Suzanne Rivera Email & Phone Number

New York, United States

• Performed accurate documentation of patient assessments, interventions, and outcomes in compliance with regulatory standards.• Reviewed and completed 15-20 cases per day.• Performed admission reviews for medical necessity based upon CPT/ICD-10 codes and Interqual and Millman Care Guideline specifications • Evaluated patient histories, complaints, and current symptoms.• Evaluated medical necessity documentation to support the appropriate level of care for patients.• Mitigated potential delays in service delivery through proactive identification of potential roadblocks within the precertification process.

New York, Ny

Concurrent Review, Discharge planning for Subacute/Acute Rehabilitation and Skilled Nursing levels of care. Reviewed a census of approximately 30-35 cases on an ongoing basis following patients through entire length of stay, ensuring that facilities maintained appropriate levels of care. Collaborated with plan Medical Directors via weekly rounds and other communications. Assured that discharge plans were in place and ready upon patients' discharge.