Seeking a position as a Physical Therapist in which the job duties can be performed remotely. I have work experience in Clinical Reviewing Documentation for Various Insurance Plans, held Facility Rehabilitation Director & Area Rehabilitation Director positions with all the duties those positions entail, Provided Consultation Services & Telehealth Services. Highly organized, detail-oriented, and works independently or as part of team.
Overview
30
30
years of professional experience
Work History
Pediatric Physical Therapist
Kidscare Home Health
Hollywood, FL
09.2023 - Current
Conducted evaluations of pediatric patients to assess physical abilities and limitations.
Provided education and support to families of pediatric patients.
Instructed staff on the implementation of treatment protocols.
Maintained accurate records of each patient's treatments, progress, and outcomes.
Assisted in the assessments of adaptive equipment for pediatric patients with special needs.
Clinical Reviewer II
Magellan Health
Maryland Heights, MO
09.2018 - 12.2021
Reviewed and evaluated PT, OT, ST evaluations, plan of treatments, progress notes, and other clinical documentation to assess medical necessity of care, adhering to Utilization Management Protocols and scope of practice guidelines.
Communicated with treating providers and physicians via phone to discuss various topics such as review results, requests for additional documentation, Peer to Peer reviews, billing concerns, assistance with the appeals process, and general inquiries.
Actively contributed to ongoing operational improvements by providing feedback, proposing written plans to management for streamlining processes, resolving provider issues in collaboration with the provider team liaison members, enhancing efficiency within the team, and participating in training and mentorship initiatives.
Successfully performed miscellaneous tasks and projects assigned by management, demonstrating adaptability and a proactive approach.
Applied in-depth knowledge of CPT and ICD9/10 codes to identify and rectify inaccuracies in coding on clinical documentation.
Actively participated in all staff meetings, office presentations, training sessions, orientations, and conference calls as directed.
Maintained positive working relationship with fellow staff and management.
Clinical Reviewer/ Orthopedic Case Manager
Orthonet
Plantation, Fl
09.2015 - 01.2018
Responsible for reviewing and authorizing requests for PT/ OT services in a timely manner utilizing established clinical guidelines.
Maintained current knowledge of applicable laws, regulations, standards, guidelines, and best practices related to clinical review activities.
Facilitated communication between providers and payers regarding denials or issues identified during the review process.
Maintained positive working relationship with fellow staff and management.
Analyzed patient information and data to identify any discrepancies or errors in the documentation.
Home Health Physical Therapist
Prestige Home Health
Hollywood, Fl
01.2012 - 09.2015
Performed physical therapy assessments on homebound patients to determine functional limitations and develop individualized treatment plans.
Provided direct one-on-one physical therapy interventions to improve strength, balance, coordination, posture, range of motion, gait training and other impairments.
Educated patients and caregivers on safety techniques for transferring, ambulation and exercise programs.
Developed individualized rehabilitation goals based on the patient's needs and abilities.
Senior Physical Therapist
Genesis Rehabilitation
Hollywood, Fl
01.2012 - 10.2013
Evaluated and assessed patients to establish measurable goals and promote restoration of functional abilities.
Identified and properly documented patient goals, evaluated progress and planned reevaluation.
Directly supervised five physical therapy assistants and managed caseload of neurological, orthopedic and pediatric patients.
Physical Therapist
Power Plus Rehabilitation
Boca Raton, Fl
09.2009 - 09.2011
Home Health physical therapy services specializing in wheelchair evaluations for durable medical companies.
Responsibilities include rendering treatments, assuring wheelchair / equipment meets patients' needs and patient is safe utilizing equipment, completion of all documentation, billing, communication with clients, families, physicians & DMEs.
Area Director of Rehabilitation
Salus Rehabilitation
Hallandale Beach, FL
02.2006 - 04.2009
Responsible for a team of 27 Directors of Rehabilitation in multiple facilities
Supported long-term business strategies, generating employees and managers feedback for process improvements.
Provided leadership, insight and mentoring to newly hired managers to supply knowledge of various company programs and protocols.
Identified appropriate solutions to minimize issues and quickly solve problems.
Conducted internal audits at multiple sites to verify compliance and standardization of processes across facilities.
Developed and reviewed operating budgets per facility to analyze trends affecting budget needs.
Analyzed monthly reports on actual revenue performance and compared with budgeted projections.
Area Director of Rehabilitation
NovaCare Rehabilitation
Aventura, FL
12.1999 - 01.2006
Management of 10 Directors of Rehabilitation in multiple facilities.
Administered proper oversight of overtime, productivity and staff utilization to optimize revenue and profitable growth.
Conducted annual performance appraisals for directors, conferring with regional director on performance and merit reviews.
Assisted with assessing additional staff needs equipment and services based on historical data and seasonal trends.
Maintained communication and transparency with governing boards, department heads and medical staff.
Administered fiscal operations for accounting, budget planning, authorizing expenditures and coordinating reporting.
Analyzed monthly reports on actual revenue performance and compared with budgeted projections.
Director of Rehabilitation
Biscayne Rehabilitation Institute
Aventura, FL
06.1994 - 10.1999
Responsible for the opening of the new rehabilitation facility in Biscayne Rehabilitation Institute which catered to outpatient long term rehabilitation for injuries ranging from brain injury in adults & children, genetic disorders in children, orthopedic injuries, neurological disorders, sports injuries & pain management issues.
Developed all treatment protocols & multidisciplinary programs including Pain Management, Brain Injury, Cerebral Palsy, & Alternative Medicine.
Budgeted & purchased equipment for the department, organized scheduling for multidisciplinary treatments including PT, OT, ST & psychology.
Successfully staffed the department with all disciplines with 98% employee retention rate during that period.
Established rehabilitation department productivity goals, guidelines and budgets.
Performed evaluations and treatments for the adult and pediatric populations, developed treatment plans & participated in all team meetings for patient goal setting.
Education
Master of Science - Physical Therapy
Barry University
Miami, FL
05.1994
Skills
Verbal and Written Communication
Critical Thinking
Claims Evaluation
Conflict Resolution
Regulatory Compliance
Team Collaboration
Timeline
Pediatric Physical Therapist
Kidscare Home Health
09.2023 - Current
Clinical Reviewer II
Magellan Health
09.2018 - 12.2021
Clinical Reviewer/ Orthopedic Case Manager
Orthonet
09.2015 - 01.2018
Home Health Physical Therapist
Prestige Home Health
01.2012 - 09.2015
Senior Physical Therapist
Genesis Rehabilitation
01.2012 - 10.2013
Physical Therapist
Power Plus Rehabilitation
09.2009 - 09.2011
Area Director of Rehabilitation
Salus Rehabilitation
02.2006 - 04.2009
Area Director of Rehabilitation
NovaCare Rehabilitation
12.1999 - 01.2006
Director of Rehabilitation
Biscayne Rehabilitation Institute
06.1994 - 10.1999
Master of Science - Physical Therapy
Barry University
License
Physical Therapist - Licensed in the State of Florida - License # PT 11500 -Expiration 11/30/2025
References
References available upon request.
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