Happenings
Division 4M Honors Q3 Outstanding Associates
Coach of the Quarter
Leah Paine
Leah Paine, a medical review supervisor in the Home Health Review Choice Demonstration Department, has been named Coach of the Quarter. Since assuming her supervisory role, Leah has been an invaluable asset to the team. Her consistent communication and active participation in team discussions have kept everyone informed and engaged throughout the day.
In addition to her supervisory duties, Leah has also taken on the responsibility of guiding an additional team, demonstrating her exceptional leadership and dedication. Her positive attitude, often expressed through light-hearted jokes and uplifting memes boosts team morale. Always ready to help with any problem, Leah is quick to respond to staff requests. Her support and reliability make her an outstanding supervisor.
Associate of the Month — July
Frances Davidson
Frances Davidson is the Division 4M July Associate of the Month. As a senior medical reviewer in the Prior Authorization Medical Review Department, Frances consistently demonstrates exceptional attention to detail and a commitment to excellence.
Frances is not only a meticulous reviewer but also a cherished colleague who fosters a sense of camaraderie within her team. Frances stands out for her willingness to take on additional responsibilities, such as resolving duplicate claims and handling extra reviews. In July, Frances showed her dedication by assisting a coworker with a special project, seamlessly integrating it into her schedule and ensuring its timely completion. Her compassionate approach ensures that every decision she makes benefits the company, the beneficiaries, and the providers.
Associate of the Month — August
Daisy Ramlal
Recognized for her outstanding work as a senior operations analyst in the Home Health Review Choice Demonstration Department, Daisy Ramlal is the August Associate of the Month. With 23 years at the company, Daisy’s wide range of skills and experience make her a key leader. She is an expert in reporting, testing and provider support, making her the go-to contact. Daisy acts as a bridge between her team and other departments, ensuring that system changes are thoroughly tested prior to implementation.
Daisy is great at explaining complicated situations in a way that everyone can understand, which is very helpful for training team members. Her hands-on demonstrations and contributions to process improvements have made operations more efficient. Her friendly personality and dedication help create a supportive and collaborative work environment. Her attention to detail and excellent problem-solving skills enhances team productivity and morale. Daisy is an outstanding employee and a role model for her team.
Associate of the Month — September
Erica Mason
Erica Mason, a senior operations analyst and September Associate of the Month, is dedicated to the Prior Authorization Support Department, making sure everything runs smoothly. Erica meets deadlines and quickly handles many test case requests. Her collaboration with other departments, helped her successfully implement the new Prior Authorization Support Testing Request Form, which has resulted in significant improvements.
Due to recent staffing changes, Erica has taken on additional responsibilities. Her efficiency has helped her rise to the challenge and meet all new requirements and deadlines. Valued by her colleagues for her hard work and leadership, Erica is considered a true asset to her team.
Process Improvement of the Quarter
Implementation of Case Studies and Related Presentations for RSNAT
Team members: Lacey Hopkins, Rachel Payne, Lendi Watkins, Kayla Whittle
The initiative “Implementation of Case Studies and Related Presentations for RSNAT” was named the Process Improvement of the Quarter because it improved the quality and consistency of medical reviews and boosted reviewer satisfaction.
In response to a request from the medical reviewers, the Repetitive Scheduled Non-Emergent Transport (RSNAT) coordinator launched a series of detailed case studies and educational presentations that offered practical insights and real-world scenarios. This gave medical reviewers the tools and knowledge to effectively analyze and interpret complex medical documents. By promoting a standardized approach to reviewing medical documentation, the initiative ensured accuracy and uniformity and created a more fulfilling and efficient review process.
Team of the Quarter
The Preceptor Team
Team members: Corey Adkins, Brooke Baxley, Ashley Branham, Christine Burk, Heidi Cockrell, Susan Comans, Chelsea Dalton, Hilary Daniel, Heather Fugate, Michelle Gibson, Alicia Hudson, Kimberly Komertz, Tatum McCallum, Karlie Moore, Erika Parker, Christine Rumer, Angela Vitali, Ashley Wolf
The preceptor team in the Home Health Review Choice Demonstration (HH RCD) Department has been honored as the Team of the Quarter. As outstanding medical reviewers, the preceptor team members are known for offering valuable insights to supervisors about staff performance and for extending their expertise to the quality assurance team. Their support and training are essential for new and returning medical reviewers, helping them gain the confidence and knowledge needed to excel in their roles.
In a collaborative spirit, the preceptors work together to ensure orientees are exposed to a variety of reviews and different scenarios to provide a broad foundation of learning. They also provide important feedback to the quality assurance team and supervisors, which helps improve processes and tools. They are always ready to assist one another, ensuring seamless support and education for every orientee. Their willingness to volunteer and cover for one another without hesitation is a testament to their commitment and teamwork.
