Frances O. Email & Phone Number

Clinical content developer for Change Healthcare, which is now a rebranded department of Optum Insight. We are one of the largest healthcare technology companies in the United States. Develops and updates clinical content for InterQual Medicare products utilizing proficiency in various software editing tools, responsible for quality assurance of content, process optimization, and participates in developing project plans, monitoring tasks, and ensuring on-time delivery of clinical development projects.

naviHealth joined Optum in December 2021

Assessed the utilization of Medicare Advantage patients by leveraging clinical knowledge and employing pertinent CMS guidelines. These assessments are carried out to evaluate and track ongoing suitability of home health skilled services. Collaborative, adaptable, meticulous documentation, and fostered role optimization through successful management of market influencing projects.

Conducted utilization management for skilled nursing facility health plan members, employing clinical expertise and pertinent/proprietary decision-making tools aligned with CMS criteria. Assisted in discharge planning for suitable transitions in care levels and advocated for appropriate care duration. Engaged in additional assignments enhancing the role's effectiveness.

Stern Rehabilitation (skilled nursing facility) Glen Gove Hospital (in-patient rehabilitation)Transitions of Long Island (outpatient neuro-rehabilitation)

Glen Gove Hospital (in-patient rehabilitation)Stern Rehabilitation (skilled nursing facility)

We Care PT, PC Lifelong Therapeutics Private Homecare

Temp OT license

New Hyde Park, New York, United States

Assisted with bookkeeping tasks using Excel to generate profit outlook. Worked with owner for marketing strategy media implementation to increase dining reservation, party bookings, and profit. Designed, printed, and implemented signs and menu/document for current and potential diners.

New York City Metropolitan Area

Translation Services Accounts Receivable. Worked under the Comptroller, producing Excel reports, processing wages, withholding taxes, and managing payroll records. Handled invoice tracking, payment collection, account reconciliation, and financial record maintenance.

Master Of Science - Ms, Occupational Therapy/Therapist, 3.68

Activities and Societies: Phi Theta Epsilon, 2nd Year Class Representative Graduated “With Distinction”, Master’s Thesis: Effects of Upper.

Bachelor Of Science - Bs, Bioloigy

Activities and Societies: Vice President of the Philippines United Student Organization (PUSO), Choreographer and member of the PUSO.

Associate Of Science - As, Business Administration And Management, General