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.
...with little to no direction. Have a good working knowledge of upstream (well sites), midstream (pipe lines), and downstream (refineries) oil and natural gas operations. Ability and knowledge to set-up, maintain, and document company drafting and design...
...Qualifications At least 1 - 2 years' of relevant work experience is ideal but not required... ..., organize, and prioritize work Remote Work ~ This is a remote position with... ...office if you are local Full Time or Part Time Roles Available Compensation...
Lotus Seattle is seeking a dynamic and experienced Drive Time News Anchor/Reporter for its heritage news station, Northwest Newsradio 97-7, AM 1000. The ideal candidate will help prepare and deliver an engaging prime-time newscast as part of an on-air duo, then produce...
...accordance with best practices & techniques, gather metrics, record raw data, and prepare test results Experience with QA for full-suite HRIS or ERP applications Residence in or within easy daily commuting distance from Manhattan, NY Authorization to work in the...
THIS IS A PER DIEM POSITION. Responsible for safely transporting radiology patients to and from the Diagnostic Imaging department, aiding the technologist and clerical personnel and assisting with many ancillary duties. Minimum Education ~ High School Diploma or ...