Experience

University at Buffalo School of Nursing

• United States
• Higher Education
• 1 - 100 Employee

• Project Program Coordinator

  • Aug 2021 - Present



Fox Run at Orchard Park

• Hospitals and Health Care
• 1 - 100 Employee

• Physical Therapist & Yoga Instructor

  • Apr 2016 - Present



Excellus BC/BS

• United States
• Insurance
• 700 & Above Employee

• Uitilization Review

  • Mar 2020 - Dec 2020

  Performed UR for both managed care and Medicare lines of business for continued services and medical necessity for physical, occupational and speech therapy. OT and Speech cases reviewed , summarized and sent to medical director for final determination. PT reviews for managed care compeleted autonomously. Responsible for completing all review within current CMS and Corporate compliance timelframes. Performed UR for both managed care and Medicare lines of business for continued services and medical necessity for physical, occupational and speech therapy. OT and Speech cases reviewed , summarized and sent to medical director for final determination. PT reviews for managed care compeleted autonomously. Responsible for completing all review within current CMS and Corporate compliance timelframes.