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.
Title: Customer Service Coordinator I Location: Corning, NY 14831 (Onsite) Note: Training will occur onsite - worker will then be able to work remote until the team returns onsite - must be local to Corning, NY or surrounding areas. No overtime expected, if overtime...
...Salesforce Developer - (On-Site) Location: Los Angeles, CA Pay Rate: $85/hour End Client: Large Retailer Job Description We are seeking a skilled Salesforce Developer to join our on-site team in Los Angeles. In this role, you will work with a large...
...The incumbent demonstrates competency in speech pathology for pediatric, adult, or geriatric patients as applicable for the site/level... ...manner. Requirements: Previous experience as a speech pathologist is preferred, current BLS certification is required and the...
...LHH Recruitment Solutions is searching for a Warehouse Supervisor for an organization in Clearwater, FL. This is a direct hire position with room to grow and an opportunity to gain mentorship. Benefit offerings include medical, dental, vision, 401(k) match, and paid...
...be. As a physical, occupational or speech therapist at Good Shepherd, you have a... ...need for a full time Pediatric Speech Language Pathologist (CCC) at our Outpatient Pediatrics site... ...multidisciplinary care team. We need an SLP-CCC for this role. On-site feeding training...