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.
...JOB REQUIREMENTS: A member in Nekoosa is looking for a backup CNA to fill in as needed. There are no guaranteed hours with this... ...could be a great role to add a few hours here and there. This is a private-duty positionmeaning you\'ll be hired directly by the member rather...
...opportunities are available in Bergen County, NJ.* REQUIREMENTS:* 6 months of experience as a Home Health Aide* Active NJ CNA License * Valid Drivers License & access to a reliable car (Preferred)* Physical exam within the past 12 months* PPD within...
The Chief Growth Officer (CGO) is a senior executive responsible for driving the companys growth and expansion. As a strategic leader, the CGO works closely with the COO and other members of the executive team to identify opportunities, develop growth initiatives, and...
Jamison Professional Services, Inc. (Jamison) is currently seeking a qualified and motivated candidate for the position of Labor Relations Officer. Job Title: Labor Relations Officer DESCRIPTION OF SERVICES: WMATA is undergoing a multi-year Strategic Transformation...
...to offering high-quality education and training to enhance maritime safety. Role Description This is a full-time on-site Instructor Sea Rescue role located in Cape Canaveral, FL. The candidate MUST have registered sea service as an Officer. Instructor Sea Rescue...