Farhan Danish

Experience

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  M.R.A. Dental College and Hospital

  Jan 2015 - Jan 2016

  Internship Trainee

  . Examined up to 30 patients per day, screening for dental and oral health diseases. Educated patients about proper oral hygiene and prevention of dental diseases.. Closely examined patient’s medical, dental history, medication allergies and physical condition to determine proper treatment procedures.. Assisted with dental procedures under the guidance of post graduate students and senior faculty in various departments such as Oral Medicine and Radiology, Periodontics, Pedodontics, Orthodontics, Oral and Maxillofacial Surgery. Show less

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  Crescent Dental Clinic

  Feb 2016 - Aug 2016

  General Dentist

  • Educated patients on dental hygiene, pre-surgical instructions and post-surgical care.• Created and maintained high quality patient documents and adhered to quality standards set by management.• Educated patients on dental hygiene, pre-surgical instructions and post-surgical care.• Collaborated with community health officers to resolve health issues & improve operations.• Increased community-wide participation in culture of preventive initiatives by 35%.• Received training in healthcare management, operations and medical affairs. Show less

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  Dental Concepts

  Aug 2016 - Aug 2017

  Healthcare Associate

  • Interviewed patients, reviewed health history information and collected data from various state and national agencies.• Created dashboards for clinicians and support staff to understand and interpret patient data using Tableau 10.• Created trending reports and graphical representations using Microsoft Access.• Developed Immunization schedules and prescription drug histories of patients using Microsoft Excel and PowerPoint.• Created and validated records of clinical vendors using Excel which helped maximize business efficiency.• Researched issues such as Oral Cancer, substance use and chronic diseases.• Charted Immunization schedules, prescription drug history and detailed use of antibiotics & pain medication.• Correctly administered local anesthetic and adjunctive therapies such as fluoride treatments and irrigation. Show less

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  California State University-San Bernardino

  Apr 2017 - Oct 2019

  • Educated over 50 students on health science research, including data collection, sampling and analyzing tools.• Trained students on Cal/OSHA standards for compliance with established safety.• Collaborated with professors to prepare data driven reporting to evaluate performances using Blackboard and Slack.• Analyzed hundreds of students’ records and created Excel dashboard templates for future analysis.• Mentored students in Good Clinical Practices, participant testing, data analysis and scientific writing. Show less

  • Graduate Teaching & Research Associate

    Jan 2019 - Oct 2019

  • Graduate Research Assistant

    Apr 2017 - Oct 2019
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  Prime Healthcare

  Oct 2019 - Apr 2021

  Regional Co-ordinator for all UR processes across Prime Network (Pacific, Central and East). Co-ordinates and reviews all medical records, as assigned to caseload. Actively participates in Case Management and Treatment Team meetings. Serves as on-going educator to all departments. Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from payers/fiscal intermediary etc.; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment. Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. Show less Regional Co-ordinator for all UR processes across Prime Network (Pacific, Central and East). Responsible for compliance with CMS Conditions of Participation regarding Utilization Review and Discharge Planning including implementation and annual review of the Utilization Management Plan and assisting with the coordination of the Utilization Management Committee throughout the country. Responsible for ensuring compliance with DNV/DOH provisions of care regarding discharge planning and patient needs for care, treatment, and services after discharge or transfer are met. Follows all of Prime Hospital's Case Management/Utilization Program that integrates the functions of utilization review, discharge planning, and resource management into a singular effort to ensure, based on patient assessment, care is provided in the most appropriate setting utilizing medically indicated resources. The hospital’s case management model outlines a collaborative practice with the corporate management to improve quality through coordination of care impacting length of stay, minimizing cost, and ensuring optimum outcomes. Show less

  • Corporate Medical Review Co-Ordinator

    Jan 2020 - Apr 2021

  • Corporate Utilzation Review Co-Ordinator

    Oct 2019 - Jul 2020
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  Prime Healthcare

  Jul 2022 - now

  As a corporate UR supervisor/training, I was responsible to provide a comprehensive training regimen to all the Utilisation / Medical Review Coordinators (URC/MCs) and Utilization Review Techs (URTechs). Responsible for creating the scope of training agenda, pilot programs and corporate denial management processes that help streamline the revenue cycle.Helped in standardising teams off shore, for Utilisation Review, Clinical Denial Management and for External Appeal opportunities.Developed and integrated training programs focusing on evidence-based clinical criteria - Milliman Care Guidelines and Interqual Care Criteria for inpatient admissions and clinical denial management.Served as a liaison between Utilization Review (UR Department and other departments to provide UR Training to other teams on an ad-hoc basis. Participate in regular Utilization committee and Case Management meetings with stakeholders from all departments and Corporate leadership team to update the training agenda to provide relevant and necessary education to new URC/MRCs. Performed ongoing audits to monitor the training process and develops process improvement plans for identified deficiencies. Provided a Final Assessment to the trainees before the training is completed and conveys the necessary feedback to the Department Leadership. Assisted in Reviewing Inpatient Medical Records to Perform Utilization Reviews.Responsible in delegating various department process requirements to the new personnel. Show less

  • Corporate Utilization Review Manager

    Jun 2023 - now

  • Clinical Utilization Review Training Supervisor

    Jul 2022 - May 2023