As the Director of Clinical Services and Compliance, I am dedicated to delivering exceptional quality patient care through strategic leadership, regulatory excellence, and team collaboration. With over 18 years of experience in healthcare and rehabilitation services, I specialize in overseeing clinical educational operations, ensuring compliance with industry standards, and implementing innovative solutions to enhance quality and efficiency functional outcomes.I have a proven track record of fostering a culture of excellence by developing evidence-based policies, optimizing clinical education, and leading interdisciplinary teams to achieve organizational goals. My expertise spans clinical program development, regulatory audits, staff training, and risk management, always with a focus on patient outcomes and satisfaction.I am passionate about empowering teams, navigating complex healthcare regulations, and driving sustainable growth while maintaining the highest standards of ethical and clinical practice.

Corporate Clinical Analyst is responsible for the clinical oversight of regional specific Phyt facilities across the US. An advanced leadership position with the primary responsibility of maintaining a clinically compliant, productive and efficient rehabilitation department. Development and implementation of clinical/regulatory educational initiatives are also a strong focus within this position that spans across multiple geographies.

• Participates in medical necessity and skilled service clinical audit documentation in outpatient setting• Provides effective training/education to both clinicians/clinical management to meet medical necessity in skilled rehab documentation• Independently leads Administrative Law Judge hearings • Participates in appeal writing for specific probes, denials, and reviews

• Provided regulatory oversight, guidance, and support to facilitate organizational compliance and mitigate financial risk across skilled nursing, outpatient and group practice facilities for OT, PT, ST practice nationwide• Developed regulatory resources and communication for internal and external application• Served as a virtual leader to assist with policy and procedure development and management process• Independently participated in regulatory monitoring and reviews of CMS, fiscal intermediaries, state therapy practice acts• Assisted with implementation and maintenance of regulatory resources and tools to support company-wide programs, initiatives, and customer relations• Co-lead implementation of Emergency Preparedness Final Rule requirements for Rehab Agency • Commanded implementation of Performance Assessment of Self-care Skills (PASS) multi-faceted project management with focused training company-wide• Independently created and led mock surveys for Rehab Agency accreditation and compliance• Independently managed company-wide regulatory and compliance help line

• Performed discipline specific/quality assurance and regulatory compliance documentation audits, with development of improvement plans and intensive training and education• Independently delivered instruction in skilled documentation webinars via electronic/video platform• Provided assessment and monitoring of clinical service delivery, programs and initiatives;• Collaborated in appeal writing for claim denials• Coordinated with facility/regional leadership to optimize opportunities for clinical integration, outcomes and quality improvement programs• Participated in compliance investigations with detailed analysis to accurately reflect state/national practice acts/laws and regulatory governing bodies and professional association standards• Spearheaded new employee focused projects including a company mentoring program, and on-board orientation specialists via virtual leadership support• Coordinated in the development, implementation, and follow-up of quality improvement programs to monitor the quality and effectiveness of clinical programs and systems

• Served as a virtual regulatory resource and reimbursement facilitator to assure compliant reimbursement processes toward optimal medical record and denial claims management• Proficient and efficient in skilled medical necessity audits with creation of Quality Assurance plans• Reported levels of potential risk and GRS Medical Necessity Audit results to senior leadership on virtual platform