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NI
Evening/Weekend Facilities Operation Specialist (64) Extended
Northern Illinois University
IL
- $21.8 to $23.08 USD / hour
training from a vocational, technical, or an armed forces program which includes building operations such as coordination of building maintenance, construction management, hospitality, or…
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Rendering Operator Night Shift
Mountaire
Millsboro, DE
…Wellness Centers, Dental and Vision Programs, Employee Assistance Program for you and your family, Retirement Planning with 401(k), Profit Sharing, Employee Discounted Chicken Sales,…
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Recovery Product Manager
GSK
Philadelphia, PA
…associated dependencies, and the resulting order of recovery…
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Assistant Administrator Long Term Care
Ascension
Chicago, IL
Directs daily facility operations within certification guidelines, ensuring adherence to organizational goals and full compliance with state and local regulations.
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OU
Director, Program Improvement - Chief of Operations Office (2026-27)
Oakland Unified School District
Oakland, CA
- $104,961.4 to $133,987.61 USD / year
The successful candidate must be comfortable leading and coordinating the development of systems for lead remediation and heat mitigation, directing key initiatives, using evolving data…
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AB
Teller
Associated Bank, NA
United States
- $17 to $22.96 USD / hour
…success. If you thrive in an environment where your growth and development are encouraged and supported, then Associated Bank may be the right place for…
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AB
Teller
Associated Bank, NA
United States
- $17 to $22.96 USD / hour
…success. If you thrive in an environment where your growth and development are encouraged and supported, then Associated Bank may be the right place for…
Added just now
AB
Teller (Spanish Bilingual Preferred)
Associated Bank, NA
United States
- $17 to $22.96 USD / hour
…success. If you thrive in an environment where your growth and development are encouraged and supported, then Associated Bank may be the right place for…
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Office Operations Assistant Residency OBGYN
Ascension
Pensacola, FL
Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
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Assistant Site Manager, DashMart
DoorDash USA
Chicago, IL
Lead: You’ll demonstrate compassion and commitment to inclusivity as you lead a team of hourly Operations Associates and Shift Leads. You’ll hire, coach and develop high-performing team…
Added 1 min ago
PT
Executive Director
Pinnacle Treatment Brand
Redlands, CA
- $79,500 USD / year
…population we serve to include follow-up with adjustments of the development of the…
Added 1 min ago
AD
Assistant Dental Office Manager
Aspen Dental
Somersworth, NH
- $24 to $26 USD / hour
…dental service organization (DSO). Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career. When you join our team as an…
Added 1 min ago
AD
Assistant Dental Office Manager
Aspen Dental
Warrington, PA
- $22 to $26 USD / hour
…dental service organization (DSO). Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career. When you join our team as an…
Added 1 min ago
AD
Assistant Dental Office Manager
Aspen Dental
Ithaca, NY
- $23 to $26 USD / hour
…dental service organization (DSO). Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career. When you join our team as an…
Added 1 min ago
AD
Assistant Dental Office Manager
Aspen Dental
Ocala, FL
- $18 to $20 USD / hour
…dental service organization (DSO). Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career. When you join our team as an…
Added 1 min ago
AD
Dental Office Manager
Aspen Dental
Florence, KY
- $55,000 to $65,000 USD / year
…dental service organization (DSO). Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career. When you join our team as a…
Added 1 min ago
AD
Assistant Dental Office Manager
Aspen Dental
Racine, WI
- $20 to $23 USD / hour
…dental service organization (DSO). Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career. When you join our team as an…
Added 1 min ago
MW
Retail Sales Manager
MY WIRELESS
VANCOUVER, WA
- $41,579.2 to $66,579 USD / year
…customer experience, strong sales results, and quality store operations. Additionally, you will be responsible…
Added 1 min ago
Store Manager in Training
GNC Holdings LLC
Fall River, MA
GNC's Store Manager in Training (SMIT) position is a development focused role that is crafted to prepare an individual to manage their own store. Under the leadership of a Store Manager or…
Added 1 min ago
Store Manager in Training
GNC Holdings LLC
Attleboro, MA
GNC's Store Manager in Training (SMIT) position is a development focused role that is crafted to prepare an individual to manage their own store. Under the leadership of a Store Manager or…
Added 1 min ago
RF
Assistant Branch Manager - Sales Manager Trainee
Republic Finance, LLC
Dayton, OH
- $45,000 USD / year
…you will go through an 18 - 24 month on-the-job paid training program in which you learn all of the ins and outs of branch operations and management. Then, you pay that knowledge forward…
Added 1 min ago
KD
Dental Office Manager
KTY DENTAL, PSC
Florence, KY
- $55,000 to $65,000 USD / year
…dental service organization (DSO). Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career. When you join our team as a…
Added 2 mins ago
Patient Advocate Team Lead
Ayr Wellness
Spring Hill, FL
The focus of this role is to provide support to all managers and staff while ensuring that all retail operations are performing to company standards. The Team Lead will be responsible for…
Added 2 mins ago
Wireless Sales
Companies, Inc.
Tuscaloosa, AL
2020 Companies is an outsourced Sales & Marketing company representing the Walmart Wireless Sales Program. We hire Sales Representatives and other types of brand advocates to fortune 200…
Added 2 mins ago
IH
ECMO Coordinator - Irvine, CA
Integration Health, LLC
Irvine, CA
- $180,000 to $220,000 USD / year
…confidence through expert staffing, patient transport, and program development, advancing critical care and improving patient outcomes nationwide. At Integration Health, we not only take…

