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.
...The Business Operations Specialist supports financial and operational business initiatives... ...this position includes drafting and managing documentation such as scopes of work, contractual... ...Education/Certifications: Bachelor's degree in Accounting, Finance, Business...
...Location: Remote (must work PST hours) Type: Temporary Part-Time Pay: $18$23/hr (based on experience) Duration: December 1 January 31, with possible extensions through May 2026 LHH seeks a bilingual Customer Service Representative to make a difference by...
...DESCRIPTION Amazon Web Services (AWS) is a fast paced technology company and a leader in the world of data centers. The position... ...NOT be accessed from outside of the United States) This is a night shift role with an overnight shift from 8 pm to 5 am Key job...
...and direction into polished, impactful assets that elevate the brand across marketing channels. Youll collaborate closely with creative and art directors while maintaining tight communication with the social, content, and e-commerce teams to ensure every deliverable is...
...Overview/Purpose : The Registered Behavior Technician works under the direction and guidance of the Lead Behavior Analyst to provide direct behavior interventions to teach communication, social, and daily living skills while reducing problematic behaviors in home, community...