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Kendall Krizman

@kendallkrizman

Healthcare operations and care coordination at Home & Community / naviHealth; improved HouseCalls engagement from 15% to 41%.

United States

Message

At Home & Community / naviHealth, I increased HouseCalls engagement from 15% to 41% through provider education, identifying barriers, and consistent follow-through. I also contributed to workflow improvements that reduced case turnaround time by 25%.

I investigate clinical, documentation, and workflow discrepancies across Medicare utilization-management and post-acute workflows. I translate clinical and coverage findings into practical guidance and escalate complex issues to the appropriate clinical or operational partners.

At naviHealth, I completed pre-service authorization and claim-related clinical reviews, applying knowledge of prior authorization, ICD-10-CM/CPT coding, and clinical documentation. I also contributed SLP subject-matter expertise to technology enhancements involving dysphagia and communication workflows.

At Community Health Network, I use Epic to review records, document skilled services, and coordinate care across medically complex hospital cases. My clinical background includes speech-language pathology, care coordination, and supporting workflow and quality improvement.

Experience

Work history, roles, and key accomplishments

Current

Speech-Language Pathologist

Current

Community Health Network

Jul 2018 - Present (8 years 3 months)

Navigated Epic and other clinical systems to review records, document skilled services, coordinate care, and support reimbursement and continuity across medically complex hospital cases. Translated complex diagnostic and treatment information into clear education for patients, families, and interdisciplinary teams.

Epic Clinical Documentation ICD 10 CM CPT Medical Necessity Criteria Billing Regulatory Compliance Mentorship Workflow Improvement

Clinical Liaison (PRN)

Lifepoint Health

Jan 2025 - Aug 2025 (7 months)

Supported physicians, case managers, administrators, referral sources, patients, and families through post-acute referral and admission workflows, identifying barriers and coordinating timely solutions. Built consultative relationships and translated clinical needs into clear service recommendations.

Post Acute Referral Admission Workflows Care Coordination Clinical Communication Stakeholder Management

Pre-Service Care Coordinator

naviHealth

Aug 2021 - Feb 2022 (6 months)

Completed pre-service authorization and claim-related clinical review for approximately 10-12 Medicare cases daily, evaluating diagnoses, treatment plans, benefits, documentation, coding, and payer requirements. Resolved incomplete information by coordinating with providers and members, and contributed SLP subject-matter expertise to technology enhancements.

Prior Authorizations Claims Review ICD 10 CM CPT Coding Medicare Clinical Documentation Reimbursement Anthem BCBS Michigan Aetna HAP SLP Dysphagia Communication Skills

Care Coordinator / Skilled Inpatient Care Coordinator

Home & Community / naviHealth

May 2020 - Aug 2021 (1 year 3 months)

Increased HouseCalls program engagement from 15% to 41% in under one year through targeted education and barrier identification. Investigated clinical and workflow discrepancies, translated findings into actionable guidance, and contributed to workflow improvements that reduced case turnaround time by 25%.

Medicare Utilization Management Care Coordination Clinical Documentation Workflow Optimization Product Testing InterQual DSNP Medicare Advantage Epic Cerner Casamba Medilink Excel HIPAA

Lead Speech-Language Pathologist

IU Health – IU Morgan & Methodist

Jul 2019 - May 2020 (10 months)

Served as a lead clinical resource and educator, helping colleagues troubleshoot complex cases and supporting coordinated, evidence-based service delivery. Helped increase referrals by approximately 80% and supported development of a head-and-neck cancer program through provider education and relationship building.

Clinical Leadership Education Complex Case Management Provider Education Head and Neck Cancer Program Referral Growth

Speech-Language Pathologist

Renewal Rehab / Franciscan Health / American Senior Communit

Aug 2016 - Jul 2019 (2 years 11 months)

Delivered SLP services across rehabilitation, post-acute, and long-term-care settings, including assessment, treatment, clinical documentation, coding, patient education, and interdisciplinary coordination. Served in a Lead SLP capacity at American Senior Communities and maintained approximately 85% productivity while supporting clinical quality and team workflows.