Case Manager Resume Freehold, N.J - Hire IT People

EXPERIENCE

Case Manager 2/12-05/12
Confidential, NJ 08820

Review Physicians, Physical Therapy/Physical Therapy Assistant and Chiropractor documentations are complete and accurate for CMS and Managed Care timeframes. Notifies healthcare provider of errors and follow through until correction are obtained. Assures time treatment codes are correct for care provided then communicate with medical billing department that medical bills are reviewed and entered in clinic’s folder for their review. Assist medical record department for managed care information needed for treatment. Compute day by day statistics with all healthcare providers, patients and treatment utilization. Knowledge about personal injury protection and managed care policies.

Supervisor Rehab Data Quality 9/08-3/11
Confidential, NJ 08540.

Reviews all OASIS documents for completeness, accuracy of orders, and consistency within CMS timeframes. Notifies professional staff of errors found and follows through until corrections are obtained. Reviews validation reports and addresses fatal errors and warning before transmission.Knows HHRG scores and authorizes visits appropriately.Assures ICD9 codes are correct for care provided.Meets with staff every two weeks to discuss skill, goals, services and avoidance of LUPAs or outliers. Participates in PPS meetings and education of staff to meet PPS guidelines and OASIS competency. Monitors SHP data and makes appropriate corrections to the record to address adverse events, decline in care, or financial impact. Notifies Rehab. Manager of staff patterns of non-compliance regarding following authorized visits or documentation issues. Provides input for staff performance evaluations.Communicates with Case Manager (CM) per protocols and in a collaborative, educational, and professional manner. Works with CM to provide adequate services to patients working within the resources allocated. Maintains positive patient satisfaction and outcomes. Identifies cases when telephonic management is appropriate and educates staff accordingly, including MD notification. Train new hire Therapist/s once they have finish their orientation with Manager. Training involves educating Therapist/s with their laptop by loading documentation/s then transmitting to host as well as proper documentations. Knowledge background with homecare intake, Insurance Manage care, HHA and other area involving with patient and administrative. Schedule patients to appropriate Therapist/s. Assist with incoming calls.

Rehab Technician 1/05-9/08
Confidential, New Jersey 08540

Multi-task setting which includes assisting Physical Therapist, Occupational Therapist, Speech Pathologist,
Nurses and patient throughout the day by helping our team make the day run smoothly. Supervise and assist
patients with their exercises .Prepare tri-monthly audits, discharge medical equipment orders, and audit adaptive
equipment orders. Log Continuous Motion machine. Prepare Equipment order sheets for patients being discharge. Light secretarial work. Supervise and assist patients at breakfast time. Participate in in-services.

Physical Therapist 6/02 -11/02
Confidential, New Brunswick Ave. N.J

Assist patient at bedside, acute care and out patient. Perform a widespread of patients and evaluation such as range of motion, functional analysis and goniometry. Conclude a suitable treatment for a wide range of exercise and gait training for active daily living with or without assistive device.

EDUCATION

B.S., Physical Therapist

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Case Manager Resume

Freehold N, J

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