Jane Mercado
Farmingdale,NY
Summary
Doctor of Physical Therapy with over 20 years of clinical experience across outpatient, skilled nursing, sub-acute, long-term care, and home health settings. Extensive expertise in reviewing therapy documentation for medical necessity, appropriateness of care, duration of services, and discharge readiness. Strong background in Medicare Part A and B compliance, interdisciplinary collaboration, and evidence-based treatment planning. Well-qualified for remote Clinical Review / Utilization Review roles supporting Workers’ Compensation and disability-related therapy services.
Overview
2026
2026
years of professional experience
Work History
Registered Physical Therapist – Geriatrics
Huntington Hills Center for Health and Rehabilitation
10.2010 - Current
- Provide physical therapy services in a 320-bed sub-acute and long-term skilled nursing facility serving medically complex populations.
- Conduct comprehensive initial, re-admission, quarterly, and annual evaluations to determine medical necessity, therapy frequency, and duration of care.
- Develop, review, and revise plans of care aligned with Medicare guidelines, functional deficits, and patient-specific goals.
- Participate in interdisciplinary care conferences to justify therapy services and ensure alignment with medical and discharge goals.
- Communicate with physicians regarding therapy appropriateness, progress, continuation, or discharge readiness.
- Ensure accurate, timely, and compliant documentation supporting reimbursement, audits, and utilization review standards.
- Contribute to discharge planning, caregiver education, and durable medical equipment recommendations.
- Screen residents during MDS assessment periods, supporting therapy utilization decisions.
- Serve as Clinical Instructor, mentoring DPT students in documentation quality, compliance, and clinical reasoning.
Registered Physical Therapist – Home Care Per Diem
Metro Physical & Aquatic Therapy
2022 - 2025
- Delivered Medicare Part B home-based therapy with emphasis on documentation accuracy and justification of skilled need.
- Performed progress evaluations and reassessments to support ongoing authorization and appropriate continuation of care.
- Maintained EMR documentation in compliance with payer and regulatory requirements.
Registered Physical Therapist – Home Care Per Diem
Constellation Home Care
2017 - 2022
- Delivered Medicare Part A home-based therapy with emphasis on documentation accuracy and justification of skilled need.
- Conducted initial evaluations and reassessments to determine continued medical necessity for skilled therapy services.
- Implemented physician-approved plans of care consistent with payer and regulatory standards.
- Submitted timely clinical documentation, reassessments, and treatment notes via EMR.
- Educated patients and caregivers to support adherence, safety, and outcomes.
Registered Physical Therapist
Sands Point Center for Health and Rehabilitation
2009 - 2010
- Provided skilled therapy services in a 180-bed SNF.
- Supported documentation accuracy and compliance with Medicare requirements.
- Collaborated with interdisciplinary teams to support care planning and utilization decisions.
Registered Physical Therapist
Buena Vida Continuing Care and Rehabilitation Center
2008 - 2009
- Evaluated new and re-admitted residents and developed plans of care.
- Completed MDS-related PT documentation supporting utilization and reimbursement accuracy.
- Communicated therapy progress and recommendations with physicians and care teams.
Registered Physical Therapist (Outpatient)
Village Medical and Rehabilitation
2004 - 2008
- Conducted outpatient physical therapy evaluations and treatment sessions for orthopedic and musculoskeletal conditions.
- Reviewed physician referrals, evaluations, and progress notes to determine appropriateness of care, treatment frequency, and duration.
- Assessed patient progress toward functional goals to support continuation, modification, or discharge from therapy.
- Assisted with treatment authorization requests, ensuring documentation supported medical necessity and payer requirements.
- Communicated with referring physicians and clinical staff regarding treatment plans, progress, and discharge recommendations.
- Maintained detailed clinical documentation in compliance with regulatory, payer, and clinic standards.
- Applied evidence-based practice principles and functional outcome measures to guide treatment decisions.
Education
Doctor of Physical Therapy (DPT) -
State University of New York At Stony Brook
Stony Brook, NY01-2009
Bachelor of Science - Physical Therapy
Southeast Asian College Inc. (Philippines)
Manila, Philippines01-2002
Skills
- Clinical Review & Medical Necessity Determination
- Therapy Documentation Review & Quality Assessment
- Medicare Part A & Part B Compliance
- Treatment Authorization Support
- Evidence-Based & Guideline-Driven Care
- Peer-to-Peer Clinical Communication
- Functional Outcome & Discharge Readiness Assessment
- Interdisciplinary Collaboration
- EMR & Clinical Reporting
- Regulatory & Audit Readiness
Timeline
Registered Physical Therapist – Geriatrics
Huntington Hills Center for Health and Rehabilitation
10.2010 - Current
Registered Physical Therapist – Home Care Per Diem
Metro Physical & Aquatic Therapy
2022 - 2025
Registered Physical Therapist – Home Care Per Diem
Constellation Home Care
2017 - 2022
Registered Physical Therapist
Sands Point Center for Health and Rehabilitation
2009 - 2010
Registered Physical Therapist
Buena Vida Continuing Care and Rehabilitation Center
2008 - 2009
Registered Physical Therapist (Outpatient)
Village Medical and Rehabilitation
2004 - 2008
Doctor of Physical Therapy (DPT) -
State University of New York At Stony Brook
Bachelor of Science - Physical Therapy
Southeast Asian College Inc. (Philippines)