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.
Established in 1926, Family Service League is a social services agency who provides comprehensive services to individuals, children, and families to improve the quality of their lives at home, in the workplace, and in the community. With more than 60 social service and...
Job Summary: We are seeking a highly skilled and detail-oriented Drafter / Designer to join our dynamic team. In this role, you will be responsible for creating accurate technical drawings, part files and assembly models with configurations. The ideal candidate will possess...
...insurance ~ Employee discount ~ Paid time off ~ Professional development assistance ~ Referral program ~ No cost college degree Responsibilities: Performs advanced diagnostics and repairs agricultural equipment/outdoor power equipment. Participates...
...able to apply common sense understanding to carry out written/oral/diagram form instructions and be able to deal with problems with concrete variables ~ Must be able to read and interpret specifications and drawings ~ Must be a US Person- US Citizens, US Nationals,...
...engineering, fielding and operating IT systems and resources. Maintain VPN architecture and optimize network access to remote disaster recovery sites. Configure, manage and utilize Intrusion Detection system (IDS)/Intrusion Prevention system (IPS) to detect and...