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Provider Quality

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To ensure a continued focus on quality, Fidelis Care is dedicated to engaging with providers to ensure our members get the best care possible. Quality is a critical component of the work we do at Fidelis Care. The Provider Relations Department works diligently to support providers in quality improvement initiatives.


Hearthands

If you have any questions, please contact your Quality Improvement Specialist.

Quality Improvement Specialists
New York Regions:

Name Coverage Area Assigned Providers
 Yen Min Yau

✉ Email Address

Kings County CAIPA & Excelsior EmpireHealth Brooklyn Providers
 Zinaida Khavasova
✉ Email Address 
Various Counties in the NYC Region Maimonides and affiliates, One Brooklyn Health System: (Interfaith, Brookdale and Kingsbrook), South Asian IPA
Stanley Laforest

✉ Email Address

Various Counties in the NYS Region Bronx United IPA, Hudson Heights IPA

 Adebunmi (Bunmi) Browne

✉ Email Address

Various Counties in the NYC Region Balance Medical IPA
 Rui Kang (Ray) Lin

✉ Email Address

Queens County CAIPA & Excelsior EmpireHealth Queens Provider
 Rosemond Guillaume

✉ Email Address

Various Counties in the NYC Region AdvantageCare, Jamaica Hospital, Prominis Care IPA LLC DBA STAR, YUVO IPA
 Haneefah Mahdi

✉ Email Address

Richmond and Bronx Counties Amboy Medical Practice Bon Secours NYC Health & Hospitals Refuah Health Center, Emilio Perez
 Robert Dean

✉ Email Address

Suffolk and Nassau Counties Healthcare Partners, CHS Physician Partners, Quest Medical Care, PC, Central Queens IPA
 Kay Stewart-Benjamin

✉ Email Address

Kings County NYU and Affiliates, Doral Medical and Multi Specialty Facility, The Brooklyn Hospital, SUNY Downstate, New York Network Management

 Nadia Oleniak

✉ Email Address

Various Counties in the NYC Region Queens Medical Services, PLLC, New York Senior Medical Group, Empire Physicians IPA
 Steven Lee

✉ Email Address

Manhattan and Richmond Counties Charles B. Wang Community Health Center, CAIPA Manhattan Providers, Excelsior EmpireHealth Manhattan Providers, CAIPA Staten Island Providers
Barbara Bentley-Morrill

✉ Email Address

Counties: Albany, Clinton, Columbia, Essex, Green, Warren, All Vermont; Saratoga, Schenectady, Rensselaer Northwell and Nuvance, NYPHS and Affiliates, Whitney M. Young, Saratoga Hospital, Saratoga Regional Medical, Twin Rivers Medical, NY Presby; Nuvance
 Jaime Laube

✉ Email Address

Counties: Orange, Putnam, Sullivan, Ulster; Dutchess Hudson Valley Regional Community Health, Montefiore Medical Center, Union Community Health Center
 Christine Jendraszek

✉ Email Address

Various Counties in the Buffalo Region, Cattaraugus and Yates Counties CINQ Upstate: EHS, INC., Care Medical Practice, Community Health Center of Buffalo, Jericho Road Ministries, Medical Health Associates for Western NY, INC.  Southertier Community Health Center Networks, INC., The Chautauqua Center, INC, Tri-County Family Medicine Program, INC., Lakeshore Family Medicine Associates, Liberty Resources, Ted J. Triana, Urban Family Practice, Westfield Family Physicians, John Mulawka-dba Southtowns Pediatrics, Lynne Ross dba Canalside Primary Care, Mobile Physicians Services PLLC, Robert Ericson Do &Jennifer Ericson Do dba Inspired Health Group, Highgate Medical Grop, PC. Northeast Medical, PC. Kenmore Family Medicine.
 Karen Yonkers-Santy

✉ Email Address

Counties: Cortland, Oswego, Schuyler, Seneca, Tioga, Tompkins, Westchester FLIPA- Family Health Network of CNY, Northern Oswego County Health Servies Inc, Upstate Family Health Center, Inc. Other: Cayuga Medical Associates, Oswego County OB-GYN, New York Senior Medical Group; William F. Ryan Community Health Center, Ryan Chelsea Clinton Community Health , Cayuga Health Partners
 Maureen Hudson

✉ Email Address

Erie and Chautauqua Counties

Catholic Medical Partners (CMP) Sisters Of Charity Hospital, Mount St. Mary's Hospital , Trinity Medical of WNY, PC., WNY Medical PC, Primary Care of WNY, Summit Pediatrics, Lockport Pediatrics, Frank Laurri, M.D. & Associates, Southgate Medical Group; Family Health Medical Services, UPMC Chautauqua WCA, Jamestown Pediatrics, Southerntier Pediatrics, Great Lakes Physicians Practice, PC. (GLPP), Community Inclusion
 Penny Patterelli

✉ Email Address

Counties: Oneida, Onondaga, Otsego, Schoharie IPA: Trinity Health
Providers: St. Peters' Health Partners Medical Associates, Samaritan Hospital of Troy, St. Peter's Hospital, St. Joseph's Hospital Health Center, St. Joseph Medical PC.  Other: Family Care Medical Group, Crouse Medical Practice,  Family Care Medical Group, Mary Imogene Bassett, Little Falls Hospital, Mohawk Valley Health System, Rome Health
 Nicole Heldson
✉ Email Address
Counties: Genesse, Livingston, Niagara, Ontario, Orlean, Wyoming, Allegany, Steuben, Chemung GLIN: Bertrand Chaffee Hospital, Bradford Regional Medical Associates (Upper Allegany Health System), ECMC, General Physicians,  Kaleida Health , Niagara Falls Memorial Medical Center, Olean General Hospital, UB Family Medicine INC dba UBMD Primary Care, Wyoming Community Hospital, Paul DeJac, Christopher Beney , Amandeep Pal, Oak Orchard Health, Anthony Jordan, FLH, Geneva Hospital, Finger Lakes Health Center, Soliders and Sailors,Jones Memorial, Jones Memorial, PC. Mt Sinai, Arnot Ogden, Arnot Medical Services.
 Nicole Lloyd

✉ Email Address

Cayuga and Jefferson Counties All Main Street Rural Providers, Auburn Community Hospital
 Penny Patterelli

✉ Email Address

Counties: Oneida, Onondaga, Otsego, Schoharie Trinity Health: St. Peters' Health Partners Medical Associates, Samaritan Hospital of Troy, St. Peter's Hospital, St. Joseph's Hospital Health Center, St. Joseph Medical PC.  Other: Family Care Medical Group, Crouse Medical Practice,  Family Care Medical Group, Mary Imogene Bassett, Little Falls Hospital, Mohawk Valley Health System, Rome Health
 Peter Stone

✉ Email Address

Counties: Broome, Chenango, Delaware, Lewis, Madison; Franklin, Fulton, Hamilton, Herkimer, Montgomery, Saint Lawrence United Health Services (UHS) Chenango Memorial Hospital INC, Delaware Valley Hospital INC, United Health Services Hospitals, INC, United Medical Associates. Concordia- Oneida Medical Practice PC, Oneida Health Systems INC, Oneida Medical Associates PLLC. Other: Endwell Family Physicians, Lewis County General Hospital, St. Regis Mohawk Tribe, Benardot Tribe, Nathan Littauer Hospital, North County Family, Carondelet, St. Mary's
 Robert Chantra

✉ Email Address

Monroe and Wayne Counties Rochester Regional Health System- (RRHS) Rochester General Hospital, The Unity Hospital of Rochester United Memorial Medical Center, Western New York Medical Practice, Clifton Springs Hospital & Clinic, Newark Wayne Community Hospital (St. Lawrence Health Systems) Massena Hospital, Canton Potsdam Hospital & Medical Practice, Gouverneur Hospital Guthrie Health-Guthrie Corning Hospital, Guthrie Cortland Medical Center, Guthrie Robert Packer Hospital, Guthrie Troy Hospital University of Rochester (U of R) Strong Memorial Hospital

