The Physician Advisor (PA) serves as a clinical resource to the medical staff and CM/SW by providing identification, facilitation and resolution of utilization issues. The PA role has a matrix reporting structure which includes Corporate Physician Advisor and Corporate CQIO , as well as entity CMO and CEO. The Physician Advisor addresses the following issues: Federal and state compliance, documentation supporting coding/medical necessity/clinical validation, appropriate level of care, length of stay, hospital utilization and quality issues. In collaboration with admitting physician, healthcare team, and case management , the PA proactively manages cases at the point of entry and through the hospital stay , to ensure the patient is placed in the proper level of care classification based on medical necessity, severity of illness and risk of mortality . The PA ensures compliance with CMS for appropriate billing . The PA conducts post-discharge reviews related to payer audits. Promotes understanding and cooperation between the medical staff through communication, collaboration and education. Facilitate improvements in clinical practice to achieve better performance, improved cost, reduced length of stay, fewer readmissions, and superior patient care.
$1,000 Signing Incentive! Schedule: Full-time Mon-Fri. Must be flexible to work evenings. Want to be a DIFFERENCE MAKER? Join our team and BUILD BRIGHTER FUTURES. WHY WORK FOR OAKLAND FAMILY SERVICES? We know that in order for you to do your best work and meet...
...Technology Engineer Location: Georgetown, KY Duration: 12 Months Description: What youll be doing: Develop and install robot and PLC applications for R&D. Work with stakeholders to understand current processes and issues Implement customized robotic...
...Job Description: Analyst at ScOp Venture Capital Position Title: Analyst Location: Santa Barbara, CA About ScOp Venture Capital: ScOp Venture Capital invests in early-stage B2B software & AI companies with scalable opportunities. Our focus is on businesses...
...of machinery and auxiliary equipment by completing preventive maintenance according to schedule and responding to troubleshooting and/or... ...in a timely manner. Areas Of Accountabilities Repair all building issues in accordance with standards. Inspect, troubleshoot...
Our telecommunications engineering client is hiring for CAD Technicians in Pittsburgh, PA. This individual will be creating diagrams, schematics, layouts, multi-view, and various drawings to scale in accordance with one of the country's largest telecommunication companies...