Danielle Desa Email & Phone Number

➤ Performing peer reviews for the specialty of rheumatology to assist in determination of medical necessity of treatment.➤ Validating authorizations for all patients and commercial initiatives as well as payer authorizations under contract.➤ Managing concurrent cases to resolution care that may impact payer approval to authorize care as medically necessary.➤ Reviewing records for medical necessity and collaborating with physicians and care team to validate information.➤ Collaboratively working with and supporting clinical operations systems as well as rheumatology department personnel.➤ Applying experience with CMS standards and Medicare Advantage Programs as well as MHK, CCMS, and MCG.➤ Establishing rapport with professional support service staff and physicians.

Gainesville, Fl

➤ Managed patients with a spectrum of autoimmune and chronic arthritic conditions in a large multi-specialty practice.➤ Provided direct expert patient care to patients with emergent, urgent and non-urgent complaints in a rheumatology clinic.➤ Delivered care for individuals with autoimmune disorders and managed biologic and chemotherapeutic protocols.➤ Provided appraisals and clinical supervision for a wide range of patient presentations, ages, and medical conditions.➤ Performed invasive and noninvasive diagnostic and therapeutic procedures.➤ Identified and treated significant and relevant symptoms of presenting rheumatology or internal medicine patients.

Rheumatology Fellowship

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Internal Medicine Residency

Doctor Of Osteopathic Medicine

Bachelor Of Science - Bs, Nutritional Sciences With A Minor In Education, Cum Laude