Sujata Mankar

I am a licensed Physical Therapist in Virginia with over 11 years of clinical experience and 3+ years in managed care and utilization management. I combine hands-on patient care expertise with clinical operations skills to ensure quality, compliant, and cost-effective therapy services.

In my role as a Clinical Review Coordinator at NaviHealth – UnitedHealthcare, I conducted prospective, concurrent, and retrospective reviews using MCG and InterQual criteria, collaborated with providers to clarify documentation, and supported Medicare and commercial affordability initiatives. I consistently met productivity and accuracy targets while working remotely.

My clinical background spans acute, outpatient, SNF, ICU, and long-term care settings, where I managed pre-authorizations, audits, and medical necessity documentation, and worked closely with interdisciplinary teams to improve discharge coordination and reduce rehospitalizations. I am skilled at chart audits, CDI, and applying CMS and payer regulations to clinical care.

I hold a Master of Hospital & Healthcare Administration and a Bachelor of Physical Therapy, maintain an active Virginia PT license, and am committed to process improvement, payer compliance, and patient-centered outcomes that align clinical practice with regulatory and financial requirements.