Add a filter for Name of Form/Chart when reviewing and approving.
This will allow for a Medical Director or Admin to narrow their search down to just the necessary form/charts that they need to pay attention to. OR have a setting for "Approval by Medical Director" "Approval by Admin" "Approval by Front Desk" so when the appropriate person is approving forms and charts they only see the ones that pertain to them.
In addition to the name filter, allowing us to select a date range vs clicking through days will also reduce unneccessary work on those who are in highest demand.