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Candidate's Name
Street Address   PHONE NUMBER AVAILABLE  EMAIL AVAILABLEObjectiveTo obtain a challenging, growth-oriented position in Health Care Management/Administration. Professional Profile Self-motivated; able to set effective priorities to achieve immediate and long-term goals, ensure smooth workflow and meet operational deadlines Developed interpersonal and communication skills, having dealt with a diversity of professionals, clients and staff members Adept at operating within proposed budget restrictions and time restraints Recognized for ability to plan, organize, coordinate and direct successful health care programs Computer literate with working knowledge of insurance industry requirements Professional ExperienceTherapist/Case Manager Educate patients and families as to the role of Case Management and Transdisciplinary Team Conduct physical/psychological assessment of patients; assess goals and financial status Serve as back-up nurse liaison and patient advocate; ensure patient care satisfaction Interact daily with external case managers and physicians as to patients medical status, treatment plan& home care Assess field evaluations on all potential patients; monitor appropriateness of service and admission criteria Determine adequate and timely documentation of physicians notes and orders Monitor on-going costs of patient care to ensure cost effectiveness of treatment plan; update status of Medicare/Medicaid and insurance benefits; perform utilization reviews Coordinate all aspects of discharge i.e. home health, out-patient, equipment, other facility placement, community resources, etc. Ensure smooth transition from facility during discharge and that proper resources are provided Manage financial aspects of patient care; promote payer/referral satisfaction Frequently attend seminars, workshops, conferences, etc. Prepare monthly monitoring reports for medical staff; compile data and have medical records available to physicians Maintain all documentation pertaining to medical staff quality assurance activities Coordinate and schedule third party payor billing, gathering information from all ancillary services involved in the care of patient Attend weekly Transdisciplinary meetings, take notes, compile information and compose correspondence resulting from each meeting Coordinate patient admission and hospitalization; complete all admission paperwork Verify benefits and secure insurance pre-certification number; ensure adequate signature on all re- certification forms Monitor and review status of patients Medicaid/Medicare and insurance on a weekly basis Function as Utilization Review Coordinator; serve as liaison between patient, family, physician and hospital staff Interact daily with business office as to all Medicare and insurance benefits, pre-certification, and re- certification information Maintain referral/inquiry/admissions log and current data on RATS systems Provide weekly reporting on all planned discharge and ALOS performance to Administrator Educate patients and families as to the role of Case Management and Transdisciplinary Team Supervise and administer respiratory therapy treatments according to procedures and policies Hands-on knowledge of sterilization and aseptic procedures as well as preparing, delivering and troubleshooting therapy equipment and supplies, medical gasses, inhaled medicine i.e. Vasodial, Bronchodial, Ventil Act quickly and administer proper therapy in an emergency situation Administer intermittent positive pressure breathing treatment, oral and tracheal suction and medications prescribed Check and record patient progress; keep record and prepare reports Familiar with the use and application of ventilators; assist with bronchoscopes, drawing & analyzing arterial blood gases Airway management: changing tracheotomy tubes, emergency and elective intubations Adjust work schedules to meet department demands; educate patient and families Initiation of emergency and routine BIPAP/CPAP Assess/TX and vent mgt in: neuro, thoracic, surgical, cardial medical, trauma and ICUs ECMO Specialist Initiate and manage VA & VV ECMO Transport Vent/ECMO patientsEmployment HistoryBRIGHAM WOMENS HOSPITAL BOSTON, MARRT 2004-2017BRIGHAM WOMENS HOSPITAL BOSTON, MATravel RRT for Cross Country Travel 2003-2004HORIZON SPECIALTY HOSPITAL CORPUS CHRISTI, TXFlex Therapists/RRT/Acting Case Manager/Internal Case Manager 1994-2003 MEMORIAL MEDICAL CENTER CORPUS CHRISTI, TXTherapists 1994-2003FAVORITE NURSES BOSTON, MAContract Therapist 1993-1994MEDIPLEX BRISTOL REHABILITAION NEW BEDFORD, MAStaff Therapist 1992-1993CRANBERRY SPECIALTY HOSPITAL MIDDLEBORO, MAStaff Therapist 1990-1992ST. LUKES HOSPITAL MIDDLEBORO, MAStaff Therapist 1989-1990BROCKTON HOSPITAL BROCKTON, MAStaff Therapist 1988-1991EducationMassosoit Community College Brockton, MaAssociates Degree Science 1988CertificationMA License 2039  CCMFL License 15898Texas Licensed Registered Respiratory TherapistBCLS Certified and past BCLS InstructorCertified Rainin-Radiometer Technician Training Program; Trauma I & II Courses ACCSACLSECMO SpecialistAffiliationsActive member of: NBRC, AARC, TRACMPast member of: TSRC, CMSA and ICMAPast Chairman and board member of MSRC and TRACM