Erlanger

Physician Advisor - Full-time

Erlanger Baroness Hospital Chattanooga, TN, United States

Full-time

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Job details

Job type: Full-time
Posting language: English

Original job description

Job Summary:

Provides medical leadership for the Department by assisting in the planning, development and implementation of program goals and operations, as outlined in contract. Assures compliance with all JCAHO/DNV and other regulatory agency guidelines. Assist with the strategic plans of the organization for growth and development of the department. Attends at least 75% of quarterly medical staff meetings; attends any meeting as directed by medical director or his/her designee.

This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation.

Participate in peer-to-peer discussions with managed Medicaid, managed Medicare and commercial insurance medical directors. Provide subject matter expert guidance regarding utilization management activities that involve admission status, medical necessity, CC44, OC72, the two midnight rule, etc. This guidance will be supported by clinical evidence and will be compliant with applicable governmental rules and regulations. Work with IT to ensure logical processes, best practices, and compliance with CMS regulations. Promote professional development of the UM staff with a focus on compliant patient status assignments, consistent use and documentation of primary screening criteria (MCG and Indicia), knowledge of the most recent IPO procedure list, IPPS and OPPS annual changes and how they impact status determination, charges, reimbursement, and interrater reliability of the Physician Advisors. Work collaboratively with Revenue Integrity to reduce denial and appeal burdens and increase revenue by improving the accuracy of initial patient status determinations. Interface with Compliance as a subject matter expert for government regulations and annual audits. Assist with the development and driving of improvement initiatives including providing feedback to medical staff regarding utilization management determinations. Pursue positions as a member of strategic committees outside the organization that will assist the Authority to be aware of current trends, compliance with regulatory guidance, and influence of state� and national policy, including: ACPA (American College of Physician Advisors) MCG (Physician Advisors Council) ABQAURP (American Board of Quality Assurance and Utilization Review Physicians) Serve as member of the URC (Utilization Review Committee). Serve as member of the Outlier and Recertification meeting. Provide secondary level physician reviews and continuing stay reviews. When available, participate in IDR (interdisciplinary rounds) to advise on the improvement of clinical resource utilization and throughput. Assist with training of all new UM department hires. Perform such other duties as reasonably requested by Erlanger or otherwise necessary to properly assist in the operations of assigned areas.

Minimum Requirements:

A minimum of 5 years of clinical practice in field of specialty or previous work as a Physician Advisor.

Education:

M.D. or D.O. degree. Completion of an approved residency and, if applicable, fellowship program. De-escalation training if applicable.

Licensure:

Licensed to practice in the State of Tennessee.

Certification:

Board Certification in practice specialty. Willing to obtain CHCQM-Board Certified in Health Care Quality Management Willing to obtain CHCQM-PHYADV- subspecialty Board Certification as a Physician Advisor in HCQM

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