Mallory Lynch

Provider Quality Coordinator at Physicians Health Plan (Michigan)
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Contact Information
us****@****om
(386) 825-5501
Location
Williamston, Michigan, United States, US
Languages
  • English -

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Bio

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Credentials

  • First Aid/CPR
    -

Experience

    • United States
    • Insurance
    • 1 - 100 Employee
    • Provider Quality Coordinator
      • Mar 2018 - Present

    • Education Management
    • 1 - 100 Employee
    • Junior Varsity Volleyball Coach/Varsity Soccer Coach
      • Aug 2015 - Mar 2019

      Evaluating performance and providing suitable feedback, balancing criticism with positive and motivating comments. Assessing strengths and weaknesses in an athletes performance and identifying areas for further development. Adapting to the needs and interests of group or individual students. Communicating instructions and commands using clear, simple language. Demonstrating an activity by breaking the task down into a sequence. Encouraging athletes to gain and develop skills, knowledge and techniques. Ensuring that athletes train and perform to a high standard of health and safety at all times. Inspiring confidence and self-belief. Developing knowledge and understanding of fitness, injury, sports psychology, nutrition and sports science. Acting as a role model, gaining the respect and trust of the athletes and parents you work with. Working to a high legal and ethical standard at all times, particularly in relation to issues such as child safeguarding and health and safety requirements. Show less

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • QI/Credentialing Speciliast
      • Jan 2015 - Mar 2018

      Quality Improvement Initiatives:•Following a Quality Work-plan in accordance to HFAP accreditation standards•Creating and maintaining Quality Data Scorecards with comparison to real time data, previous data, and hospital compare data.•EPIC Electronic Health Record•Chart review to report quality of care standards•Re-Call Data base management•Contracted Services Data Base Management•CMS Submission Reports through Quality Net to meet Medicare and BCBS standards•Quality Net Navigation including following Specification Manuel, IQR and OQR Reports•MHA Keystone ReportingQuality Improvement Reporting:•Quality Improvement Performance Improvement Committee •Tracking and Trending of Departmental Goals•Creating Charts and Graphs for Clinical Quality Indicators Medical Staff Responsibilities:•Management of Medical Staff Bylaws, Rules and Regulations, and Policies•Creating, Implementing, and Management of new Peer Review process•ECHO credentialing software•Creating, Implementing, and Management of electronic signatures through Adobe Reader from Department Chair, Chief of Staff, and Board Executive Committee•Following HFAP standards for appointment/re-appointment to the Medical Staff including background checks, claims history requests, educational background through AOA Reports, affiliation requests, working with the National Practitioner Data Bank•Organizing and securing Confidential Medical Staff Professionals Files•Physician Executive Committee Member – Credentials Committee Lead, agenda preparation, recorderCreating and Implementing OPPE/FPPE:•Continuous tracking and trending of provider activity in accordance to the Ongoing Provider Performance Evaluation and Focused Provider Performance Evaluation Policy•Preparing scorecards for review on a quarterly basisRisk Management•Management of Occurrence System•Tracking and Trending of Occurrences throughout Hospital•Creating and Implementing Reporting Process•Hospital Acquired Condition Tracking Show less

    • Intern in Patient Experience
      • Sep 2014 - Dec 2014

      Assistant to Patient Satisfaction ManagerCreating and Conduction the Patient and Family Advisory Council

    • United States
    • Individual and Family Services
    • 700 & Above Employee
    • Patient Advocate
      • Aug 2014 - Dec 2014

      Caring for individuals in the Adult Foster Care Program Caring for individuals in the Adult Foster Care Program

    • United States
    • Mental Health Care
    • 700 & Above Employee
    • ARK Shelter Care Worker
      • Jun 2014 - Sep 2014

      Caring and providing for children in the Run Away Youth Shelter. Caring and providing for children in the Run Away Youth Shelter.

    • Direct Care Worker
      • Apr 2014 - Aug 2014

      Caring for individuals in the Adult Foster Care program Caring for individuals in the Adult Foster Care program

    • Government Administration
    • 700 & Above Employee
    • Community Resource Navigator
      • Feb 2013 - Feb 2014

      Community Service Answering calls for the 2-1-1 Helpline Suicide Prevention and Crisis intervention Setting up training for Michigan Benefit Access (MI Bridges) Attending conferences and community events to promote Gryphon Place. Community Service Answering calls for the 2-1-1 Helpline Suicide Prevention and Crisis intervention Setting up training for Michigan Benefit Access (MI Bridges) Attending conferences and community events to promote Gryphon Place.

Education

  • Western Michigan University
    Bachelor of Science (B.S.), Interdisciplinary Health Services
    2009 - 2014
  • East Detroit High School
    High School, Health Care
    2005 - 2009

Community

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