Donna Zinck
Case Manager at Curahealth Hospitals- Claim this Profile
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Bio
Credentials
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Occupational Therapy License
Commonwealth of MassachusettsJan, 1979- Nov, 2024
Experience
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Curahealth Hospitals
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Case Manager
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1999 - Present
Provide case management services to the 41 bed brain injury/behavioral rehabilitation program in Stoughton, MA. In this role I am responsible for coordinating the resources and comprehensive rehabilitation programs of each patient, including clinical pre-admission screening, care coordination throughout the stay, utilization management and discharge planning. Key duties: -Conduct onsite clinical intake screenings to determine patient eligibility, resulting in reccomendation to treatment team. Coordinate admission, preparing clinical profiles for insurance and secure financial and legal approvals (e.g. guardianship assignments) -Core member of the interdisciplinary treatment team, providing advocacy and liason services for patients and families with medical personnel, third party payor entities and outside agencies -Ensure that all reporting on the patients' behalf is in compliance with third party payor sources, including MassHealth Show less
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Blue Cross Blue Shield of Massachusetts
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United States
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Hospitals and Health Care
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700 & Above Employee
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Clinical Reviewer Rehabilitation Therapy
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1996 - 1998
Reviewed outpatient rehabilitation requests and made determinations for PT, OT, and speech therapy. Based out of the Quincy, MA office. Key duties: -Served as primary contact for providers regarding benefit information and clinical decisions -Facilitated appeals for physician review -Developed guidelines for rehabilitation services and reimbursement Reviewed outpatient rehabilitation requests and made determinations for PT, OT, and speech therapy. Based out of the Quincy, MA office. Key duties: -Served as primary contact for providers regarding benefit information and clinical decisions -Facilitated appeals for physician review -Developed guidelines for rehabilitation services and reimbursement
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Greenery Rehabilitation and Skilled Nursing Center
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Greater Boston Area
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Case Manager
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1984 - 1996
Coordinated and supervised programs from admittance to discharge for patients with catastrophic neurological injuries. Based out of the Brighton, MA office. Key duties: -Monitored quality of care for patients, ensuring both treatment quality and efficiency -Complete utilization review processes with insurance companies, documenting treatment, services and results -Prepared all required medical documentation in accordance with federal and state guidelines Coordinated and supervised programs from admittance to discharge for patients with catastrophic neurological injuries. Based out of the Brighton, MA office. Key duties: -Monitored quality of care for patients, ensuring both treatment quality and efficiency -Complete utilization review processes with insurance companies, documenting treatment, services and results -Prepared all required medical documentation in accordance with federal and state guidelines
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Education
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Boston University
Bachelor of Science - BS, Occupational Therapy/Therapist -
Framingham State University
Graduate Coursework, Health/Health Care Administration/Management