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.
...Van Services Driver Evening Shifts Location: North Carolina Employer: Grace Federal Solutions Type: Full-Time | Schedule: Evening shifts with flexibility for weekends and holidays At Grace Federal Solutions , our people are our greatest success. Rooted...
...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...
...Job Description: Industrial Engineer The purpose of this position is to develop and sustain efficient operational methods for engineering, manufacturing, and supply chain that improve profitability. This position is responsible for calculating and maintaining production...
Beginn Mai/Juni 2026 oder auf Anfrage, Dauer 6 Monate ber Teva Teva ist ein global agierender Arzneimittelkonzern und Weltmarktfhrer unter den Generikaunternehmen. Das Herzstck unseres Erfolges sind unsere Mitarbeiter in ber 80 Lndern weltweit. Sie sorgen daf...
...exceptional school district in Van Buren County, MI, to hire a full-time School Social Worker for the 20252026 school year. In this in-person role, the School Social Worker will work to improve the success of students with disabilities in school through service and...