Thilaka Jayaprakash
Lexington
Summary
Dynamic rehabilitation leader with a proven track record at Arlington Center, excelling in care coordination and quality monitoring. Expert in medical necessity determination and interdisciplinary collaboration, driving cost-effective care planning. Recognized for strong clinical judgment and a patient-centered focus, consistently achieving optimal clinical outcomes and enhancing service delivery.
Overview
16
16
years of professional experience
1
1
Certification
Work History
RPT/DOR
Arlington center
10.2021 - 01.2023
- Collaborated with nursing, social work, case management, administration, and interdisciplinary teams to support appropriate utilization, care coordination, and positive clinical outcomes.
- Reviewed and managed caseloads, staffing, and resource utilization to ensure efficient, cost-effective delivery of care.
- Evaluated clinical conditions across orthopedic, neurological, chronic, and acute diagnoses to determine skilled therapy needs and appropriateness of services.
- Assessed functional progress and monitored patient response to treatment, supporting continued stay, discharge readiness, and transition planning.
- Maintained high productivity standards (83–85%) while ensuring clinical quality, documentation accuracy, and regulatory compliance.
- Reviewed and ensured thorough, compliant clinical documentation to support medical necessity and authorization requirements.
- Coordinated daily therapy operations across PT, OT, and ST, supporting effective scheduling and continuity of care.
- Educated patients and families regarding diagnoses, treatment plans, safety, and discharge expectations to support successful care transitions.
- Communicated effectively with physicians, nurses, business office, medical records, and external providers to gather and clarify clinical information.
- Participated actively in utilization review (UR), QAPI, and risk management meetings, identifying trends and opportunities for quality improvement.
- Identified, addressed, and escalated clinical quality concerns to ensure patient safety and adherence to standards of care.
- Supported authorization processes, payer communication, and follow-up with ACOs and managed care organizations as needed.
- Assisted with discharge planning and community-based care coordination, ensuring appropriate level of care and site-of-service decisions.
- Promoted cost-effective care delivery, reducing waste while maintaining quality and patient safety.
- Trained, mentored, and supervised therapists, assistants, and students, reinforcing clinical standards and documentation expectations.
- Demonstrated strong ethical judgment, confidentiality, and compliance when handling protected health information.
- Contributed to interdisciplinary and leadership meetings, supporting data-driven decision-making and utilization efficiency.
Director of rehabilitation DOR/PT
Royal meadowview center
04.2017 - 11.2021
- Led the development and implementation of outcomes-driven, medically appropriate plans of care, balancing clinical quality with utilization efficiency.
- Reviewed monthly therapy outcomes and performance data, partnering with staff to identify improvement opportunities and optimize care delivery.
- Worked collaboratively within an interdisciplinary care team including PT, OT, ST, RT, nursing, case management, and physicians to support coordinated, patient-centered care.
- Facilitated weekly Medicare and care planning meetings, ensuring alignment with regulatory requirements and optimal patient outcomes.
- Conducted and participated in meetings addressing patient care concerns, quality measures, risk management, and operational priorities.
- Ensured timely response to Medicare-related reviews, audits, claims, and denials, supporting compliance and reimbursement integrity.
- Assessed and treated a broad range of chronic and acute orthopedic, neurological, and cardiac conditions, maintaining productivity standards of 40–50%.
- Actively participated in state and regulatory surveys, achieving successful outcomes through adherence to nursing facility and therapy regulations.
- Monitored team productivity and utilization metrics, initiating corrective actions in alignment with established benchmarks and organizational goals.
Director of Rehabilitation / Physical Therapist
Care One Rehab
11.2017 - 04.2018
- Led the development and implementation of outcomes-driven, medically appropriate plans of care, balancing clinical quality with utilization efficiency.
- Reviewed monthly therapy outcomes and performance data, partnering with staff to identify improvement opportunities and optimize care delivery.
- Worked collaboratively within an interdisciplinary care team including PT, OT, ST, RT, nursing, case management, and physicians to support coordinated, patient-centered care.
- Facilitated weekly Medicare and care planning meetings, ensuring alignment with regulatory requirements and optimal patient outcomes.
- Conducted and participated in meetings addressing patient care concerns, quality measures, risk management, and operational priorities.
- Ensured timely response to Medicare-related reviews, audits, claims, and denials, supporting compliance and reimbursement integrity.
- Assessed and treated a broad range of chronic and acute orthopedic, neurological, and cardiac conditions, maintaining productivity standards of 40–50%.
- Actively participated in state and regulatory surveys, achieving successful outcomes through adherence to nursing facility and therapy regulations.
- Monitored team productivity and utilization metrics, initiating corrective actions in alignment with established benchmarks and organizational goals.
Director of Rehabilitation / Senior Physical Therapist
Genesiss Healthcare Lighthouse nursing
08.2014 - 11.2017
- Supported achievement of organizational goals by guiding utilization, care coordination, and quality-focused processes across inpatient rehabilitation services.
- Participated in interdisciplinary quality improvement activities, identifying opportunities to improve clinical outcomes, efficiency, and appropriateness of care.
- Maintained strong provider and partner relationships through consistent communication and collaborative problem-solving.
- Contributed to budget and resource planning from a rehabilitation and utilization perspective, supporting cost-effective care delivery.
- Collaborated in staff recruitment, onboarding, and orientation, ensuring clinical competency and compliance with standards of care.
- Evaluated clinical strengths and assigned responsibilities to optimize staffing utilization and resource allocation.
- Worked closely with physicians, nurses, facility leadership, and patients to gather and clarify clinical information supporting plans of care.
- Conducted clinical evaluations and ongoing reassessments, adjusting goals and care plans based on functional progress and medical necessity while maintaining productivity standards.
- Provided mentorship and supervision to PT, PTA students, and staff, reinforcing documentation quality and clinical standards.
- Partnered with nursing and interdisciplinary teams to develop and implement fall prevention and wound care protocols, improving quality and safety outcomes.
- Monitored and supported team productivity and utilization metrics, achieving sustained departmental performance above benchmarks.
- Promoted evidence-based treatment approaches and appropriate use of therapeutic modalities aligned with clinical need and outcomes.
- Conducted and supported departmental performance improvement initiatives, including competency validation and annual staff evaluations.
- Communicated effectively across disciplines to support safe discharge planning, care transitions, and continuity of care.
- Oversaw patient care resources, supplies, and equipment to ensure readiness and efficient utilization.
- Led staff training and facilitated regular interdisciplinary meetings to address care coordination, quality measures, and utilization concerns.
- Collaborated with MDS and leadership during PPS and utilization-related meetings, supporting clinically appropriate classification and reimbursement accuracy.
- Ensured compliance with regulatory, accreditation, and quality standards, consistently delivering high levels of patient satisfaction.
- Implemented specialized rehabilitation programs (falls, skin integrity, maintenance, pelvic health) to improve quality indicators and clinical outcomes.
- Established and integrated interdisciplinary clinical pathways and protocols across PT and OT for complex medical and surgical populations.
Registered Physical Therapist/Lead PT/Interim Rehab manager
Life Care center
02.2007 - 08.2014
- Clinical experience reviewing orthopedic, neurological, cardiopulmonary, and complex multi-medical conditions across adult and geriatric populations.
- Evaluated appropriateness of therapeutic interventions and modalities (e.g., electrical stimulation, ultrasound, TENS, cryotherapy, CPM) based on medical necessity and functional goals.
- Specialized training in wound care and healing principles, supporting quality improvement and education across multiple facilities.
- Conducted comprehensive clinical evaluations, care plan development, progression reviews, equipment needs assessment, and discharge planning.
- Reviewed medically prescribed physical therapy interventions to support restoration of function, prevention of disability, and safe care transitions.
- Assessed treatment plans involving therapeutic exercise, neuromuscular reeducation, range of motion, and modality use to ensure evidence-based, outcome-driven care.
- Evaluated patient ability to safely utilize adaptive equipment and assistive devices, supporting appropriate level-of-care decisions.
- Performed diagnostic and functional assessments to determine clinical status, progress, and continued skilled need.
- Provided education and clinical guidance to interdisciplinary staff and caregivers to support consistent, high-quality care delivery.
- Managed and prioritized high-volume caseloads, ensuring timely reviews, documentation accuracy, and continuity of care.
- Recognized for delivering high-quality, patient-centered, and compassionate care aligned with functional outcomes.
- Served as Interim Director of Rehabilitation, supporting daily utilization oversight, interdisciplinary meetings, and PPS-related reviews during leadership absence.
Education
B.PT - Bachelor Of Physiotherapy
WCC
Doctors of physical therapy - program registered for fall 2026
Skills
- Medical necessity determination
- Level-of-care assessment
- Discharge planning coordination
- Care coordination and transitions
- Managed care payer experience
- Interdisciplinary provider collaboration
- Strong clinical judgment
- Evidence-based treatment evaluation
- Quality of care monitoring
- Cost-effective care planning
- Functional outcome assessment
- Strong clinical documentation
- Problem analysis and resolution
- Productivity and efficiency management
- Performance tracking and reporting
- Independent, self-directed reviewer
- Cultural competency and sensitivity
- Patient- and family-centered focus
- Ethical clinical decision-making
Certification
Massachusetts, Physical Therapy License, 17672
Related Experience
- Completed affiliations in Department of General medicine, pediatrics, stroke, SCI and intensive care unit, plastic surgery, orthopedics, surgery, Obstetrics and Gynecology, Physical medicine and Rehabilitation.
- Experience includes neurological impairments, wound care, manual therapy based in orthopedic and cardio thoracic conditions, geriatric and pediatric cases.
- Treatment expertise in CVA, orthopedic cases, joint mobilization, gait training, nerve injuries, PNF techniques.
Papers Presented
- Hypertension And Physical Therapy, 1998
- Role Of Physical Therapy In Myopathy, 1997
Residential Status
US Citizen
Personal Information
Title: Director of Rehabilitation
Certificates And Continuing Education
- Wound Care Certification (WCEI)
- Certified Dementia Practitioner (CDP)
- ACP Clinical practice in the use of various modalities like E-Shim, U.S for Neuro muscular facilitation, Pain Management, Wound Healing, increasing muscle Strength
- Fall prevention strategies in Geriatric population.
- A Complete lower extremity Assessments and Treatment for pelvis, hip, ankle and foot.
- Orthotic Devices for Lower Ankle and Foot Assessment Treatment
- American Association of Physical Therapists
- CPR Certification, American Heart Association.
- Basic Pranic Healing Course from Pranic Healing Foundation.
Research
Hypertension and Physical Therapy, Reduction of blood pressure by Reflexology and Relaxation technique, 12/96
Timeline
RPT/DOR
Arlington center
10.2021 - 01.2023
Director of Rehabilitation / Physical Therapist
Care One Rehab
11.2017 - 04.2018
Director of rehabilitation DOR/PT
Royal meadowview center
04.2017 - 11.2021
Director of Rehabilitation / Senior Physical Therapist
Genesiss Healthcare Lighthouse nursing
08.2014 - 11.2017
Registered Physical Therapist/Lead PT/Interim Rehab manager
Life Care center
02.2007 - 08.2014
B.PT - Bachelor Of Physiotherapy
WCC