Provider Quality News


National Nurses Week: A Celebration of Compassion and Care
5/6/2024 • Posted by Fidelis Care in Health and Wellness, In The Community, Member News

On this National Nurses Week May 6-12, Fidelis Care celebrates the invaluable contributions of nurses everywhere. This week gives us the opportunity to recognize the dedication, compassion, and commitment that nurses bring to our healthcare system. In honor of these contributions, Fidelis Care showcases the outstanding efforts that 10 of our own nurses bring to their profession every day:


Danielle Albring
Danielle Albring, RN, Long Term Nurse Care Specialist
Nursing allows me to make a positive impact on people’s lives, and I find that very rewarding. Nursing keeps me going through adversity. At the end of my day, it is not about what I have accomplished for the day. It is about who I was able to lift up, who I helped, and how their lives will be better because of my effort.


Mary Batug
Mary Batug, RN, Case Manager – Care Specialist II
As a transplant case nurse at Fidelis Care, I have the opportunity to combine my clinical knowledge from working in a hospital with my knowledge of insurance case management to support our members throughout the transplant process. It is very rewarding to help a member navigate the process for these lifesaving procedures and go on to live their lives.


Sally Bourne
Sally Bourne, RN, Clinical Review Clinician
Going into nursing turned out to be the best choice I ever made. It is rewarding and fulfilling to be able to help others and make a difference in their lives. Opportunities in nursing are diverse and have allowed me to positively impact people both in direct patient care and in my roles at Fidelis Care through the years.


Beverly Kasowski
Beverly Kasowski, RN, Clinical Review Nurse
I have always had a calling to help others and their families. Coming from a large family of 18 children and dealing with several losses of siblings, I decided to become a nurse at a young age. My goal was to assist and teach as much as I can. I became a Registered Nurse in 1998, specializing in nursery and eventually earning my certification in case management. I absolutely love being a Fidelis Care nurse and am grateful every day to be able to encourage and guide members along their health journeys.


Sharda King
Sharda King, RN, Behavioral Health Clinician
My nursing career serves as a profound source of satisfaction in my life, intertwining my passion for compassionate care with a deep sense of purpose. Each day, I am privileged to make a positive impact on the lives of others, providing connection to resources that will positively impact people’s mental and physical health, and support them during their most vulnerable moments. The continuous learning and growth inherent in nursing foster a dynamic environment where I am constantly challenged and inspired to expand my skills and knowledge. Ultimately, knowing that my contributions directly enhance the quality of life for those in need enriches me both personally and professionally.


Tiffany Majtyka
Tiffany Majtyka, RN, Case Manager – Care Specialist II
Nursing became my second career, as I wanted to give my kids more than I previously could. My two sons, ages 2 and 5 at the time, moved with me across the country so I could go to nursing school. Being a nurse has allowed me to buy a home, provide for my family, and, most of all, make a difference in people’s lives. I came to Fidelis Care after 13 years working in a hospital. I now link families to programs that help them succeed. I love what I do and there is nothing better than a parent telling you that you have made a positive impact on their family.


Ana Martinez
Ana Martinez, RN, Care Manager – Fidelis Care at Home
In my 12 years as a nurse, I have had the privilege of helping others when they are at their most vulnerable. Serving as a volunteer with the Dominican Red Cross when I was a teenager gave me the passion to help others and decide that nursing was the path to do what I love. When I moved to the United States, I enrolled in a nursing program, not knowing the challenges I would face with English as my second language. Working as a Nurse Care Manager at Fidelis Care allows me to assist members with their medical, social, and safety needs. The most satisfying thing about being a nurse is making a difference in the lives of others. Knowing that my care, voice, and time can help a patient make it through is one of the most rewarding feelings.



Jamie Miller, RN, Manager – Clinical
I chose to become a nurse because I have always felt a strong desire to help others and make a positive impact in people’s lives. As a clinical manager alongside my team of nurses, we aim to provide the highest quality compassionate care to our members. Seeing the positive impact on a member’s well-being and enhancing their care experience reminds me daily of why I chose this meaningful career path.


