in item-writing workshop for Neurologic Clinical Specialty exam
- Presented multiple topics to health care professions over professional career, including Parkinson’s disease, multiple sclerosis, concussion, vestibular disorders, dizziness, tone management with neurologically impaired patients, and psychological disorders and impact on functional status
- Mentor for Academy of Neurologic Physical Therapy Clinical Mentorship Program
- Interviewed by magazine Today in P.T. regarding rehabilitation with traumatic brain injury
- Involved in community outreach programs, including Parkinson’s disease, balance, diabetes and exercise, and injury and falls prevention,
- Participant in National Parkinson's Foundation's Moving Day
- Presented at and published in the National Conference of Undergraduate Research, "Prevalence, Manifestations, and Repercussions of Geriatric Depression on Functional Mobility"
Timeline
Periodic Lecturer/Clinical Support
California State University
01.2017 - 01.2018
Manager of Clinical Quality Evaluations
American Specialty Health
09.2015 - Current
Physical Therapist III
St. Mary's Medical Center
06.2013 - 09.2015
Physical Therapist
ONR, Jewish Home For The Elderly
02.2013 - 06.2013
Senior Physical Therapist
Hennepin County Medical Center
01.2009 - 01.2013
Master of Legal Studies - Health Law
Cleveland-Marshall School of Law
Doctor - Physical Therapy
Chapman University
Master of Science - Physical Therapy
Clarke College
Bachelor of Arts - Human Health Sciences and Psychology, Biology
Clarke College