as well. Covers WMS and OMS software solutions primarily as well as outlier software's that directly link to the Client...
satisfaction, patient flow, outlier management, and readmissions while suggesting strategies to improve organizational/departmental...
accountable Monitors and coaches clinical outcomes and intervenes in outlier cases Maintains clinical proficiencies in patient...
with internal teams. Collaborate with Data & Analytics around contract reporting;collaborate with Operations around metric outlier...
and related outlier investigations/ corrections Historical test results as needed for Quality investigations Instrumentation...
criteria sets for admission reviews, continued stay reviews, outlier reviews, and clinical appropriateness recommendations...
from third-party payers. Process and review incoming correspondence from payers related to underpayment or high dollar/outlier...
from third-party payers. Process and review incoming correspondence from payers related to underpayment or high dollar/outlier...
adhering to frequency requirements and standards for quality control performance. • Reports all outlier quality control results...
Registry quarterly reports and monthly outlier reports. Working in conjunction with HVC leadership and departmental resources...