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Listed below are the top 10 out of 282 listings that are in the same industry and location as the job you were looking for. To see more than 10 listings, click here to search similar jobs in Miami, FL
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For your reference, we have included the original job posting below.
Physician Advisor / MD - Case Management *
Job Number:
43226272
Company Name:
Kendall Regional Medical Center
Job Location:
Miami, FL US
Job Category:
Healthcare & Medical
Minimum Education:
Post Graduate Degree
Physician Advisor / MD - Case Management *
Physician Advisor Full-time Miami, FL
Facility Description: Isn't it time you were offered a competitive salary and an exceptional benefits package that complements your lifestyle? Join the team at Kendall Regional Medical Center. We're proud that our facility has grown alongside the community it serves. Today, Kendall Regional Medical Center is a comprehensive care hospital specializing in advanced diagnostic services, ER, cardiovascular care and rehabilitation.
Job Description: The Physician Advisor reviews cases referred by hospital personnel. A review consists of medical records review and attending physician contact as needed. Documentation will be maintained and kept secure in the Case Management office. Must be very well versed in InterQual Criteria. Identified quality of career issues will be referred to the appropriate quality committee: i.e. Medical Exec. Surgical Exec. Promotes Medicare, Medicaid and managed care compliance with appropriate regulations as they pertain to utilization issues. Reviews all potential Code 44's and completes the order forms. Reviews all Medicare 1 and 2 day LOS for appropriate billing status. Well versed in the HINN letter process. Monitors physician compliance to assure proper documentation in the Medical Records to reflect the treatment plan and care given to the patient. Address issues through medical staff in-services. Intervenes as needed regarding under/over utilization issues. Shall orient physicians new to the hospital staff to the Case Management process addressing concerns with regard to appropriateness issues, resource utilization, early discharge planning, use of InterQual criteria. Complies with all hospital and department policies regarding documentation requirements, including approved abbreviations, forms, computer access, and authentication of medical record entries. Rounds when possible at a time when physicians are "in house". Assist Case Management with QIO activities as needed.
