28.06.2013 Views

Letter to CMS - Medicaid Managed Care Policies - Agency for ...

Letter to CMS - Medicaid Managed Care Policies - Agency for ...

Letter to CMS - Medicaid Managed Care Policies - Agency for ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Vendor Name:<br />

Review Period:<br />

Date of Review:<br />

Reviewer:<br />

Participating Vendor Staff Member:<br />

<strong>Agency</strong> For Health <strong>Care</strong> Administration<br />

<strong>Managed</strong> <strong>Care</strong> Organizations<br />

Administrative Staff File Review Tool<br />

1 2 3<br />

File # Title Initials License Resume<br />

4 5 6<br />

Position<br />

Description<br />

Training Experience<br />

1 Contract Manager Y N N/A Y N Y N Y N N/A Y N<br />

2 Full-time Administra<strong>to</strong>r Y N N/A Y N Y N Y N N/A Y N<br />

3 Medical Direc<strong>to</strong>r Y N N/A Y N Y N Y N N/A Y N<br />

4 Medical Record Review Coordina<strong>to</strong>r Y N N/A Y N Y N Y N N/A Y N<br />

5 Data Reporting & Processing Direc<strong>to</strong>r Y N N/A Y N Y N Y N N/A Y N<br />

6 Community Outreach Coordina<strong>to</strong>r Y N N/A Y N Y N Y N N/A Y N<br />

7 Utilization Management Direc<strong>to</strong>r Y N N/A Y N Y N Y N N/A Y N<br />

8 Grievance System Coordina<strong>to</strong>r Y N N/A Y N Y N Y N N/A Y N<br />

9 Compliance Officer Y N N/A Y N Y N Y N N/A Y N<br />

10 Claims/Encounter Manager Y N N/A Y N Y N Y N N/A Y N<br />

11 Behavioral Health Direc<strong>to</strong>r Y N N/A Y N Y N Y N N/A Y N<br />

12 Medical/Professional Support Staff Y N N/A Y N Y N Y N N/A Y N<br />

13 Medical/Professional Support Staff Y N N/A Y N Y N Y N N/A Y N<br />

14 Medical/Professional Support Staff Y N N/A Y N Y N Y N N/A Y N<br />

15 Case Management Y N N/A Y N Y N Y N N/A Y N<br />

16 Case Management Y N N/A Y N Y N Y N N/A Y N<br />

<strong>Managed</strong> <strong>Care</strong> Organizations Page 1<br />

Administrative Staff File Review Tool F1_03_10<br />

Florida <strong>Medicaid</strong>

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!