Betsy Buse Looney Email & Phone Number

Charlotte, Nc, Us

Charlotte, North Carolina, United States

• Case management within 400+ member senior community providing all levels of care including outpatient independent living, skilled nursing and short term rehab, private pay care, hospice consultations, and living environment transitions;• Coordinated OT department staffing and patient schedules, managed all patient communications, PDPM ratings at admissions and discharges, and led information sharing among interdisciplinary team;• Prepared educational sessions and workshops for community members and staff, i.e. interactive learning experiences, wellness topic discussions, and marketing presentations of therapy department;• Completed intro-level training in InterQual and Healthcare Effectiveness Data and Information Set (HEDIS) to explore personal interest in improving quality of care and promoting efficiency in department;• Tracked daily, weekly and monthly documentation deadlines in order to meet Medicare compliance guidelines, and completed chart audits; • Executed a brand new Comprehensive Health and Wellness Assessment program including marketing and initiating the pilot program, developing content and conducting one-on-one evaluations with individualized follow up plans.

Kannapolis, North Carolina

• Completed comprehensive chart audits and contributed feedback and performance improvement initiatives related directly to Outcome and Assessment Information Set (OASIS) data and Medicare Star rating data as part of Quality Assurance & Performance Improvement (QAPI) committee;• Remotely supervised 4 therapy assistants through daily emails and phone calls, weekly phone conferences, bi-weekly face to face meetings, and coordinating 14-30-60 day documentation deadlines for caseloads of 50+ patients, and adapting care plans to meet PDGM guidance; • Provided individualized training to new employees including instruction in use of electronic medical records (EMR), quality documentation to meet Medicaid, Medicare and Managed Care standards, ICD-10 coding and complete annual employee reviews; • Coordinated care with physicians, RN, OT, PT, SLP and MSW and other allied health professionals according to Conditions of Participation (COP); • Collaborated with Assistive Technology Practitioners to determine durable medical equipment and assistive device needs, including composing numerous letters of medical necessity (LMN) with a high record of approvals.

Master Of Science - Ms

Bachelor Of Science, Biology, Minor: Business Administration