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Physical Therapist Resume Example

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PHYSICAL THERAPIST
UTILIZATION REVIEWER

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

Successful 20+ 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 Utilization 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

UTILIZATION REVIEW

Orchard Park Health Care Center Skilled Nursing Facility 4/2018 - present

  • Volunteer Clinical Reviewer Provided comprehensive and accurate independent medical peer reviews for a wide range of conditions post acute care hospitalization. Strong clinical background in orthopedics, neurology and rehabilitation.

Kindred at Home 8/2010-1/2017

  • Quality Improvement Team Member Provided chart audits/reviews on peers to support CMS compliance and State of Colorado guidelines, conducted problem focused studies to identify practices deemed substandard, reviewed incident reports and evaluated clinical outcomes. Provided education to personnel regarding clinical documentation integrity and necessity for accurate and complete documentation in medical record to drive improvement.
PROFESSIONAL EXPERIENCE
Apr 2019 - CurrentPhysical TherapistOrthocarolina - Lincolnton , NC

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%+.
Jan 2018 - Apr 2019Home Health Physical TherapistBrookdale Senior Living - Tucson , AZ

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.
Aug 2010 - Jan 2017Home Health Physical Therapist Brookdale Senior Living - Boulder , CO

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.
Aug 2005 - Aug 2010Home Health Physical TherapistBrookdale Senior Living - Corpus Christi , TX

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.
LICENSURE AND CERTIFICATIONS

Licensed Physical Therapist, State of Colorado, # 7983, Expiration Date 10/31/2020.

LSVT BIG Certification, November 2015, renewed 2017 (Evidence based intensive treatment program for Parkinson's Disease and other neurological conditions).

Gentiva Health Services Fall Prevention and Vestibular Rehabilitation Certification for Safe Strides 2010, now Kindred at Home.

Gentiva Health Services Orthopedic Speciality Program (Total Joint Replacement) Certification 2015, now Kindred at Home.

Education
Bachelor of Science: Physical Therapy Northwestern University Medical School | City
Bachelor of Arts: Biology And Psychology Augustana College | City, State
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How this resume score could be improved?

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Resume Overview

School Attended

  • Northwestern University Medical School
  • Augustana College

Job Titles Held:

  • Physical Therapist
  • Home Health Physical Therapist

Degrees

  • Bachelor of Science : Physical Therapy
    Bachelor of Arts : Biology And Psychology

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