Emily Moscufo

● Entry and review of critical incident reports and Root Cause Analysis (RCA) summary in compliance with state guidelines

● Oversee Service Determination Request process, ensuring compliance for 90+ cases including Customer Relations Management (CRM) data entry and resolution

● Coordinate complex patient care among interdisciplinary team, contracted specialists, and state agencies, ensuring optimal patient outcomes

● Increased patient care plan review compliance by 30% through implementation of new audit tracking system

● Audit staff documentation in electronic health record and provide staff reeducation on compliance with federal CMS & PACE regulations

● Maintain and run patient-related reports

● Managed caseload of 60+ Medicare/Medicaid patients, supporting annual Masshealth recertification processes

● Collaborated within interdisciplinary care team to coordinate care and assess for patient risks via Social Determinants of Health framework

● Conducted chart reviews and timely care plan updates in Epic, ensuring compliance with electronic medical records system

● Managed tracking system for patients experiencing housing instability and monitor status, advocated for patient needs through community outreach

● Assisted with training and onboarding of 2 new hires