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.
...Department: Marketing About the Role: Were looking for a strategic and analytical Email Marketing Manager to drive customer engagement, retention, and revenue growth through optimized customer relationship management. In this role, youll lead the strategy and...
~ Home daily ~ Driver earning $1350 weekly ~$0.57 cpm ~ No touch ~ Limited Openings Available Minimum Driver Requirements: ~12 months of recent tractor trailer ~ Must possess a valid Class A CDL ~ Must be able to pass a pre-employment drug screen...
Who is Anatomage? Founded in 2004, Anatomage is a world-leading health care technology company. Anatomage is committed to transcending the limitations of existing medical education with innovative products that elevate the teaching and learning process. Our staff is relentlessly...
...We are recruiting an Urgent Care Physician Assistant or Nurse Practitioner for our location in Peabody, Massachusetts. We boast a high retention rate because we are a physician-owned and physician-led organization with high-quality patient care as our #1 focus. We have...
Engineer - Mechanical (I,II, Senior levels) Glenrock WY- #112725 Date: Jan 31, 2025 Location: GLENROCK, WY, US, 82637 Company: PacifiCorp JOIN OUR TEAM! PacifiCorp is seeking customer-centric candidates to grow and sustain our commitment to...