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.
...have worked for HNW families previously. A good person. Spanish speaking is a plus but not required. We are open to both Nannies and Mannies. Please be prepared to forward resumes and references upon contact. Thank you, and were looking forward to...
...At Houston Methodist, the Physician Recruiter position is responsible for leading and supporting Executives and/or Chairs with physician talent acquisition needs, developing and establishing specified strategies, partnering with hiring leaders to meet business placement...
...close software deals that range from $15k to $200k+ ACV. This is a remote role, although we are hiring for specific territories... ...double your base. Company equity; 90% employer coverage of your healthcare premiums (employee + family). * Top candidates are former SDRs...
...employees! We are looking for a talented and experienced Quality Engineer to join our team in Tuscaloosa, Alabama . The Quality Engineer is responsible for the quality control of a repackaging process including repackaging quality, data management, problem solving...
...including Ocean Pointe and the emerging Hoakalei Resort in Ewa Beach. Role Description This is a full-time on-site Safety and Security Officer role at Haseko (Hawaii), Inc. and Subsidiaries in Ewa Beach, HI. The Safety and Security Officer will be responsible for...