Renee Jones, PharmD, CPh, CRC
Speaker
Renee Jones earned her Doctor of Pharmacy degree at Florida Agricultural and Mechanical University in Tallahassee, FL and graduated with honors in 2005. She then completed her Post-Graduate Pharmacy Residency Program with an emphasis in HIV medicine in 2006.
As a licensed pharmacist in Florida and New Jersey, she began her career in healthcare in 2006 as the Clinical Pharmacy Coordinator of Hunterdon Medical Center and Assistant Professor at the Ernest Mario School of Pharmacy at Rutgers University. She then relocated to south Florida to serve as the Pharmacy Operations Supervisor, Clinical Coordinator, and Residency Program Coordinator of Broward Health Medical Center for eight years. During this tenure, her focus was to reduce medication expenses, create clinical programs related to oncology, ID, and critical care medicine, and promote safe practice as it relates to Joint Commission standards and clinical guidelines.
As the Director of Pharmacy Partnerships and Innovations and Nova Southeastern University, she worked with numerous providers, accountable care organizations (ACOs), and management services organizations (MSOs) to improve quality benchmark measures and initiate strategic plans related to annual wellness visits, chronic care management, incident to billing, and transitional care medicine. She now practices as the Director of Pharmacy and Case Management at Personal Physician Management Group. Her core responsibilities include reducing hospital admissions and ER visits, targeting high risk / high-cost patients to improve morbidity and reduce cost, and spearheading the chronic care management and transitional care management teams.
As the CEO of Priority Healthcare Consultants and a Certified Risk Coder, she has created innovative strategies and solutions to help MSO’s increase their funding, reduce their Part A and Part D expenditures, and improve their HEDIS benchmark measures.
Topic
Thursday 2023 Module 3 - Physician Extender/Physician Assistant Bootcamp
Population Wealth: The Upgraded Approach to the Management of Population Health
- Assess patient specific financial and clinical opportunities as it relates to risk adjust factor (RAF) scores and medical loss ratios (MLR's)
- Discuss opportunities to increase funding while reducing financial leakage
- Evaluation of your financial goals: An appraisal of your MSO model