- Montgomery Street, San Francisco, CA 94105
- (555) 432-1000
- resumesample@example.com
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
Dean Health – Nashville, 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%+.
Advisacare – Boyne 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.
Advisacare – Brethren, 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.
Advisacare – Cave 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.
Northwestern University Medical School - Chicago, IL,
Augustana College - Rock Island, IL
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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
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