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.
...dermatology with 1-2+ years of experience in a dermatology practice. Surgical Skills: Hands-on surgical experience is required; cosmetic experience is a bonus. Certification: PA-C or NP credentials are essential. Passion for Patient Care: We value team...
...Job Summary: About the Role & Team Animators, grab your reels and prepare to do the best work of your life and join us in making Zootopia 2! Be part of the longest running animation team in history. Work alongside legends. Use your animation powers for good...
...growing reputation for quality and the customer base that came with it. Today, we have more than 350 locations located in JCPenney, Meijer, Boscovs and AAFES. What youll do: The successful Optical Sales Associate delivers excellence to provide a...
...Key Responsibilities Leadership & Collaboration Management development and execution of the PRISE Communications Strategy, working closely with the Director of Communications, Internal Leads, and Agency Partners as needed. Serve as the primary point of contact...
...Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We... ...benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit ....