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Clinical Rehabilitation Specialist resume example with 5+ years of experience

JC
Jessica Claire
Montgomery Street, San Francisco, CA 94105 (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 Current Clinical Rehabilitation Specialist Unitypoint 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
  • Perform bedside and/or over-the-phone patient evaluations
  • 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 03/2022 Clinic Director Ivy 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 08/2020 Staff Physical Therapist California 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 08/2019 Staff Physical Therapist California 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 08/2016 Doctor of Physical Therapy | Marymount University, Arlington, VA GPA:
Expected in 05/2013 Bachelor of Science | Exercise Science and Health Promotion Florida Atlantic University, Boca Raton, FL GPA:
Accomplishments
  • A Core Course (Nurse.com)
  • Foundations of Utilization Review For Rehabilitation Professionals with Bill Daley and Liezl Geli
  • Patient-Centered Defensible Documentation (MedBridge)
  • 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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Resume Overview

School Attended

  • Marymount University
  • Florida Atlantic University

Job Titles Held:

  • Clinical Rehabilitation Specialist
  • Clinic Director
  • Staff Physical Therapist
  • Staff Physical Therapist

Degrees

  • Doctor of Physical Therapy
  • Bachelor of Science

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