Clinical Rehabilitation Specialist resume example with 5+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Summary
Supportive Clinical Liaison anticipates patient needs and understands expectations. Committed to treating others with compassion, courteous, fairness and respect. Adept at assessing and admitting new patients and aiding with management and marketing of hospital accounts.
Skills
Crisis Situations
Insurance Authorizations
Documenting and Recording Information
Critical Thinking
Interpersonal and Written Communication
Time Management
Clinical Evaluation
Knowledge of Product Features
Market Knowledge
Electronic Patient Medical Record
Operational Procedures
Communicating to Patients and Families
Clinical Experience
Work History
03/2022 to CurrentClinical Rehabilitation SpecialistUnitypoint Health | Evansdale, IA,
Determine if patients meet criteria for acute rehabilitation services by reviewing medical charts, interacting with medical providers, case managers, and patient/family
Pre-admission documentation and justification of acute rehabilitation services
Followed document protocols to safeguard confidentiality of patient records
Use and knowledge of MCG for medical necessity of commercial and Medicaid payors
Communicate with insurance companies, insurance team, and benefits team to obtain authorization
Provide necessary documentation for peer-to-peer reviews and MD expedited appeals
Handle high volumes of emails and phone calls with efficiency
Knowledge in Medicare/Medicare Advantage/Medicaid/Commercial insurances
Schedule and conduct marketing opportunities with hospitals, SNF, home health care agencies, ER departments, PCP offices, and dialysis facilities
Proved successful working within tight deadlines and fast-paced atmosphere
Offer simple, clear explanations to help clients and families understand hospital policies and procedures
Apply administrative knowledge and courtesy to explain procedures and services to patients
Educate health care professionals on ways to humanize patients' experiences
Develop and maintain courteous and effective working relationships
Collaborate with team members to achieve target results
Exceed goals through effective task prioritization and great work ethic
08/2020 to 03/2022Clinic DirectorIvy Rehab | Rockford, MI,
Evaluation, treatment, re-assessment, and discharge of outpatient patients presenting with musculoskeletal and neurologic disorders including but not limited to post-op and pre-op procedures, pain, stroke, Parkinson's, vestibular, debility, spinal cord injury
Carried full caseload of 12-14 patients per day including diverse patient population
Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees
Supervision of Patient Services Coordinator, one staff physical therapist, and students
Oversaw day-to-day business and clinical activities by establishing goals, objectives, standards of performance and policies and procedures when managing annual budget
Conducted frequent clinic walk-throughs to maintain safe work environment
Communicated with patients, ensuring that medical information was kept private
Prepared and retained records, files and reports according to various government and practice standards
Improved clinic financial performance through improved scheduling based on payor mix for maximal productivity
Performed quarterly peer chart auditing for Medicare and commercial payor charts
Increased patient volume through strong customer service
Used critical thinking to break down problems, evaluate solutions and make decisions
Built relationships with physicians to create steady referral pipeline
08/2019 to 08/2020Staff Physical TherapistCalifornia Rehabilitation & Sports Therapy | City, State,
Evaluated physician referrals and determined appropriate evaluation procedures according to patient needs and medical history
Evaluation, treatment, re-assessment, and discharge of outpatient patients presenting with musculoskeletal and neurologic disorders including but not limited to post-op and pre-op procedures, pain, stroke, Parkinson's, vestibular, debility, spinal cord injury
Planned and administered range of treatments and therapeutic exercise programs involving active and passive ranges of motion and muscle reeducation
Planned individually-designed treatment programs to restore, maintain and improve physical functioning, alleviate pain and prevent disability
Adapted therapy sessions and exercises according to patient progress and limitations
Managed high-volume caseload and organized daily schedules of assistants and patients
Educated patients and family members regarding diagnosis, injury prevention and therapeutic treatments
Proficient at objective measures proving medical necessity and avoiding over-utilization to ensure reimbursement
Improved scheduling techniques and rapid insurance approval turnaround to increase patient volume and satisfaction
Responsible for obtaining authorization for treatments for Medicaid patients
Responsible for monitoring Medicare charts and filing ABN when necessary
Application of ICD-10 and CPT codes to new patient charts
Utilizing ReDoc to submit documentation in timely manner and billing appropriately based on patient’s insurance
Recorded patient prognosis, treatment and responses into reports and patient charts
Performing quarterly peer chart auditing for Medicare and commercial payor charts (12 per year)
Having flexibility in order to cover in other clinics when assistance was needed
Observed patient safety, risk management and infection control policies and procedures
Researched and stayed abreast of current treatment modalities by attending professional development opportunities
01/2017 to 08/2019Staff Physical TherapistCalifornia Rehabilitation & Sports Therapy | City, State,
Planned and administered range of treatments and therapeutic exercise programs involving active and passive ranges of motion and muscle reeducation
Adapted therapy sessions and exercises according to patient progress and limitations
Managed acute and chronic conditions with full understanding regarding complex therapy needs
Planned individually-designed treatment programs to restore, maintain and improve physical functioning, alleviate pain and prevent disability
Recorded patient prognosis, treatment and responses into reports and patient charts
Carried caseload of 6-8 patients per day for 1 on 1 treatment sessions
Collaborated with multi-disciplinary team for optimal patient recovery
Knowledge and practice of HIPPA
Utilizing Meditech, ReDoc, Functional Independence Measure, and C.A.R.E to complete accurate and justified patient documentation in timely manner
Attended weekly interdisciplinary team conference meetings to report on patient status and discharge plan
Determined need for and ordering of durable medical equipment including performing wheelchair seating evaluations
Observed patient safety, risk management and infection control policies and procedures
Supervised clinical students, certified and licensed assistants, technicians and volunteers
Researched and stayed abreast of current treatment modalities by attending professional development opportunities
Educated patients and family members regarding diagnosis, injury prevention and therapeutic treatments
Education
Expected in 08/2016Doctor of Physical Therapy | Marymount University, Arlington, VAGPA:
Expected in 05/2013Bachelor of Science | Exercise Science and Health PromotionFlorida Atlantic University, Boca Raton, FLGPA:
Accomplishments
A Core Course (Nurse.com)
Foundations of Utilization Review For Rehabilitation Professionals with Bill Daley and Liezl Geli
Functional Outcome Measures in IRF/SNF: How is CMS Measuring Them
(MedBridge)
Medicare Qualifying Criteria and Eligibility Requirements (MedBridge)
Certifications
Neuro RTI’s Certification in Neurologic Clinical Practice – August 2019
International Standards for the Classification of Spinal Cord Injury – April 2019
LSVT BIG Certified Clinician – May 2018
Credentialed Clinical Instructor – March 2018
American Heart Association CPR Certified – July 2021
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