Healthcare Agents

Plugin healthcare-agents in ajhcs/healthcare-agents. Commands read from the repo's manifest — 12 days ago.

Skills (8)

• healthcare-agents

  Help with US healthcare administration tasks, including denial investigations, access, survey evidence, prior authorization preparation, contracts and discharge coordination. Use when Healthcare Agents is requested or a healthcare administrative specialist is needed.

• healthcare-ambulatory-access-backlog

  Turn aggregate demand, usable capacity and backlog into a testable access recovery plan.

• healthcare-denial-spike-workup

  Investigate a denial-rate change and separate operational loss, payer changes and coding risk.

• healthcare-discharge-barrier-workplan

  Create an aggregate barrier workplan while preserving clinician authority and patient choice.

• healthcare-payer-contract-underpayment-review

  Reconcile expected and actual aggregate payment into a contract-linked variance packet.

• healthcare-prior-authorization-appeal-workup

  Prepare an administrative appeal evidence map without determining medical necessity or submitting an appeal.

• healthcare-survey-readiness-gap-review

  Build a standard-to-evidence gap register with accountable owners and verification criteria.

• healthcare-workflow-builder

  Build a reusable local healthcare administration workflow from a defined outcome, evidence fields, specialist owner and acceptance criteria. Use when an existing workflow does not fit or the user asks to customize one.

Subagents (51)

• clinical-care-management-specialist

  Use for Care Management Specialist work in Clinical Operations including Care coordination, TCM/CCM, readmission prevention, SDOH workflows.

• clinical-case-manager

  Use for Case Manager work in Clinical Operations including Discharge barriers, post-acute placement, avoidable days, patient choice.

• clinical-documentation-improvement-specialist

  Use for Documentation Improvement Specialist work in Clinical Operations including CDI query, CC/MCC capture, clinical validation denial.

• clinical-infection-prevention-specialist

  Use for Infection Prevention Specialist work in Clinical Operations including HAI surveillance, NHSN attribution, outbreak or infection-control readiness.

• clinical-prior-authorization-specialist

  Use for Prior Authorization Specialist work in Clinical Operations including Prior authorization delays, payer criteria, peer-to-peer prep, PA appeals.

• clinical-referral-specialist

  Use for Referral Specialist work in Clinical Operations including Referral leakage, loop closure, specialty access, network navigation.

• clinical-research-coordinator

  Use for Clinical Research Coordinator work in Clinical Operations including IRB, consent, protocol deviation, SAE, regulatory binder.

• clinical-utilization-management-specialist

  Use for Utilization Management Specialist work in Clinical Operations including Admission status, observation, medical necessity, denial prevention.

• emergency-preparedness-coordinator

  Use for Emergency Preparedness Coordinator work in Emergency Preparedness including HVA, emergency operations plan, HICS, surge, evacuation, exercise.

• healthit-clinical-data-analyst

  Use for Clinical Data Analyst work in Health IT & Informatics including Clinical dashboard, registry, eCQM logic, SQL/Python analytics.

• healthit-epic-applications-analyst

  Use for Epic Applications Analyst work in Health IT & Informatics including Epic build, upgrade, workflow configuration, EHR change request.

• healthit-informatics-manager

  Use for Health Informatics Manager work in Health IT & Informatics including Informatics governance, CDS, USCDI/TEFCA, data governance.

• healthit-information-manager

  Use for Health Information Manager work in Health IT & Informatics including HIM, ROI, retention, legal health record, chart integrity.

• healthit-interoperability-engineer

  Use for Healthcare Interoperability Engineer work in Health IT & Informatics including HL7v2, FHIR, C-CDA, X12, HIE, patient matching, interface errors.

• healthit-telehealth-program-manager

  Use for Telehealth Program Manager work in Health IT & Informatics including Telehealth program, licensure, RPM/RTM, virtual care reimbursement.

• operations-ambulatory-manager

  Use for Ambulatory Operations Manager work in Operations & Administration including Clinic access, templates, rooming, no-shows, multi-site ambulatory ops.

• operations-home-health-administrator

  Use for Home Health Administrator work in Operations & Administration including Home health OASIS, PDGM, LUPA, HHVBP, survey readiness.

• operations-hospital-administrator

  Use for Hospital Operations Administrator work in Operations & Administration including Bed capacity, ED boarding, transfer center, throughput command center.

• operations-long-term-care-administrator

  Use for Long-Term Care Administrator work in Operations & Administration including SNF/LTC MDS, PDPM, PBJ, Five-Star, resident rights, survey process.

• operations-physician-practice-manager

  Use for Physician Practice Manager work in Operations & Administration including Practice productivity, wRVUs, provider templates, practice P&L.

• operations-supply-chain-manager

  Use for Supply Chain Manager work in Operations & Administration including GPO, value analysis, inventory, recall, OR supplies, supply resilience.

• operations-workforce-manager

  Use for Healthcare Workforce Manager work in Operations & Administration including Staffing, scheduling, agency labor, float pool, retention.

• payer-credentialing-enrollment-coordinator

  Use for Credentialing & Enrollment Coordinator work in Payer & Managed Care including Credentialing, enrollment, CAQH, PECOS/CMS-855, revalidation.

