Livecareer-Resume
Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
CLINICAL REVIEWER

Medical Necessity l Chart Audits l Managed Care l Utilization Review l Communication

Successful 10+ year career as a physical therapist marked by making sustainable differences in the outcomes and lives of patients, focusing on responsible allocation of resources and evidence-based care. Astute understanding of medical necessity and scope of practice. Skilled at evaluating deviations from established standards and communication with providers and physicians. Seeking role as Clinical Reviewer.

  • Experienced Utilization Reviewer. Competent at making recommendations based on medical/physical therapy judgement and established criteria.
  • Dedicated Team Player. Known for comprehensive treatment planning and care implementation.
  • Reliable Clinical Resource. Experienced with teaching, training and mentoring staff members, supervising clinical support staff and identifying training needs. Strong clinical judgement.
  • Excellent Communication Skills. Electronic Medical Records Proficient, clear verbal and written communication skills, strong attention to detail.

CORE COMPETENCIES INCLUDE: Physical Therapy Scope of Practice l Direct Patient Care l Utilization Review l Case Management l Quality Improvement l HIPAA Compliance l Policies and Procedures l Excellent Documentation l Time Management Skills l Chart Auditing l Autonomy

PROFESSIONAL EXPERIENCE
Physical Therapist, 04/2019 to Current
Dean HealthNashville, IL,

EVALUTATIONS and TREATMENTS l STAFF SUPERVISION l PAIN REDUCTION l EVIDENCE BASED APPROACH

Supervise clinical support staff including certified and licensed assistants and technicians. Provide physical therapy services for those with long term health care needs who have the potential to function independently after a limited period of care.

  • Skilled at ensuring services provided are medically necessary and appropriate to meet professionally recognized standard and avoiding duplication of services.
  • Proficient at setting objective measures for improvement and avoiding overutilization of services.
  • Decreased waste and promoted cost effectiveness while maintaining patient safety and quality care.
  • Reduced falls in SNF and with outpatients by screening individuals for reduced functional mobility impairments, weakness, balance impairment and environmental hazards.
  • Productivity 90%+.
Home Health Physical Therapist, 01/2018 to 04/2019
AdvisacareBoyne City, MI,

OASIS STARTS OF CARE l EVALUATIONS AND TREATMENT l CUSTOMER SERVICE l STAFF SUPERVISION l INTERDISCIPLINARY CARE l CASE MANAGER l TESTS AND MEASURES

Provided home health OASIS starts of care along with PT evaluations and treatment to homebound patients, utilizing point of care documentation in EMR and delivering high quality care that was cost effective.

  • Decreased rehospitalization rates of patients at risk by providing education on medications, fall prevention, disease management and complete health care plan.
  • Collaborated with other professional disciplines to provide optimal care to clients with complex medical needs.
  • Case manager of Medicaid, Medicare and private insurance patients.
Home Health Physical Therapist , 08/2010 to 01/2017
AdvisacareBrethren, MI,

CASE MANAGER l VESTIBULAR REHABILITATION CERTIFICATION l CLINICAL LADDER ACHIEVEMENT l CUSTOMER SERVICE

Proficient in Starts of Care, Physical Therapy evaluations and treatment to homebound patients, utilizing comprehensive care plans. Planned individually designed treatment programs to restore and improve physical functioning, alleviate pain and prevent disability.

  • Achieved Clinical Ladder Level 1 status January 2014, renewed 2017. Awarded for clinical excellence in care provided, excellence in clinical documentation and providing team leadership.
  • Mentored staff in objective tests and measures to improve efficacy of treatment.
Home Health Physical Therapist, 08/2005 to 08/2010
AdvisacareCave Creek, AZ,

CASE MANAGER l ORTHOPEDIC AND NEUROLOGICAL EVALUATIONS AND TREATMENT l CUSTOMER SERVICE

Delivered home care physical therapy including evaluations and treatment to homebound patients in the Denver Metro area.

  • Skilled at establishing medical necessity for services.
  • Decreased rehospitalization risk by utilizing fall prevention program and balance training.
  • Utilized remote patient monitoring for chronic health conditions such as diabetes, congestive heart failure and COPD.
Education
Bachelor of Science: Physical Therapy , Expected in
Northwestern University Medical School - Chicago, IL,
GPA:
Bachelor of Arts: Biology And Psychology , Expected in
Augustana College - Rock Island, IL
GPA:

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Disclaimer

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score
could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

62Fair

resume Strength

  • Length
  • Word Choice

Resume Overview

School Attended

  • Northwestern University Medical School
  • Augustana College

Job Titles Held:

  • Physical Therapist
  • Home Health Physical Therapist
  • Home Health Physical Therapist
  • Home Health Physical Therapist

Degrees

  • Bachelor of Science
  • Bachelor of Arts

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in: