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.
...Landis C. Deck & Sons. , a division of the H&K Group, Inc. is currently seeking a Tack Truck Driver to efficiently operate an asphalt distributor and maintain an acceptable level of workmanship and productivity to support the asphalt paving abase crews by...
...day-to-day operations, financial reporting and audits. b. Planning & Budgeting and MIS : Organize Planning & Budgeting for the ABC, USA. Continuous monitoring of actual performance against budget and Developing an effective Management Information System to support...
...isdeveloping a pool of applicants for potential part-time Library Assistant positions. (Up to 17 hours per week). These positions are... ...your application and have met the qualifications/skills and experience that are required for the position. Your applications will...
...Project Executive- Mixed-use- Construction $130,000-$160,000 OTE- Dayton, OH The Role Are you an experienced construction professional... ...base salary up to $160k (more in base dependent on experience)~401K match ~ Career Stability with Business Development...
The Manager - Finance is responsible for overseeing the financial operations and strategies within the Michaels organization. This role involves financial planning, budgeting, forecasting, analysis, and reporting. The Manager Finance will work closely with senior management...