Extremely knowledgeable in Medical Administration with 20 years of background in core competencies including resource management, patient advocate, medical readiness, balancing/executing budgets, group practice manager, template management, coding effectiveness/accuracy, and overall problem-solving skills. Advanced as an expert in effective communication and time management skills. Expertly handles tasks and meets deadlines with accuracy and efficiency. Accomplished and an award-winner trainer for hospitals and clinics for over 20 years. Participated/led several accreditation teams demonstrating quality assurance. Lastly, kept my chain of command (management) in the loop if there's a problem.
Provided Quality Assurance on 12K Referral Management Center (RMC) contract; tracks and briefs Military Treatment Facility (MTF) on capabilities, capacity to the MTF, the Veterans Administration (VA), and United Health Care Staff (UHC).
Maintains/reports/analyzes 13 daily UHC patient tracking reports/metrics; advises downtown admits and dispositions.
Performs beneficiary counseling in support of PACAF's largest TRICARE program for DOD/VA Joint Venture facility 166K beneficiaries.
Organized referral requests for 7.5K network providers; creates reported and tracks all referrals deferred to the network.
Executed $199K RMC Contract and oversaw 11 personnel/50K referrals reducing no-shows by 20%.
Educated 29 staff on other health insurance and recouped $900K for the Hospital winning "PACAF Hospital of the Year 14".
Directed PACAF's largest outpatient records section for DOD/VA Joint Venture hospital in support of 166K beneficiaries.
Conducts upgrade training, in-services, safety briefings, authored master training plan and added 56 tasks and upgraded 11 airmen from 5-level to 7-level.
Eliminated 5 month Release of Information backlog by processing 9K requests/completed 5K records in less than 30 days.
Enforced End-of-day encounters process by closing 5.3K encounters without errors crushed Air Force standards from 3 days to 1.
Guided Blood Alcohol Test Release Program and reduced reporting 3 days to 1. There was 100% chain of custody encompassing 4.5K results.
Executes hospital templates for 13 clinics. Increased access to care by 12%. Decreased patient Emergency Room utilization by 8%.
Resolved 283 no-shows appointment, rescheduled 141 patients. Reduced Urgent Care Clinic appointments by 43% and prevented lost of revenue $90K.
Led National Care Quality Assessment accreditation program by screening/uploading 252 documents. Completed accreditation requirements within 312 clinical hours. Decreased accreditation preparation and submission by 52%.
Implemented a new telephone medicine system throughout the hospital. Leader as enrollment manager and registered 4569 patients. The enrollment for the new program increased by 27% and decreased patient appointments by 37%.
Manages all health services management functions in Pediatrics to include 39 staff/10.7K beneficiaries/13 providers templates.
Oversaw medical programs and executed quality control which ensures patient demographics are updated, tracked, and corrected in a timely manner for 166k beneficiaries.
Supervises preparation of clinical providers' templates/schedules/leaves/appointments and clearly communicates schedule changes for 10 providers/staff to Executive Staff.
Resolved 280 no-show appointments 141 patients rescheduled; reduced Urgent Care Clinic rates by 43% which prevented $90K in lost revenue for the hospital.
Managed Home Station Medical Response Program (HSMR) by increased critical items by 20% and broker $30K from the Air Force.
Prepared 19 Unit Type Code Teams/78 medics for Operational Readiness Inspection (ORI). The unit received a rating of "100%". The unit had zero discrepancies for the 2011 Air Force Readiness Inspection.
Managed the processing of 21 Operation Readiness Inspection HSMR Packages with no errors. 1st A-10 Wing rated "Satisfactory" in 12 years on the first pass. Received Fighter Wing "Individual Outstanding Performer".
Managed readiness training for 88 teams. Increased readiness training rates for 268 medics by 37%.
Medical POC for Air Show Control Center. Coordinated medical coverage with civilian agencies for 350K attendees.
Planned/Executed preparing 42 medics for deployment. Recieved 100% overall rating for deployment program.
Patient Advocate Program received "Outstanding" rating during 2008 Heath Service Inspection which contributed to an overall Medical Group score of 90%.
Received Air Force 2008 "Best Ambulatory Care Patient Safety Program" winner.
Successfully executed resolutions for 1700 patients regarding health care issues. Medical Group overall yearly customer service rating 92.7%.
Solely managed for MDG manpower positions 440 authorizations/430 personnel assigned. Provided weekly feedback to 355 FW Manpower office, MDG/CC, Squadron Commanders, updates, and advice on availability, staffing, Global War of Terrorism taskings of MDG personnel.
Spearheaded/coordinated 15 Support Agreements/ 5 Memorandum of Understanding; validated/on/off agencies info no interruptions to agencies.
Provided Gap-Fill contract updates to Major Command for two providers/$360K positions filled/no work stoppage.
Singularly created pharmacy manning overview talking paper; MDSS/CC management tool provided critical insight.
Expertly managed Primary Care Team administrative operations, directed 11.6K outpatient encounters during FY04.
Managed $70K TDY budgets, 26 travel orders processed within 8 hours of receipt without error free.
Revised 2 Operating Instructions/10 checklists for Medical Control Center. Confidently led 16 member team through 2 base mass casualty exercises.
NCOIC, Referral Management
About this resume
This is a resume for a NCOIC, Referral Management in Anchorage, Alaska with experience working for such companies as United States Air Force and United States Air Force. The grade for this resume is A and is one of hundreds of NCOIC, Referral Management resumes available on our site for free. Use these resumes as templates to get help creating the best NCOIC, Referral Management resume.