Happenings
Division 4M Recognizes Difference Makers
Coach of the Quarter
Sarah Medeiros
The 4M Coach of the Quarter is Sarah Medeiros, a medical review supervisor. Known for her impressive memory and being highly organized, she helps train new team members, answers questions and helps with extra work when needed. Sarah works closely with her team, generously shares her knowledge and is great at explaining complex concepts in a simple way. When the department implements a new process, she masters the topic so she can teach others. Sarah is kind, supportive and really cares about her team’s success. She is a true team player!
Associate of the Month—April
Kellie Kirby
Kellie Kirby, a training and quality assurance coordinator, was named Division 4M’s April Associate of the Month for her instrumental role in developing the quality control process and work instructions for the Home Health (HH) Review Choice Demonstration (RCD) Support Department. Her commitment to teaching and empowering her teammates to monitor and perform quality control measures demonstrates her dedication to achieving team goals. Known for her willingness to help, encourage and listen, Kellie is appreciated by her colleagues for her commitment to excellence and team success.
Associate of the Month—May
Shanda Wahab
Shanda Wahab, an operations analyst in the Outpatient Prior Authorization Department, exemplifies exceptional teamwork and dedication through her consistent willingness to help others within and outside her department. Her colleagues know they can call her when they need guidance or a patient listener. Shanda played a pivotal role in developing a new form that facilitated the successful implementation of a process improvement initiative. With the assistance of several team members, she crafted the form and resolved issues to ensure its usability. Shanda’s work ethic and commitment to teamwork earned her the May Associate of the Month award.
Associate of the Month—June
Hilary Daniel
A medical reviewer II in HH RCD and a preceptor on the Quality Assurance Team, Hilary Daniel consistently demonstrates excellence, dedication and leadership. She mentors new hires with care and adapts her teaching style to their needs to ensure they succeed in a fast-paced environment. Hilary recently led a successful educational initiative, simplifying a complex topic with clarity and skill. Her colleagues value and trust her because of her sound judgment and willingness to collaborate. Notably, Hilary proactively seeks ways to ensure the workload is evenly distributed to ensure the collective success of the team. A true asset to her team and company, Hilary was named June Associate of the Month.
Process Improvement of the Quarter
Implementation of OPD ADR Training Manual
Team members: Christina Gilbert, Jennifer LaFon, Sarah Medeiros, Lendi Watkins, Stephanie Wood
Medical reviewers in the Outpatient Department (OPD) had to search through multiple websites to find the information they needed to complete Additional Documentation Requests (ADRs). This was time-consuming, confusing and increased the chances of inconsistent reviews. To address the issue, the team gathered information from wide-ranging websites and created a comprehensive and easy-to-access training manual for medical reviewers. The manual consolidates all the necessary guidelines and policies and includes answers to frequently ask questions in one place. Named the Process Improvement of the Quarter, the manual enhances review quality and consistency, reduces the need for email inquiries and saves time for medical reviewers, boosting internal efficiency and provider satisfaction.
