CenterWell Senior Primary Care

Therapist

• Plan and administer prescribed physical therapy treatment for patients, working onsite in their homes, to attain highest level of physical function.
• Assess and document patients' physical strengths to support physician evaluation and guide treatment goals.
• Develop and implement a rehabilitation program consistent with physician's Plan of Treatment and the goals of the patient team.
• Provide PTAs and Home Health Aides with clear written care instructions and oversee their performance and documentation.
• Document patient observations, interventions, and evaluations promptly and thoroughly.
• Report patient progress to the physician, Clinical Manager, care team, patient, and family, and submit all required evaluations, plans, progress notes, and discharge summaries.

Physical Therapist

• Assess/screen patient's daily living/work-related skills and develop therapeutic retraining programs
• Administer and interpret diagnostic and prognostic tests to patients
• Confer with physician and other health care team members to develop/revision Plan of Care Treatment
• Provide therapeutic treatment and instruction to patients
• Consult with vocational team members to develop vocationally oriented plans
• Report patient status and progress to the physician and others
• Participate in care coordination and discharge planning activities
• Design community reintegration activities
• Recommend design special adaptive equipment for clients
• Supervise, instruct and evaluate Occupational Therapy Assistant and Home Health Aide
• Document patients' care observations accurately
• Ensure interim orders from the physician are documented

Occupational Therapist – Home Health, PRN

• Administer the physical therapy treatment plan to patients
• Work onsite in patients' homes
• Administer therapeutic exercises, therapeutic massage, traction heat, light, cold, water, and electrical modalities
• Document client records and submit clinical documentation
• Attend educational meetings and coordinate department in-services
• Notify Physical Therapist or Branch Director of equipment failures or supply shortages
• Apply concepts of infection control and universal precautions

Physical Therapist Assistant – Home Health

• Plan and administer prescribed physical therapy treatment for patients, working onsite in their homes, to attain highest level of physical function
• Assess and document patients' physical strengths to support physician evaluation and guide treatment goals
• Develop and implement a rehabilitation program consistent with physician's Plan of Treatment and the goals of the patient team
• Provide PTAs and Home Health Aides with clear written care instructions and oversee their performance and documentation
• Document patient observations, interventions, and evaluations promptly and thoroughly
• Report patient progress to the physician, Clinical Manager, care team, patient, and family, and submit all required evaluations, plans, progress notes, and discharge summaries

Home Health Physical Therapist

Director

• Manage the daily branch operations.
• Ensure operational efficiencies, quality of patient care, and regulatory compliance.
• Support business development and patient base growth and manage/develop people.
• Oversee the branch/clinical staff.
• Ensure the branch meets applicable Federal, State, and local laws regarding certification and licensure process.
• Responsible for long-range planning, fiscal viability, and quality of care provided by the branch.
• Recruit, interview and hire staff, and monitor quality care and organizational performance.
• Assist other disciplines in coordinating activities, assuming responsibility for continuity, appropriateness, and quality of services delivered.
• Develop, plan, implement, analyze and organize operations for the Branch.
• Deliver care for all patients served by the Branch by providing guidance and support to the Clinical Manager(s).

Branch Director, Home Health

QA Engineer

• consults and collaborates with clinicians to ensure high accountability of compliance and quality
• provides guidance to branch and branch leadership with strategy for ongoing performance improvement and quality assurance initiatives
• provides instructor lead education, training, and coaching to field staff, case managers
• completes chart auditing and data collection with instructor lead feedback and support to ensure regulatory compliance
• monitors quality investigations and compliance processes

Quality Assurance, Clinical Professional 2

Sales

• Conducts selling activities within a primary care setting
• Makes 45 outbound calls per day with the goal of getting patients back into clinics
• Re-engages Medicare eligible patients through telephonic conversations
• Proactively anticipates patients' needs in order to provide guidance and customer service
• Documents and modifies contact notes across multiple systems as necessary

Bilingual Outbound Tele Sales Agent

• Provide therapy services planned, delegated and supervised by the qualified Occupational Therapist in accordance with the patient's Plan of Treatment.
• Assist in the implementation of vocational/education programs and activities established by registered Occupational Therapist.
• Design/adapt equipment and working and/or living environment.
• Provide therapeutic treatment and instruction to patients as directed by the qualified Occupational Therapist.
• Report information and observations to Occupational Therapist and/or Clinical supervisor.
• Maintain and submit documentation as required by the Company and/or facility.
• Instruct patients and family members regarding home programs as well as care and use of adaptive equipment.
• Participate in care coordination and discharge planning activities.

