Nicole Mathus PT, MPT

Experience

• 

  HCR ManorCare

  Jan 2009 - Mar 2010

  Physical Therapist

  SNF, Long-term care

• 

  HealthPRO Heritage

  Mar 2010 - May 2012

  Physical Therapist

  SNF, Long-term care, Outpatient, and Home Healthcare

• 

  Vrable Healthcare

  May 2012 - Jul 2014

  Physical Therapist

  SNF, Long-term care, Outpatient

• 

  Southwest General Health Center

  Jul 2014 - Apr 2019

  Home Health Therapy Coordinator

  Manager, Home Healthcare

• 

  Cleveland Clinic

  Apr 2019 - Sept 2021

  Center for Connected Care- Home Healthcare; East side of Cleveland. Home Healthcare; West of I-77/Cleveland

  • Assistant Rehabilitation Manager

    Mar 2021 - Sept 2021

  • Physical Therapist

    Apr 2019 - Mar 2021
• 

  Optum

  Sept 2021 - now

  SNF Preservice TeamCollaborates with Preservice leadership and peers to provide mentorship and education to colleagues. Completes quality assurance reviews and provides feedback for performance improvement.Primary resource for questions regarding Preservice related processes, clinical presentation, technology modifications, new functionality roll outs, as well as daily operations.Assists in streamlining of clinical projects and initiatives to drive exceptional clinical outcomes. Show less Preservice Coordinator with Home & Community Care Transitions SNF team.Partners with Medicare Advantage plans and acute care hospitals in an effort to ensure the delivery of value based care, thereby ensuring members receive the right level of care for the right amount of time and in the right setting. Responsible for reviewing prior authorization requests for skilled nursing and rehabilitative services and determining if the requests meet medical necessity criteria for the requested level of post-acute care. Show less

  • Clinical Team Lead

    Jul 2024 - now

  • Clinical Review Coordinator

    Sept 2021 - now