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.
...label time and again. Recently, Global Infrastructure Solutions Inc. (GISI), the parent company of The LiRo Group and Hill International, Inc. consolidated a portion of the highly experienced staff of both LiRo and Hill in the Northeast to create a larger, more efficient...
...years' experience. This individual will handle receptionist and administrative duties. Responsibilities will include meet and greet,... ...phones, scheduling, data entry, mailings, shipping and receiving. Assist with event planning and other administrative tasks. Hours:...
...Job Summary: Under supervision, maintains custody and security of prisoners and other incarcerated offenders and maintains order in Close Secure Mission (CSM) correctional institutions and other places of detention. Primary Duties & Responsibilities: Enforces...
We are looking for a thorough housekeeper with excellent cleanliness standards and attention to detail to attend all areas of our facilities in Ko'olina, Maile & Makaha. The goal is to enhance customer experience by keeping our facilities in clean and orderly condition...
...warfighters. Background Aetherflux is taking a new approach to an old idea called space solar power. Our constellation of satellites... ...places like Robinhood, SpaceX, NASA, Anduril, JPL, and the U.S. Navy, and is based in San Carlos, CA. If you're ready to solve complex...