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.
...Resources Officer (CHRO) and the DEI Manager, the Human Resources (HR) Intern will be responsible for providing day to day... ...research on a variety of HR related topics. Note: This internship is in-person at our New York City office. The HR intern will...
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...use hands to finger, feel, and grasp Occasionally lift and/or move up to 75 pounds Work Environment Noise level is loud at times Required to work outdoors in all environments at times Hours regularly exceed 40 in a week and 8 in a day H&K Group, Inc...
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...About Us: LTIMindtree is a global technology consulting and digital solutions company that enables enterprises across industries to reimagine business models, accelerate innovation, and maximize growth by harnessing digital technologies. As a digital transformation...