Responsibilities
This is a remote position and you must be licensed in the state of Texas.
As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case management staff and/or other health care professionals to meet regulatory requirements and, in accordance with the hospitals objectives for providing quality patient care, to assure effective and efficient utilization of health care services. The PA communicates remotely with case and utilization management to discuss selected cases and make recommendations regarding level of care, as well as, communicates remotely with medical staff members and medical directors of third-party payers to discuss the needs of patients and options/alternatives for care. The PA acts as a consultant to, and resource for, attending physicians regarding their decisions relative to appropriateness of hospitalization, appropriate level of care for initial hospitalization and continued stay days, clinical documentation, and use of healthcare resources. The PA further acts as a resource for the medical staff regarding federal and state utilization and quality regulations. The PA must demonstrate interpersonal and communication skills and must be clear, concise and consistent in the message to all constituents.
Key Responsibilities#LI-CSH
#LI-Remote
OverviewInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nations largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
Pay Range...processor. And with that comes well-paying truck driving opportunities with daily home time. Check out our shuttle, local,... ...$75,0000 - $90,000 per year Driver Pay Rates Earn $75,000 - $90,000... ...them to the plant in Broadway CDL-A Live Haul Truck Driver Requirements...
...Job Type: Full-time Pay: Competitive, based on experience Responsibilities: Install, maintain, and troubleshoot low voltage systems, including security, access control, CCTV, and networking. Run and terminate cables efficiently and neatly. Read and...
...Power BI Full Stack Data Engineer Reminder: 3 days a week in Princeton and 2 times a month NYC, But if someone prefers the opposite scenario can consider 6-12 Months Job Description: Technical Skills: Business Intelligence: Power BI, Azure Data Factory...
....E afterschool enrichment program teaching basic skills in Basketball , Soccer , Tennis , Hockey , Baseball , lacrosse , Football , Golf , volleyball Do you have experience as a basketball coach, fitness instructor, athletic director, after-school program assistant...
...equipment including systems covering over 5,000 square feet and incorporating more than 60 synchronized robots. Were looking for entry-level to junior-level software engineers to join a collaborative and highly respected team responsible for building the software and...