Jacob Mrugalski
Jacob Mrugalski, RN, Lead Clinical Reviewer
After six years in the IT field, I decided to pursue a career in nursing so I could use my skills and talents to truly make a difference in the lives of others. I am overjoyed to say my current role at Fidelis Care is a perfect fit for me, as it allows me to use my experience in the IT field while also giving me a strong sense of fulfillment by serving our members. Becoming a nurse was the best decision I’ve ever made, and I look forward to many more wonderful years with Fidelis Care!



Jennifer Mruk, RN, Case Manager - Health and Recovery Plan
I work as a Fidelis Care Health and Recovery Plan (HARP) Case Manager with the diabetes team, specifically working on the Medical Optimization, Results, and Empowerment (MORE) initiative. I knew from early childhood that I wanted to be a nurse. I have always been passionate about helping and caring for others. For me, nursing brings great satisfaction because I’m able to provide the care and support members need to address their overall health and well-being.  

Provider Office Hours

Fidelis Care hosts webinars called “Provider Office Hours” several times each month to share information and answer any of your questions. 

Provider Satisfaction Survey

Your provision of quality care and services to our members contributes greatly to Fidelis Care’s success. One of the ways Fidelis Care prioritizes quality is making sure you are satisfied with your experiences. Our annual Provider Satisfaction Survey identifies areas to focus on for further improvement in the coming year. The Provider Relations Department works diligently to identify an action plan to address areas of improvement, while continuing to develop actions and interventions to improve the provider experience.

HEDIS® Measurement Toolkit

HEDIS® is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of care and service. We've developed this toolkit to help identify required preventive services.


Resources

Fidelis Care offers resources including Provider Bulletins, tip sheets, educational materialsblog posts, and more to keep you informed.

Provider Tip Sheets - Quality

Quality

Adult Wellness Visit Tip Sheet

Behavioral Health Case Management Services Tip Sheet

Behavioral Health Follow-Up Measures

Breast Cancer Screening Tip Sheet

Child and Adolescent Well Care Visits Tip Sheet

Childhood Immunization Status Tip Sheet

Closing the Gap on Follow-Up Care After Discharge

Colorectal Cancer Screening Tip Sheet

Continuity of Care Tip Sheet

Controlling High Blood Pressure Tip Sheet

Depression Screening and Follow-Up for Adolescents and Adults

Flu Shot for Adults Tip Sheet

Follow-up Care for Children Prescribed ADHD Medication (ADD) Tip Sheet

Glycemic Status Assessment for Patients with Diabetes (GSD) Tip Sheet

HEDIS® Tip Sheet 2021 Antidepressant Medication Management (AMM)

HEDIS® Immunizations for Adolescents Combination 2 (IMA-2)

Importance of Chlamydia Screening Tip Sheet

Importance of Follow-Up Care for Mental Illness

Improving Cardiometabolic Health for Members with Diabetes Tip Sheet

Kidney Health Evaluation for Patients with Diabetes (KED) Tip Sheet

Low Back Pain Tip Sheet

Metabolic Monitoring for Children and Adolescents on Antipsychotics Tip Sheet

Patient Satisfaction Surveys Tip Sheet

Postpartum Depression Screening and Follow-up Tip Sheet

Preventive Cancer Screenings and Vaccines Tip Sheet

Primary Care Provider (PCP) Quality Tip Sheet

Psychiatric Collaborative Care Model

Smoking Cessation Provider Tip Sheet

Telehealth Guide for Health Home Care Managers

Telehealth Tip Sheet

Transitions of Care (TRC) Tip Sheet

Viral Load Suppression Tip Sheet

Well Child - Birth to 30 Months Well Care Visits Tip Sheet

Wellcare Partnership for Quality Program - 2026

Quality Policies

 

Latest Provider Bulletin

 


Provider Bulletin Archives ➔


Fidelis-Care-Summer-Health-Newsletter