Shenetha Thomas Email & Phone Number

 Performs medical record review and abstracts many clinical case records to support quality improvement and regulatory reporting requirements.  Managing the overall record retrieval process for collecting numerous complex data elements from individual patient records according to measure specifications and project requirements  Input data into a computer database program Review medical charts to ensure data is accurate and up-to-date. Ensure HEDIS data reports are accurate, including investigation, auditing, and improvement opportunities.

• Includes the application of encounter level splitting of charts based on identified procedures and standards to ensure product quality. • Ensures all charts that are received are split according to well defined policies using specific procedures and systems. • Independent decision making along side advance technical skills to utilize the various systems to split the chart in the most appropriate encounter. • Quickly identify appropriate document types that are acceptable to abstract into an encounter.

Remote

• Review medical records and abstract data for HEDIS and other measure sets in compliance with standards.• Track and report on issues and outcomes related to abstractions and over-reads.• Communicate outcomes of abstraction and oversight activities with health plans and vendors when required.• Perform other quality initiatives as necessary.

Remote

• Responsible for retrieval, review, and abstraction of medical record data, required for a non-complex sub-set of STARS and HEDIS measures as well as entering the data into quality program tool

• Abstract and over-read medical charts to validate data accuracy and ensure compliance with HEDIS Accurate data entry of medical record abstractions into database. Identify and educate providers and staff on missing elements in chart documentation.

• Collect and review data from patient charts and other medical records from hospitals, doctors’ office and various health care providers to measure and help improve quality. • Medical record review for HEDIS and HEDIS-like measures • Integrates data collected from a variety of electronic and paper sources• Performs provider/practitioner medical record reviews for HEDIS and HEDIS-like measures as part of Quality and Value Solutions Delivery staff.

Coordinating medical treatment for patients with 2 or more chronic conditions. Developing care plans, monitoring medication compliance, serving as advocates for and champions of the patient's health, monitoring patients to assess any changes in biometric data, detect any significant changes in the patient's vitals as early as possible.

United States

Promotes timely access to appropriate care via telephone, chat, secured messaging and care coordination. Increase utilization of preventative care. Connects patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costs. Instrumental in helping cancer patients find answers to commonly asked questions about cancer and treatment via the askSarah Cancer Chat line. Working one on one with Sarah Cannon cancer nurse navigators to help cancer patients through their cancer journey. Also as a pilot team lead, instrumental in implementing several pilot projects and providing training and education to other LPN team members. Latest project includes remote patient monitoring of patients who has tested positive or been exposed to COVID-19 via the Vivify app. We monitor symptoms for 10-14 days, educating on symptoms of the virus and the latest CDC recommendations. The project also includes COVID-19 crisis hotline.

Greater Nashville Area, Tn

Responsible for daily operation of clinic telemedicine sites, schedule appointments, set up and test equipment, collect evaluation data, support physicians and other providers during consultation. Act as a liaison between referring physician, clinic staff, admissions, patient accounts, funding sources, and other department or services as needed.

Bachelor'S Degree, Health Services/Allied Health/Health Sciences, General

Associate’S Degree, Nursing Education