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.
...Arizonas longest-standing, privately-owned home health agency is currently seeking... ...to creating a supportive and balanced work environment for our team. We are dedicated... ...to discharge of the patient. Acts as Case Manager and assumes responsibility to coordinate...
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...children. A background check is required. School hours are 8:00-5:30 and work schedule for this position is 12:15-5:30 Monday through Friday. Nice To Haves Associates... ...Benefits Benefits Include: Annual Paid Time-off based on work schedule Paid training hours...
...practice Occupational Therapy. Basic Life Support (BLS) Healthcare Provider through the American Association or the American Red Cross CPR for the Professional Rescuer with card in-hand before start date. BLS or CPR card must be good through sixty days of hire....
...Applicable**Time Type:** Full time**Travel Requirements:** Up to 80%At PwC, our people in finance consulting specialise in providing... ...professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence...