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Work Background
SCCClinical Review Specialist
Jan. 2023United StatesPerform retrospective clinical reviews and billing audits to formulate educational plans for improvement. Provide customized clinician trainings emphasizing current evidence based care, quality improvement and change management strategies.
ReliasContinuing Education Instructor
Jan. 2021 - Dec. 2023Revised and enhanced pediatric physical and occupational therapy continuing education courses, ensuring content accuracy, alignment with current evidence-based practices, and engagement for professional development.
eviCore healthcareUtilization Review Senior Analyst - Pediatrics
Jan. 2017 - Jan. 2020Position challenges: outdated or nonexistent guidelines, decision errors, poor audits scores and productivity problems.
Results:
• Develop and present provider education on-site and through web-based meetings.
• Synthesize medical literature, updated existing guidelines and created clinical guidelines for high volume or problem-prone utilization review and pediatric case management requests.
• Develop Visio algorithms for entire administrative and clinical utilization review process to generate consistent decisions and improve productivity; resulting in team audit scores improvement from 85% to 98% accuracy.
• Serve as a pediatric subject matter expert in State Administrative Fair Trial Hearings.
• Perform physical therapy medical necessity and peer to peer consultations for insurance and Medicaid programs nationwide.
Cincinnati Children's Hospital Medical CenterProgram Coordinator & Manager
Jan. 2013 - Jan. 2016Cincinnati, Ohio, United StatesDepartment Coordinator and Evidence Based Practice Project Manager:
• Directed over twenty multi-disciplinary research teams • Oversaw research planning, design, execution, and deliverables within assigned timeframes
• Lead knowledge translation teams through composing systematic reviews, care pathways,
peer and patient education, and nationally published clinical guidelines.
• Managed the department’s float staff to cover temporary staff shortages across thirteen outpatient locations, inpatient, psychiatry, and rehab facilities.
Inpatient Coordinator:
• Served as leader of inpatient acute care and rehabilitative teams, consisting of sixty employees.
• Performed employee engagement including hiring, performance management, mentoring and firing
• Directed program development, quality improvement, and strategic planning.
• Served on hospital and department leadership teams: o Leader of Patient Experience committee o Leadership Transformation Team o Knowledge Translation committee o Clinical Effectiveness committee o Safety committee o Rapid Cycle Improvement Collaborative (RCIC) leader resulting in improved therapists' productivity from 28% to 56% on medically complex hematology-oncology unit.
NUNOERIN, LLCHealthcare Consultant
Jan. 2012 - Jan. 2022Conducted clinical research for use of NunoErin Sparkle Bench in an outpatient pediatric PT, OT, SLP setting, which demonstrated improved sensory, motor, cognitive and speech outcomes. Designed soft pediatric training stairs using thermochromatic technology. Performed literature review of similar products to utilize in marketing to professionals.
Beyond Therapy Pediatric GroupFounder and CEO
Jan. 2005 - Jan. 2013Ridgeland, Mississippi, United States• Founded and managed a large multi-disciplinary, early intervention and pediatric, private practice in central Mississippi increasing revenues from zero to $2 million. • Developed and implemented all policies, procedures, programs, and initiatives.
• Developed ongoing referral relationships.
• Composed marketing adverts and articles for consumer education and medical professionals.
• Clinical leader of twenty professionals including: physical therapists, occupational therapists, speech pathologists, special instructor, and social worker.
Mid South Rehab Services, Inc.Early Intervention Physical Therapist
Jan. 2000 - Jan. 2005
MS METHODIST REHABILITATION CENTERPhysical Therapist
Jan. 1993 - Jan. 1998Inpatient Adult and Pediatric Rehab: CVA, TBI, Neuro
Home Health across nine counties in rural Mississippi
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