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Health System Specialist

1 month ago

West Point, United States Military Treatment Facilities Under Dha Full time

Coordinate the planning and development of studies with other organizational areas as well as between military treatment facilities to develop and implement efficient, cost-effective healthcare referral processes.
Perform general or focus prospective, concurrent and retrospective reviews of healthcare referral patterns and utilization models.
Complete data abstraction and provides analysis of data and information as part of the review.
Utilize Diagnosis Related Groups (DRG), Current Procedure Terminology (CPT), and International Classification Diseases-10 CD-9) codes and enters and retrieves data from databases as required.
Prepare reports containing proposals, findings, analysis, and evaluation of data and recommendations for changes in procedures, practices, or organization.
Prepare and develops databases and updates as necessary. Analyzes internally produced data on referral patterns to identify specific areas of command interest and action.
The employee manages the internal and external health care referral process for beneficiaries at Keller Army Community Hospital.
Serve as a Subject Matter Expert within KACH, Medical Command (MEDCOM), for Referral Coordination issues.
As the Referral Management Coordinator, supervises and oversees the work of Referral Clerks to include Clear and Legible Reporting clerk(s).