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.
The Behavioral Health Clinician (BHC) works in a consultative and collaborative role as an integral member of the primary care team. They provide behavioral health interventions to primary care patients with the goal of improving overall health of patients...
...SUMMARY We are seeking a reliable and motivated Delivery Driver to join our team. The ideal candidate will be responsible for transporting goods safely and efficiently to various locations. This role requires strong driving skills, the ability to handle heavy lifting...
...professional communication, troubleshooting technical issues related to payment authorizations, batching, clearing, and settlement remote technical support for various payment terminals and payment gateways, along with assisting other customer service functions and triaging...
Spa & Retail Supervisor About Stone Creek Club & Spa: Stone Creek Club & Spa is the Northshores premier sports resort, offering a one-stop destination for fitness, social, and lifestyle needs. Our world-class amenities include fitness, swimming, spa, and tennis ...
...designed to enhance the lives of our residents in a meaningful way, but we cant do it alone.We are seeking dedicated Staff Nurses with a LPN to join our diverse team in Geneva and be a part of our life-changing mission.We have flexible full-time and part-time...