Coach of the Quarter – Christina Grable

Medical Review Manager, Christina Grable, is known for developing strong, positive relationships with her employees. Due to her support, open communication comes easily to her team. Her team is comfortable voicing concerns or sharing ideas for process improvements. Christina is very knowledgeable and doesn't hesitate to take the time to help others understand processes or policy updates. Her feedback encourages and helps team members feel confident in performing their job duties. Christina's respect for her employees and commitment to helping them and the company succeed earned her Coach of the Quarter recognition.

Team of the Quarter – Review Choices Demonstration (RCD) Medical Review

The RCD Medical Review Additional Document Requests (ADR) Team supports each other to ensure their goals are met regardless of the challenges they encounter. When a workaround was needed, the team manually entered large amounts of data, ensuring timely processing. When a surge of aging claims came in, the team pulled together to complete all reviews on time. The team met its goals and supported a new ADR management team. By providing invaluable help to the new supervisors, the team facilitated a smooth transition. We are proud of this team and their dedication to their customers and each other.

Process Improvement of the Quarter – Quality Assurance and Training Team

Over the past couple of years, training classes for new medical reviewers have changed from onsite to virtual. This shift resulted in the need for the development and implementation of an RCD pre-claim review (PCR) training syllabus curriculum to provide consistency and quality among training classes. Post implementation, the six-week curriculum and syllabus included detailed daily schedules for the instructors and weekly schedules for the trainees as well as incremental goals. This provides an objective way to assess and document each trainee’s performance and to identify areas needing further reinforcement. Once a trainee has completed their courses, a post-training survey is completed by the new hire medical reviewers. The instructors set up a time to review these surveys with staff development management, where they work together to identify any areas for improvement for future classes. This new process improvement provides consistent, effective, and organized training for new medical reviewers through the use of standardized formats and tools, as well as minimizes downtime.

Team members: Stephanie Cannady, Alicia Choice, Linda Hall, Morgan Johnson, Jennifer LaFon, Kathi Lacy, Sarah Medeiros, Rachel Payne, Diane Rodgers, Daleisha Rowell, Rachel Rueff, Karen Schmitt, Deanna Stevens, Laura Strutko, Emily Tidwell, Tiffany Yelenic

Associate of the Month (April)– Meaghan Long

Meaghan Long, Medical Reviewer II, is a member of the Jurisdiction M Home Health RCD Medical Review team. Meaghan’s approach to work demonstrates what it means to be a team player. She is usually the first to respond to requests for help and provides educational information to further explain the solution. Meaghan encourages others and is quick to recognize a team member’s good work. It is people like her, going out of their way to help, who make Palmetto GBA a great place to work.

Associate of the Month (May) – Emily Tidwell

Emily Tidwell joined Palmetto GBA in 2018. In 2020, she became a member of the Medical Review (MR) III Quality Assurance & Training (QAT) team. She was recently promoted to QAT Coordinator. Emily has always been a leader among the MR III team by participating in process improvements and helping with development training. To help MR III onboard and train several new employees, she delayed moving into her new coordinator role. Emily’s willingness to postpone her promotion and put the success of the MR III team first demonstrates her loyalty and dedication, which is why she was selected as an associate of the month.

Associate of the Month (June) – Sherry Gerald

Medical Reviewer III, Sherry Gerald, is consistently a voice of optimism and positivity. You can count on a smile from her and a winning attitude even when faced with challenges. She is always willing to lend a hand and encourage others. She makes all of our days a little better. We recognize Sherry as an associate of the month, not only for her hard work and dedication but also for always improving the morale of her coworkers.