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.
...multiple growth opportunities. The only thing missing is you! Schedule: M-F, 8a-5p (varied depending FTE) Focus: Oncology Infusion Pharmacists with limited oncology experience are encouraged to apply! Provides pharmaceutical care by identifying,...
...Technology Proficiency: Must be comfortable using SaaS-based platforms for logging client care notes and communication Valid Driver's License & Auto Insurance: Required for commuting to client locations Preferred Certifications: CNA, HHA, or equivalent (but not...
Experienced OR Circulating RN Wanted - CNOR Preferred Orange County Surgery CenterAn Orange County Surgery Center is seeking an exceptional Operating Room Circulating Registered Nurse ready to progress their surgical career. The seasoned Perioperative RN will find an...
...Bachelors degree in a scientific discipline (advanced degree preferred). ~ Minimum of 8 years of experience in compliance, quality, and CMO management within the pharmaceutical or biotechnology industry, with a focus on regulatory documentation and lifecycle management....
...Company Description we suggest you enter details here Role Description This is a full-time on-site role for a Head Cook at Torrence and Knox located in Cornelius, North Carolina. The Head Cook will be responsible for overseeing the kitchen staff, ensuring food...