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Cynthia A. is an experienced Utilization Management Nurse with a professional background spanning over a decade in the healthcare sector. Currently employed at Managed Care Staffers since January 2021, Cynthia A. conducts daily reviews of inpatient hospitalization medical necessity for Commercial and Medicare members and assesses outpatient physical therapy requests. Previously, at Aetna from February to July 2020, Cynthia A. reviewed medical necessity for Medicare and Medicaid inpatient stays, ensuring a balance between fiscal and care needs and collaborating with physician advisors as necessary. Cynthia A.'s earlier experience includes a lengthy tenure at Advocate Health Care from February 2010 to September 2017, where responsibilities involved reviewing inpatient medical necessity and managing revenue reimbursements for various insurance programs.