Dr. Gift Elenga. Email and Phone Number

Develops and implements plan medical policies. Fosters Clinical Practice Guideline implementation and evidence-based medical practice. Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner practice patterns and recommends corrective actions if needed. Ensures that medical decisions are rendered by qualified medical personnel, not influenced by fiscal or administrative management considerations and that the care provided meets the standards for acceptable medical care. Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities, and home care to ensure quality, cost-efficiency, and continuity of care. Evaluates authorization requests timely and reviews cases requiring concurrent review, and manages the denial process. Conducts retrospective reviews of claims and appeals and resolves grievances related to the medical quality of care. Reviews referred cases and Actively participates in regulatory, professional and community activities.

Undertaking patient consultations and physical examinations, providing general pre- and post-operative care, monitoring and administering medication, liaising daily with staff including other doctors, non-medical management staff, and healthcare professionals, writing reports and maintaining records. performing minor surgical procedures, and assisting in major surgeries.