Mark Morando Email & Phone Number

Greater New York City Area

Audits medical records to ensure that documentation is complete, consistent, accurate and timely accordingly to clinical protocols.Assume role of clinical resource when questions arise in the field, if lead is not available. Analyzes documentation completion data and submits recommendations to improve quality. Identifies opportunities for data tracking and database enhancements.Assist with development, documentation and training of audit protocols based on clinical protocols; this includes but is not limited to assist with documenting the audit process; assist with establishment of performance thresholds; assist with development and maintenance of tools and score cardsIn conjunction with corporate training and Lead, identifies training needs, prepares training materials, and supports training needs.Maintain reporting (dashboards, trends) as a result of audit activity on an individual employee level, department level and line of business overall in conjunction with Internal Monitoring for performance improvement purposes. Participate in interrater reliability sessions with internal clinical employees and leadership and clients as neededParticipate in remediation activity when deficiencies are identified.Conduct field ride along evaluations when needed.

Ny Ny

Audits medical records to ensure that documentation is complete, consistent, accurate and timely accordingly to clinical protocols.Assume role of clinical resource when questions arise in the field, if lead is not available. Analyzes documentation completion data and submits recommendations to improve quality. Identifies opportunities for data tracking and database enhancements.Assist with development, documentation and training of audit protocols based on clinical protocols; this includes but is not limited to assist with documenting the audit process; assist with establishment of performance thresholds; assist with development and maintenance of tools and score cardsIn conjunction with corporate training and Lead, identifies training needs, prepares training materials, and supports training needs.Maintain reporting (dashboards, trends) as a result of audit activity on an individual employee level, department level and line of business overall in conjunction with Internal Monitoring for performance improvement purposes. Participate in interrater reliability sessions with internal clinical employees and leadership and clients as neededParticipate in remediation activity when deficiencies are identified.Conduct field ride along evaluations when needed.

Greater New York City Area

UAS visit assessments done when needed.Quality review on nursing assessor’s documentationWorking with plans with scheduling New employee training on all the plans we work with to ensure they are ready for the field. Quality review on MLTC plans such as Archcare, Amida Care , Fidelis, Emblem, Centerlight, Health First, VNS choice.Weekly meetings with plans for updates on member visits, Quality issues.

Brooklyn Ny

Evaluates referrals for appropriateness of membership based on New York State Assessment Criteria and conducts marketing activities in accordance with enrollment policies based on New York State regulations. Perform home visits in order to assess patients' appropriateness for Managed Long-Term Care services. Completing 485s and SAAM assessments.Follow up with a plan of care.Interview patients to find out needs such as making a plan of care.Pre-pour meds, wound care, Patient teachingAssessing the member for the need of continued service in CHHA

Registered Nursing/Registered Nurse Bsn

Associate’S Degree, Registered Nursing/Registered Nurse