including tracking and appraising outlier days. Develops, implements and maintains a process to regularly review case managerâ...
), and one Direct Reporting Unit (DRU), as well as other outlier organizations which comprise the CONR-1 AF (AFNORTH/AFSPACE) enterprise...
, and tracks all outlier requests - be it from federal, state, or managed care payers, and initiates the appeals process...
monitoring and alerting, outlier detection, etc. Generate insights into drivers of our business leveraging statistical methods...
and all other department wide performance improvement initiatives. Communicate with patient/family: to review outlier metrics and assist the...