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.
...Farm Technician II Title: Farm Technician II Location: Voluntown, CT and Lebanon, CT Industry: Poultry, Agriculture, Pharmaceutical Salary: $26.50/hr. Shift: Days 5am-2pm weekends required Job Type: Direct Hire Client Overview For over...
...skills. Ambitious, with a strong desire to succeed. Ability to work both independently and as part of a team. No prior experience in marketing or sales is required, but a positive attitude and willingness to learn are a must. What We Offer: Competitive...
...Looking for an Oracle Database Engineer/DBA for a yearlong contract with potential for extensions. Candidates must be local to work in a hybrid model and interview onsite. Description: Job description: - Minimum 7+ Years proven experience as an Oracle database...
...Part Time/Seasonal to Possible Full Time Attach Resume to application for consideration and answer all three questions. Marina Mechanic Experience is a requirement. This is not an entry level position. Bull River Marina in Savannah, GA is looking for a Marine...
...offering a broad spectrum of services, including sports medicine, physical therapy, facial aesthetics, non-surgical orthopedics, custom-... ...: We are currently seeking a full-time, on-site Physical Therapist with manual therapy skills who enjoys working with a wide...