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.
...~60 months experience developing, implementing and integrating systems related to criminal justice processing at the state or federal level (including but not limited to: disposition processing, fingerprint identification processing, criminal history updating)....
...The University of Maryland School of Medicine (UMSOM) is seeking a Board-Certified Neonatal Nurse Practitioner (NNP) to join its neonatal practice at UM Capital Region Health in Largo, Maryland. This is an excellent opportunity to work within a Level III NICU alongside...
...solid business relationships on behalf of some of the most well-respected brands in technology throughout the world. They link a customer's needs with the solutions and products available to them, providing a consultative sales approach that focuses on value and problem...
...lovely grounds featuring mature shade trees, playground, and picnic center complete with gazebo. Join Our Team as a Property Maintenance Manager Lead the Way in Property Maintenance! Are you ready to make a real impact and showcase your leadership skills in property...
...Job Description JOB DETAILS Base Pay: $18.00 per hour, plus $1.00 shift differential per hour Night Shift: 7 pm-7 am on a 2-2-3 Schedule Benefits Start Day 1 On Demand Pay (Access to Your Pay When You Need It) Weekly Pay DUTIES AND RESPONSIBILITIES...