Cheryl Wessel Email and Phone Number
I have a broad range of experience as a speech-language pathologist. My experience includes: * traumatic brain injury * stroke rehabilitation (inpatient, outpatient, and home health) * early intervention * school-aged population * skilled nursingI have certifications in the following: * Vital Stimulation * Modified Barium Swallow Studies * Functional Independence Measures (FIM) * CCM (Certified Case Manager)I see myself as a chameleon in the healthcare field as I have the ability to embrace to adapt to and embrace many different roles as a therapist, medical documentation review specialist, and a case manager. I am passionate about working in healthcare for many different reasons. My strong convictions about holding providers to a high standard of ethics is a driving force for my investigative nature with regard to identification of fraud, waste, and abuse. My desire to help others improve and be their best selves is an equally driving force that together, allow me to do my part in making the world a better place.
Securecare
View- Website:
- securecarecorp.com
- Employees:
- 42
-
SecurecareApex, Nc, Us
-
Clinical ReviewerSecurecare Sep 2022 - Sep 2024Omaha, Nebraska, Us* Completed clinical documentation reviews to identify patterns of fraud, waste, and abuse on behalf of Blue Cross Blue Shield• Provided feedback and recommendations to improve documentation based on results of reviews• Participated in documentation review educational meetings with audited providers
-
Speech Language PathologistAya Healthcare Aug 2022 - Sep 2024San Diego, Ca, Us -
Speech Language PathologistWakemed Health & Hospital Apr 2011 - Jul 2024• Provide a full range of treatment for patients with speech, language, voice, and cognitive challenges on s supplemental basis with little supervision available • Administer clinical assessments, analysis, treatment, and education to rehab patients (and family members) suffering from strokes, brain injuries, and other neurologic deficitsKEY ACCOMPLISHMENTS:• Expertly apply Functional Independence Measure (FIM) rating scale to assess and assign baseline and goal levels of function, and designed treatment plans focusing on community re-entry and maximization of independent functioning• Successfully utilize a variety of electronic health applications including McKesson, Soarian, and Epic (currently) -
Program Manager - Outpatient Specialized TherapiesNc Department Of Health And Human Services Sep 2021 - Jun 2022Raleigh, North Carolina, Us• Provide clinical and technical support to outpatient therapy providers (OT, PT, SLP, RT, AUD) across the state of North Carolina• Apply high-level problem-solving with regard to prior authorization and claims issues• Provide oversight of the managed care organizations, ensuring that contractual obligations are met and providers’ questions/concerns are addressed• Manage the prior authorization vendor contract (including invoice reconciliation, contract performance monitoring and extensions, written provider communications, and problem resolutions)• Manage the specialized therapy clinical coverage policies (including home health/hospital outpatient, Independent practitioner providers, LEA – local education agency, and respiratory therapy) -
Speech Language Pathologist/Review SpecialistThe Carolinas Center For Medical Excellence Jun 2011 - Sep 2021Raleigh, North Carolina, Us• Developing and implementing strategic methods to identify and reduce fraud, waste and abuse of Medicaid funds by effectively applying CMS Medicare and Medicaid policies, best practice standards and applicable regulatory guidelines• Applying scrutiny for detail in identifying “red flags” via completion of medical necessity and documentation audit reviews and investigations• Conducting post-payment reviews of documented treatment, billings, and provider patterns of concern• Developing comprehensive analysis of suspected fraud and abuse and communicated findings to Division of Health Benefits (DHB) while performing the duties of expert representative in the appeals processes on mediations and hearings at the administrative level• Collaborating in the development and implementation of software applications used for medical necessity and audit reviews -
Certified Case ManagerLearning Services Jun 2019 - Mar 2020Paoli, Pa, Us• Managed daily healthcare needs for traumatic brain injured individuals• Scheduled appointments and communicate findings to external case managers and adjusters• Managed aspects of staff and resident scheduling, relative to transportation and required staff ratios• Consistently communicated with family members, external practitioners, facility nursing, and care staff• Led weekly clinical staff meetings and monthly care conferences to review plans of care and discharge recommendations/services• Managed daily billing requirements and resident funds -
Speech Language PathologistWake County Public School System Jul 2004 - Apr 2009Cary, Nc, Us• Mentored Speech-Language Pathology graduate students from NCSU and NCCU• Served as Lead Speech-Language Pathologist for elementary and high school level students • Conducted evaluations, scheduled, and provided therapy for a caseload of 35-45 students• Coordinated and led IEP meetings between students, parents, and other faculty• Coordinated reporting of progress documentation and billing of treatment visits for Medicaid eligible beneficiaries
Cheryl Wessel Education Details
-
East Carolina UniversitySpeech-Language Pathology/Pathologist -
North Carolina State UniversitySpeech Communication
Frequently Asked Questions about Cheryl Wessel
What company does Cheryl Wessel work for?
Cheryl Wessel works for Securecare
What is Cheryl Wessel's role at the current company?
Cheryl Wessel's current role is Diverse healthcare background - speech language pathology and case management.
What schools did Cheryl Wessel attend?
Cheryl Wessel attended East Carolina University, North Carolina State University.
Who are Cheryl Wessel's colleagues?
Cheryl Wessel's colleagues are Erick Alvarez, Antonio Guillen, Mark Swanson, Tamara Fenster, Scott Misek, Dc, Nick Payne, Shaun Johnson.
Free Chrome Extension
Find emails, phones & company data instantly
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial