Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Timeline
Generic

Abraham Testa MD MSc

Chicago

Summary

Well-respected Hospitalist Physician with 10 years experience treating patients for a variety of conditions. Board Certified in Internal Medicine, and Healthcare Quality Management. Areas of interest include Patient Safety and Continuous Quality Improvement .

Overview

18
18
years of professional experience
1
1
Certification

Work History

Regional Medical Director West Region

United Healthcare, UHG
04.2024 - Current
  • Improved patient care quality by implementing evidence-based clinical protocols and guidelines.
  • Ensured regulatory compliance at all regional facilities by staying current on industry updates and enforcing adherence to established policies.
  • Optimized case and clinical management and recommended plans to improve safety and health programs.

Utilization Review Specialist

Ascension Medical Group
01.2021 - 04.2024
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Devise or identify solutions for irregular requests and issues.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Facilitated workgroup meetings to find effective solutions to issues.
  • Supervised and maintained all utilization review documentation through InterQual
  • Performed admission reviews based for medical necessity
  • Obtained authorizations from multiple insurance carriers for various levels of care.

Hospitalist

Ascension Medical Group
01.2021 - 04.2024
  • Coordinated patient's admissions and discharges, working closely with family members and case managers to line up any additional care needs.
  • Daily peer to peer review
  • Assessed patient health at admissions and regular intervals to stay on top of changing medical conditions.
  • Initiated interaction with primary care physicians to determine admission and discharge plans for patients.

Hospitalist

Palos Medical Group
07.2018 - 01.2021

Medical Director

Team Health Holdings Inc.
07.2017 - 07.2018
  • Optimized case and clinical management and recommended plans to improve safety and health programs.
  • Verified effective, consistent communication between department heads, medical staff and governing boards through board meeting attendance and synchronization of interdepartmental functions.
  • Improved patient outcomes and delivery of care through improved clinical quality processes.
  • Drove significant improvement in achievement of goals related to health, safety and employee relations.
  • Represented staff at meetings and on designated committees relative to areas of specialty or service.
  • Recruited and managed physicians
  • Weekly meetings with CMO for operational plans

Hospitalist

IPC Health
09.2016 - 07.2017
  • Coordinated patients admissions and discharges, working closely with family members and case managers to line up any additional care needs.
  • Updated charts in hospital system with full patient histories, diagnoses and observations from rounds.

Clinical Researcher

Cleveland Clinic Florida
07.2016 - 07.2017
  • Prepared scholarly manuscripts and final study reports to communicate results of research to broader scientific community.
  • Utilized statistical packages to analyze data and create visualizations.
  • Developed research proposals, identified research objectives and created research plans.

Internal Medicine Resident

Cook County Hospital
07.2013 - 07.2016

Completed a three year training program in Internal Medicine.

General Surgery Resident

Cleveland Clinic Florida
07.2012 - 07.2013
  • Completed PGY-2 General Surgery

General Surgery Resident

Carle Foundation Hospital
07.2011 - 07.2012
  • Completed PGY-1 General Surgery

General Surgery Resident

New York Hospital Of Queens
09.2010 - 07.2011
  • Completed PGY-1 General Surgery

Clinical Researcher

Cleveland Clinic Florida
05.2010 - 09.2010

Physician

Health Ministry Of Panama
11.2006 - 11.2008

Education

Master of Science - Clinical Research

Rush University
Chicago, IL
08.2016

M.D. - Medicine

Universidad De Panama
Panama, Panama
08.2006

Skills

  • Strong interpersonal skills
  • Internal Medicine
  • Treatment planning
  • Utilization Review
  • Discharge Planning Coordination
  • Interpersonal and Written Communication
  • EPIC, Cerner Software Proficiency
  • Knowledge of quality systems
  • Policy reinforcement
  • Quality assurance background

Certification

  • Active Physician's License in the State of Illinois, Florida, California, Indiana
  • Active DEA License
  • Certified, American Board of Internal Medicine: Internal Medicine
  • Certified, American Board of Quality Assurance and Utilization Review Physicians: Certificate in Healthcare Quality Management
  • Certified, Educational Commission For Foreign Medical Graduates

Additional Information

  • Member of the American Board of Quality Assurance and Utilization Review Physicians
  • Member Quality Committee Ascension Alexian Brothers Medical Center

Timeline

Regional Medical Director West Region

United Healthcare, UHG
04.2024 - Current

Utilization Review Specialist

Ascension Medical Group
01.2021 - 04.2024

Hospitalist

Ascension Medical Group
01.2021 - 04.2024

Hospitalist

Palos Medical Group
07.2018 - 01.2021

Medical Director

Team Health Holdings Inc.
07.2017 - 07.2018

Hospitalist

IPC Health
09.2016 - 07.2017

Clinical Researcher

Cleveland Clinic Florida
07.2016 - 07.2017

Internal Medicine Resident

Cook County Hospital
07.2013 - 07.2016

General Surgery Resident

Cleveland Clinic Florida
07.2012 - 07.2013

General Surgery Resident

Carle Foundation Hospital
07.2011 - 07.2012

General Surgery Resident

New York Hospital Of Queens
09.2010 - 07.2011

Clinical Researcher

Cleveland Clinic Florida
05.2010 - 09.2010

Physician

Health Ministry Of Panama
11.2006 - 11.2008

Master of Science - Clinical Research

Rush University

M.D. - Medicine

Universidad De Panama
Abraham Testa MD MSc