• payer-managed-care-analyst

  Use for Managed Care Analyst work in Payer & Managed Care including Managed-care financial analysis, PMPM, MLR, network adequacy.

• payer-medicare-medicaid-specialist

  Use for Medicare & Medicaid Specialist work in Payer & Managed Care including Medicare/Medicaid rules, MAC process, CoPs, dual-eligible workflows.

• payer-medicare-outreach-coordinator

  Use for Medicare Outreach Coordinator work in Payer & Managed Care including Medicare outreach, plan comparison, LIS/Extra Help, enrollment periods.

• payer-relations-specialist

  Use for Payer Relations Specialist work in Payer & Managed Care including Payer contracting, network participation, NSA, single-case agreements.

• payer-value-based-care-manager

  Use for Value-Based Care Manager work in Payer & Managed Care including ACO/VBC, attribution, shared savings, quality gates, downside risk.

• pharmacy-benefits-specialist

  Use for Pharmacy Benefits Specialist work in Pharmacy Programs including Formulary, PBM, specialty pharmacy, rebates, biosimilars.

• pharmacy-medication-safety-specialist

  Use for Medication Safety Specialist work in Pharmacy Programs including Medication safety event, CPOE/BCMA, smart pump, USP 797/800.

• pophealth-community-health-coordinator

  Use for Community Health Coordinator work in Population Health & Community Health including CHNA, community benefit, Schedule H, grants, CBO partnerships.

• pophealth-population-health-manager

  Use for Population Health Manager work in Population Health & Community Health including Population health risk stratification, care gaps, SDOH outreach.

• pophealth-surveillance-coordinator

  Use for Public Health Surveillance Coordinator work in Population Health & Community Health including Reportable disease, outbreak investigation, syndromic surveillance.

• quality-accreditation-specialist

  Use for Accreditation Specialist work in Quality, Safety & Compliance including Survey readiness, accreditation evidence, tracer prep.

• quality-compliance-officer

  Use for Compliance Officer work in Quality, Safety & Compliance including HIPAA, Stark, AKS, FCA, EMTALA, OIG, overpayment or exclusion concern.

• quality-improvement-specialist

  Use for Quality Improvement Specialist work in Quality, Safety & Compliance including Quality measures, HEDIS/MIPS/Stars/eCQMs, SPC, reporting improvement.

• quality-patient-experience-coordinator

  Use for Patient Experience Coordinator work in Quality, Safety & Compliance including Grievance, CAHPS/HCAHPS, patient relations, service recovery.

• quality-patient-safety-officer

  Use for Patient Safety Officer work in Quality, Safety & Compliance including RCA, sentinel event, Just Culture, PSO boundary, safety trend.

• quality-process-improvement-analyst

  Use for Process Improvement Analyst work in Quality, Safety & Compliance including A3, PDSA, Lean/Six Sigma, value stream map, CAPA.

• quality-risk-manager

  Use for Risk Manager work in Quality, Safety & Compliance including Risk register, malpractice exposure, disclosure, claims, insurance.

• revenue-340b-program-manager

  Use for 340B Program Manager work in Revenue Cycle & Finance including 340B compliance, split billing, contract pharmacy, duplicate discounts.

• revenue-chargemaster-analyst

  Use for Chargemaster Analyst work in Revenue Cycle & Finance including CDM maintenance, charge capture, price transparency.

• revenue-contract-analyst

  Use for Healthcare Contract Analyst work in Revenue Cycle & Finance including Payer contract underpayment or reimbursement variance.

• revenue-cycle-specialist

  Use for Revenue Cycle Specialist work in Revenue Cycle & Finance including Clean claim rate dropped, denial volume changed, A/R aged unexpectedly.

• revenue-finance-manager

  Use for Healthcare Finance Manager work in Revenue Cycle & Finance including Budget, cost report, margin, service-line finance, reserves.

• revenue-medical-coding-specialist

  Use for Medical Coding Specialist work in Revenue Cycle & Finance including Coding audit, DRG/HCC question, modifier/NCCI issue, medical necessity edit.

• strategy-actuarial-advisor

  Use for Healthcare Actuarial Advisor work in Strategy & Advisory including Capitation, IBNR, MLR, risk adjustment, actuarial caveats.

• strategy-clinical-operations-consultant

  Use for Clinical Operations Consultant work in Strategy & Advisory including Clinical workflow, ED/OR throughput, staffing model, care redesign.

• strategy-healthcare-consultant

  Use for Healthcare Strategy Consultant work in Strategy & Advisory including Market strategy, service line, M&A, CON, physician alignment.

• strategy-operations-consultant

  Use for Healthcare Operations Consultant work in Strategy & Advisory including Lean/Six Sigma deployment, capacity, benchmarking, predictive ops.

• strategy-structural-improvement-consultant

  Use for Structural Improvement Consultant work in Strategy & Advisory including Organizational redesign, governance, change, merger integration.

MCP servers (1)

• healthcare-admin

  runs: node ${PLUGIN_ROOT}/bin/mcp-server.js --stdio

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