Occupational Therapist Assistant

• responsible for administration and/or management of branches
• oversee private pay, in home, or certified home health branches
• make decisions related to complex technical and operational problems

Branch Director – Home Health

Administration

• Contributes to administration of utilization management
• Works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems
• Receives assignments in the form of goals and determines approach, resources, schedules, and goals
• Provides non-clinical support for the procedures ensuring best treatment, care or services for members
• Makes decisions related to resources, approach, and tactical operations for projects and initiatives involving own departmental area
• Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department

Manager, UM Administration

• Plan and administer prescribed physical therapy treatment for patients
• Assess and document patients' physical strengths
• Develop and implement a rehabilitation program
• Provide PTAs and Home Health Aides with care instructions
• Document patient observations, interventions, and evaluations
• Report patient progress to the physician and care team

Manager

• Oversee the review, adjudication, and resolution of home health, DME, home infusion and SNF claims, including Medicare, Medicaid, and commercial payer claims, ensuring compliance with payer guidelines, CMS regulations, and organizational policies.
• Determine whether claims are paid, denied, returned, or adjusted based on clinical documentation, coding accuracy, authorization status, and payer requirements.
• Manage escalated, complex, or high-risk claims issues, including denials, underpayments, and payer disputes.
• Manage and develop claims processing professionals and/or claims supervisors; set performance expectations, provide coaching, and conduct performance reviews.
• Identify, lead, and implement change initiatives to improve claims processing efficiency, denial rates, turnaround times, and cash flow.
• Collaborate with Coding, Clinical Operations, Intake, Authorization, Finance, and Compliance teams to ensure accurate documentation and clean claim submission.

Manager, Claims Processing

Engineer

• Develop, maintain, and optimize Power BI dataflows, dashboards, and visuals.
• Schedule and monitor dataset refreshes to ensure accurate reporting.
• Aggregate, standardize, and reconcile data from multiple internal and external learning sources.
• Monitor and troubleshoot API integrations and automated ETL processes, resolving issues and validating results.
• Investigate and resolve data discrepancies by applying reconciliation and equivalency logic to learner records.
• Build user-friendly interfaces and visualizations to make data accessible, understandable, and actionable for a variety of stakeholders.
• Administer user access and security groups across Power BI environments.
• Collect and analyze learning metrics from past training sessions.
• Identify performance gaps and support audits of technology solutions, including data warehousing and Power Platform visualizations.
• Monitor and evaluate training program metrics, connect learning outcomes to on-the-job performance statistics and KPIs, and assess the impact of learning initiatives on business unit outcomes to prepare insights for leadership.
• Partner with business unit leaders and other stakeholders to report on training program metrics and outcomes.
• Support audits and ensure compliance reporting.
• Partner with stakeholders to plan for future interventions and continuous improvement of learning strategies.

Senior Learning Data Visualization Engineer

• Provide high-quality support to healthcare providers contacting the call center to initiate referral authorizations or check the status of existing requests
• Serve as a key liaison between providers and internal UM teams, ensuring timely and accurate processing of referral and authorization inquiries in accordance with organizational policies and regulatory guidelines
• Provide non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members
• Respond promptly and professionally to incoming calls from providers
• Accurately gather, verify, and enter provider and member information into the appropriate systems
• Review and process referral authorization requests according to established UM protocols, policies, and regulatory requirements
• Collaborate with clinical and administrative staff to resolve issues, clarify requirements, and ensure efficient case management
• Provide clear, concise, and courteous information regarding UM processes, documentation requirements, and referral guidelines
• Monitor call queues and manage multiple tasks to maintain service level agreements and minimize provider wait times
• Identify and escalate complex or urgent cases to the appropriate clinical or supervisory staff as needed
• Maintain thorough documentation of all interactions and transactions in accordance with company standards
• Participate in ongoing training and quality assurance activities to maintain up-to-date knowledge of UM policies and procedures
• Adhere to all applicable privacy, confidentiality, and compliance regulations

Physical Therapist

Occupational Therapist – Home Health, PRN

Physical Therapist Assistant – Home Health

Home Health Physical Therapist

Branch Director, Home Health

Quality Assurance, Clinical Professional 2

Home Health Physical Therapist

Bilingual Outbound Tele Sales Agent

Occupational Therapist Assistant

Branch Director – Home Health

Manager, UM Administration

Home Health Physical Therapist

Manager, Claims Processing

Senior Learning Data Visualization Engineer

Utilization Management Administration Coordinator – Phone Intake