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.
...first SaaS ecosystem that brings together students, universities, and financial institutions... ...students to find and fund high-return college education, universities to engage and select... ...improving the world. Role : Full-time, 3/6-month Internship (Can convert to...
...Accupac seeks to hire a full-time Project Manager to join our team in Harleysville, PA! Basic Job Functions: The Project Manager is responsible for ensuring that Accupac is providing its customers with the best possible service in meeting their contract manufacturing...
SpaceNav is looking for an experienced Flight Dynamics Engineer who is a self-motivated, multi-tasker, and demonstrated team-player. The Flight Dynamics Engineer will help design and develop mission critical applications used to support satellite flight operations. ...
...FAMILY LEGAL CARE Mission: Family Legal Cares mission is to increase access to justice in New York State Family Court. We combine... ...and underserved populations. Ten or more years of senior executive leadership experience, with the nonprofit sector preferred...
Taco Bell - Mormon Coulee Ct. is looking for enthusiastic individuals to join our team in La Crosse, WI as full time or part time Shift Leaders. If you like working in a fast paced, fun environment and you are good with people, look no further! Taco Bell - Mormon Coulee...