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.
...Commercial Lines Account Manager Summary As a family owned business, we recognize the importance of work life balance. We emphasize employee growth and a great culture. We are looking for someone who enjoys building and maintaining relationships in order...
Great summer internship opportunity for a student pursuing a degree in engineering! Hands-on, factory floor experience documenting manufacturing processes and developing work instructions.
...Office of Correctional Security (OCS), Division of Adult Institutions (DAI), Office of Internal Affairs (OIA), Office of Legal Affairs (OLA), Business Services, Contract Services, Facilities Planning and Construction Management, CDCR staff, the incarcerated population, and...
...for improved processes Qualifications ~ Bachelor's degree ~4+ years of experience in related field ~ Proficient in Microsoft Office ~ Strong communication and presentation skills ~ Ability to work in a high-paced environment and manage multiple projects...
...Job Title: UX/UI Designer Location: This position is not remote and requires working from our Los Angeles office in Beverly Hills. Salary up to 70k About the Company We are an innovative AI tech CRM firm specializing in the auto/RV dealership industry. Our...