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.
...to delivering compassionate and comprehensive mental health services. This is an excellent opportunity for a Psychiatric Registered Nurse (RN) to join a collaborative and supportive clinical team that includes Psychiatrists, Psychiatric Nurse Practitioners, and experienced...
Rhodes, Young, Black & Duncan, CPA is looking for an Audit Associate to join our team in Duluth.Candidate will be responsible for working with external clients to assist in developing and executing audit plans. You will play a key role in the success of the group by developing...
...members. This, coupled with a superior member experience, is why SET SEG has maintained its... ..., and seek a collaborative and inclusive work environment. We are also listed on the Business... ...(medical, dental, and vision), Paid Time off (PTO), and paid parental leave. Our...
About the Company - Here at Sagamore, we provide career opportunities to master your craft, earn competitive wages and make a real difference in the lives of our customers and our community. We are looking for employees who take pride in their work and see it as both ...
TraxNYC is looking for a motivated and detail-oriented Production Assistant to join our team in the heart of Manhattans Diamond District. This is an excellent opportunity to gain hands-on experience in the luxury jewelry industry, supporting the production of high-...