Ginger Fears Email & Phone Number

Little Rock, Ar, Us

Tampa, Florida, United States

Tampa, Fl

Richardson, Texas

work from home. Ensure that the company stays in a state of Accreditation readiness. Perform quality audits, Quality improvement projects, Utilization Review metric data collection. Prepare and present to various quality committee. oversee complaint program. prepare for desktop and onsite accreditation surveys (URAC). Some NCQA experience.

Jonesboro, Arkansas

PRN RN, medical unit and critical care unit in Long Term Acute Care facility.

work from home CM for Community Transitions Program. I managed members post hospitalization with medicatiom reconciliation, assisted with follow up appointments, and after care.

Richardson, Texas

Sr Manager for custom clinical team (American Airlines) Oversee and manage UM and CM staff. Annual and ongoing performance review and counseled with performance improvement plans as needed. I maintained quality improvement activities and monitored, evaluated and reported on UM and CM metrics such as average length of stay, ER utilization, member safety related to medication reconciliation and readmission rate.

Richardson, Texas

Managed Utilization Review, Case Management and CCEI programs and clinicians. Policy writing and overview as well as writing job aides to guide the clinical staff. Providing customer service, ensuring our members get the right care at the right place at the right time. Auditing clinical performance. providong guidance and performance improvement plans as needed. Onboarding.

Jonesboro, Arkansas, United States

PHO providing utilization management, negotiating member costs with out of network providers, medication management, providing metrics including cost savings and utilization to multiple providers (physician and hospitals).