Happenings
Division 4M Recognizes Outstanding Associates
Associate of the Month — October
Vanessa Carrero
Vanessa Carrero, a senior operations analyst in Review Choice Demonstration (RCD) Support, has been recognized by Division 4M as the Associate of the Month for October 2024. Known for her extensive knowledge, she regularly takes on tasks from various departments and upper management, showcasing her adaptability and commitment. Vanessa is always approachable, ready to offer advice and dedicated to helping her colleagues.
Associate of the Month — November
Madison Strickland
The November Associate of the Month is Madison Strickland, a medical reviewer II in the Inpatient Rehabilitation Facility (IRF) RCD. Madison is known for being hardworking and conscientious. During the Thanksgiving holiday week, she did not hesitate to work overtime to help the team handle a significant workload increase. Having been on the IRF RCD team since its inception, Madison serves as a preceptor for new team members. She is knowledgeable, patient and kind, which makes her a great resource for her coworkers and providers and deserving of this award.
Associate of the Month — December
Christina Walls
Christina Walls received the December Associate of the Month award for her exceptional contributions to the Outpatient Prior Authorization Support team. She demonstrated remarkable adaptability and dedication in her new role as a quality assurance and training coordinator, quickly mastering her responsibilities and providing valuable insights during new hire training. Her unparalleled review skills, deep knowledge of review criteria and willingness to share precepting duties have significantly enhanced the team's performance and support. Christina's flexibility, patience and expertise have made her an asset to the team.
Coach of the Quarter
Amanda Kelley
The Q4 Coach of the Quarter is Amanda Kelley, a medical review supervisor for Home Health RCD, for quickly adapting to the challenges of her new position. Amanda has shown exceptional leadership and dedication. Her team praises her for being approachable, supportive and always willing to go the extra mile. She keeps team morale high and takes a personal interest in her team members' well-being. Amanda's outstanding performance has made a significant positive impact, earning her this well-deserved recognition.
Process Improvement of the Quarter
Random Selection of Document Control Numbers for Ongoing Quality Control Review
Team members: Kerri Martin, Sarah Medeiros, Rachel Payne
In the past, medical reviewers (MRs) were trained on all procedures in one session, but as the program grew from five to eight services, training was divided into smaller segments. MRs had to show they were competent in one set of procedures before moving on to the next. The quality control process involved generating reports to check accuracy, but the reporting tool (BOXI) didn’t filter data by procedure type or handle multiple reviewers at once. This made the process time-consuming.
To solve the problem, the team had a BOXI specialist modify the report so it will allow filtering by type of service and enable requests for multiple MRs, instead of one at a time. The new process increased accuracy because it offered a better representation of the MRs’ quality based on specific services. It also saved time and reduced costs through efficiency, earning them the Process Improvement of the Quarter award.
Team of the Quarter
Operations Analysts in RCD Clinical Reporting
Team members: Vanessa Carrero, James Castillo, Brittney Dent, Jessica Holt, Rhonda James, Erica Mason, Bobbi Jackson Qualls, Daisy Ramlal, Rosa Smith, Shanda Wahab, LaShawnda Waiters
The operations analysts on the RCD Clinical Reporting Department create, maintain and communicate performance data and reports. Their knowledge and commitment to pre-implementation testing to check system components to reveal potential problems ensures production reliability and reduces errors and delays. This team also responds to provider inquiries in a timely manner. They communicate effectively and collaborate daily on workloads, identifying issues and developing solutions to meet goals. They also share job aids and best practices to support skill and knowledge development and ensure efficiency. All of this contributes to their latest cross-training initiative to ensure business continuity. Their work as a team goes beyond data and even includes words of encouragement—producing a happy, healthy and productive work environment. Their efforts have earned them the Team of the Quarter award.
