and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve... Documentation Specialist (CDS) will serve as an advisor and expert resource for providers to improve the accuracy of clinical...
: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length... following activities: · Accurate medical necessity screening and submission for Physician Advisor review, · Care...
) years of utilization review, discharge planning, case management or disease management preferred. Knowledge of InterQual... case management and utilization management services, including discharge planning, to patients across a range of clinical...
review/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services...Requirements: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise...
and skill in the areas of discharge planning, transitions of care, utilization management (UM), medical necessity, and patient... performing utilization management (UM) provides the critical function of obtaining certification and approval of the patient...
and skill in the areas of discharge planning, transitions of care, utilization management (UM), medical necessity, and patient... performing utilization management (UM) provides the critical function of obtaining certification and approval of the patient...
interdisciplinary care management rounds. Ensures collaboration between multidisciplinary healthcare team members, primary physician... or continued stay is not clear. Consults with the Physician Advisor when the admission or continued stay does not meet criteria...
PET Amyloid space and be a trusted advisor to help customers navigate new amyloid PET imaging marketplace Understand..., referring physicians, and pharmacy partners). Understand and leverage the value of providing referring physician education...
interdisciplinary care management rounds. Ensures collaboration between multidisciplinary healthcare team members, primary physician... or continued stay is not clear. Consults with the Physician Advisor when the admission or continued stay does not meet criteria...
resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. Responsible for hiring.... Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial...
management protocols in conjunction with the Wound Care Nurse RN, physician advisor, and/or Lead Physician Committee Identifies... with the physician advisor to the program, the Wound Care Nurse RN, and attending physicians who frequently act as the...
resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. Responsible for hiring.... Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial...
and CDI Engages and consults with Physician Advisor / VPMA when needed, per the escalation process, to resolve provider... with best-practice adoption methodology and change management support, is helping hospitals make a real impact on CDI efficiency...
review/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services...Requirements: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise...
retrospective query rates and discuss questions related to Coding and CDI Engages and consults with Physician Advisor / VPMA when... with best-practice adoption methodology and change management support, is helping hospitals make a real impact on CDI efficiency...
/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services Fully...Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise...
Care Guidelines (MCG), etc. Collaborates with the Attending of record and the Physician Advisor as indicated for review... to obtain certification of the patient days and secure reimbursement. Confers with Attending Physician, Physician Advisor...
development, implementation, and evaluation of department and physician advisor goals. Role models professional standards... growth, mastering essential skills such as peritoneal dialysis, time management, and delivering compassionate patient care...
. More about our team Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization... appropriate level-of-care placement. • Uses EMR and MCG Criteria for utilization management and quality screening. • Identifies...
role in concurrent denial process. Works with Care Management Director, Physician Advisor, Attending Physicians.... The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management...