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.
...motivated and proactive Senior Embedded Software Engineer who thrives in a dynamic startup... ...this role, you will apply your expertise to develop innovative solutions to embedded software... ...Experience working with real-time operating systems Systems Integration...
...Program Manager Military Defense Radio Frequency System Technologies My name is Bill Stevens, and I have a new permanent Program Manager opportunity available for a major firm in Columbia, Maryland that could be of interest to you, please review my specification below...
Well respected multi specialty group in Tampa continues to experience growth and is now looking to add a BE/BC Urgent Care PhysicianGuaranteed base salary with bonus planTop notch benefits with relocation assistanceOpen to family med, Emergency Med and IM/Peds physicians...
...Accounts Payable Specialist (Part-Time) Overview: This role is responsible for managing all aspects of accounts payable, including processing... ...invoice entries into the accounting platform. Generate weekly check and ACH payment runs; maintain logs and compile...
...Job title: Procurement Analyst Location: Frisco, TX & Burlington, MA Job Type: W2 contract Only Duration: 6+ months Job Summary: The Procurement Analyst is responsible for support activities related to sourcing events. They will handle large amounts of...