Marissa Faraone Email & Phone Number

Rhode Island, United States

Responsible for the review of determination letters and case files completed by Grievance and Appeals Clinical and Non-Clinical staff. Ensure compliance with regulatory, accreditation, and reporting requirements for each determination letter and appeal/grievance case completed by the department. Collaborate with the GAU Manager, and GAU Reporting Analyst to identify training opportunities as well as trends to ensure the organization meets contractual/accreditation/regulatory requirements and… Show more Responsible for the review of determination letters and case files completed by Grievance and Appeals Clinical and Non-Clinical staff. Ensure compliance with regulatory, accreditation, and reporting requirements for each determination letter and appeal/grievance case completed by the department. Collaborate with the GAU Manager, and GAU Reporting Analyst to identify training opportunities as well as trends to ensure the organization meets contractual/accreditation/regulatory requirements and organizational goals. Conduct targeted audits to ensure compliance in the work completed by Grievance and Appeals Clinical and Non-Clinical staff. Collaborates with and supports the GAU manager in state, federal, and accreditation audits Show less

Serve as a preceptor/trainer for onboarding new associates to the Community Care Coordinator role, identify workflow issues and assist in development of process improvements. Work collaboratively with interdisciplinary team to coordinate care for members that have social needs in order to ensure quality and cost-effective patient-centered care. Serve as subject matter expert in Health Risk Assessment. Create and implement ongoing training and education. Develop "playbook" for process change… Show more Serve as a preceptor/trainer for onboarding new associates to the Community Care Coordinator role, identify workflow issues and assist in development of process improvements. Work collaboratively with interdisciplinary team to coordinate care for members that have social needs in order to ensure quality and cost-effective patient-centered care. Serve as subject matter expert in Health Risk Assessment. Create and implement ongoing training and education. Develop "playbook" for process change. Engage in audits and quality improvement. Show less

Massachusetts

Providence, Rhode Island Area

Providence, Rhode Island Area

Brockton, Ma

West Greenwich, Rhode Island

Bachelor Of Arts (Ba), Applied Psychology

Activities and Societies: Up 'til Dawn, Relay for Life

Education record

Education record

Master Of Science - Ms, Healthcare Management