Ruby Srigley Email & Phone Number

Minneapolis, Minnesota, United States

Bloomington, Minnesota, United States

Facilitate utilization reviews between Healthcare Facilities and Psychiatrists for care in mental health services; including Inpatient,Residential, Partial Hospitalization, Intensive Outpatient, and Transcranial Magnetic Stimulation Programs.Review medical records from various databases to ensure the most up to date and accurate information provided for Psychiatrists/Psychologists performing reviews. Collaborate within Quality Support Team and Care Manager Teams to ensure the member has complete and accurate treatment plans;including up-to-date clinical diagnoses, admission dates, and an alternate level of care options.Support team members by answering scheduling questions and processing appeals when the workload is high. Work with external providers at Prest & Associates to ensure all cases are reviewed and care is not delayed. Efficiently utilize workflows to ensure accurate documentation and adhere to compliance guidelines. Appling Cigna guidelines, critical thinking skills, and consulting supervisors to make decisions about ambiguous cases.Provide feedback to leadership to make improvement on SOPS, training materials, and daily workflows.

Greater Minneapolis-St. Paul Area

Communicated with management and care teams nationwide on a retrospective risk-adjustment audit of Medicaid members. This is doneto ensure that the most accurate recording of members' health records is up-to-date and complete.Engaged with the management team to assist with process updates for projects and training of new team members. This includes doing side-by-side training, answering questions, and assisting team members when the workload is increased to continue high work output.Assisted with other projects under management including a prospective risk-adjustment audit and a claims accuracy process reportthat is given to clients monthly.Recruited by other management teams to assist on additional projects being done. These included working with a team on recordsretrieval through CIOX for Medicaid and Medicare Risk Adjustment and a prospective risk adjustment audit called an In-OfficeAssessment.Cross-trained on a secondary project for Medicaid and Medicare Risk Adjustment working with Medical Records offices and Ciox. Met and exceeded all quality and company work expectations.

United States

• Supervised children to ensure the safety of two children• Managed one child’s restrictive Phenylketonuria diet• Initiated daily education activities to prevent summer learning loss• Engaged with children through activities and games to promote imagination and creativity

Greater Minneapolis-St. Paul Area

• Assisted families at the hands-on activities to ensure a positive experience • Cleaned and organized the activities to ensure clean and safe space

Greater Minneapolis-St. Paul Area

• Organized and monitored the sales floor• Interacted with customers to ensure all customers left the store satisfied

Greater Minneapolis-St. Paul Area

• Worked 7 hours each day for the 12 days of the State Fair• Taught customers about various butterflies within the Butterfly House• Ensured customers had a great and safe experience while learning and interacting with the various butterflies