-
lpn - full time - day shift
2 weeks ago
North Beach Rehabilitation Center North Miami Beach, United States Full time$ SIGN ON BONUS · NORTH BEACH REHAB, A SKILLED NURSING FACILITY LOCATED IN NORTH MIAMI BEACH, FL, is seeking LICENSED PRACTICAL NURSES TO WORK THE DAY SHIFT. As a small center with only 99 beds, we excel at providing the customized skilled and therapeutic care our clients need a ...
-
Radiation Therapist, Full Time, Days
3 weeks ago
Steward Health Care Miami, United States Full timeAbout Steward Health Care · Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coord ...
-
Jackson Health System Miami, United States Full timeJOB DESCRIPTION Department: Jackson Memorial Hospital - Information and Records Management · Address: 1611 NW 12th Ave., Miami, Florida 33136 · Shift: Full-Time, Days · Why Jackson: · Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been ...
-
Audiologist (Full Time, Day shift)
2 weeks ago
Miami Children's Miami, United States Full timeJob Summary · Specializes in preventative, diagnostic, habilitative, and rehabilitative services related to audition and communication disorders in children birth to 21 years of age. Provides clinical and professional services within the department. Evaluates neonates, pediatrics ...
-
Jackson Health System Miami, United States Full timeJOB DESCRIPTION Department: Jackson Memorial Hospital · Address: 1611 NW 12th Ave, Miami, Florida, 33136 · Shift Details : Full-Time, Days · Why Jackson · Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care ...
-
Jackson Health System Miami, United States Full timeJOB DESCRIPTION Department: Jackson Behavioral Health Hospital · Address: 1695 NW 9th Avenue, Miami, Florida 33136 · Shift Details: Day Shift · Why Jackson: Jackson Behavioral Health Hospital (JBHH) is a three-story, 180,000-square-foot facility committed to the highest q ...
-
APP - ENT (Full Time, Day shift)
2 weeks ago
Miami Children's Miami, United States Full timeJob Summary · In association with the attending MD, primarily responsible for the outpatient management of otolaryngology surgery patients and participates in their clinical care as a member of an interdisciplinary team. Directs and develops new ways of management and treatment f ...
-
Population Health Specialist, Full Time, Days
3 weeks ago
Jackson Health Miami, United States OTHER· Department: Population Health · Address: Various Jackson Locations · Position Summary: · The Population Health Specialist will work with medically complex individuals, many who may have one or more chronic disease conditions, and social barriers. He/she identifies the unmet ne ...
-
Jackson Health Miami, United States OTHERDirector Employee & Labor Relations, Full Time, Days · Jackson Health System · Department: Employee Labor Relations · Address: 1611 NW 12th Ave, Miami, Florida, 33136 · Shift details: Full-Time, Days · Why Jackson: · Jackson Health System is a nationally and internationally r ...
-
Jackson Health System Miami, United States Full timeJOB DESCRIPTION Jackson Memorial Hospital · Department : Rehab Physical Therapy · Address : 1611 NW 12th Ave, Miami, Florida, 33136 · Shift details : 8:00 AM - 4:30 PM, Monday - Friday, 1 weekend day per month · Why Jackson: · Jackson Memorial Hospital is the flagship hospita ...
-
Jackson Health System Miami, United States Full timeJOB DESCRIPTION Department: Oncology Medical Surgical - West Wing 5 · Address: 1611 NW 12 Ave, Miami, FL 33136 · Shift Details: 7:00 AM - 7:00 PM, rotating weekends · Why Jackson Memorial Hospital : Jackson Memorial Hospital is the flagship hospital for Jackson Health System and ...
-
Jackson Health Miami, United States OTHERSenior Compliance Manager, Compliance, Full Time, Days · Jackson Health System · Department: Jackson Memorial Health System Compliance · Address: 1611 NW 12th Ave, Miami, Florida, 33136 · Shift details: Full-Time, Days · Why Jackson: · Jackson Health System is a nationally ...
-
Jackson Health System Miami, United States Full timeJOB DESCRIPTION Department: Jackson Memorial Perdue Medical Center · Address : 19590 Old Cutler Road - Miami, FL 33157 · Shift details: Full-Time, Days · Why Jackson Memorial Perdue Medical Center: · Jackson Memorial Perdue Medical Center is a long-term-care facility located ...
-
Nicklaus Children's Hospital Miami, FL, United States Full timeDescription · Outstanding Opportunity for Fellowship-Trained Pediatric Radiologist in Miami · Nicklaus Children's Hospital, a 307-bed freestanding children's hospital and Level I trauma center, and Nicklaus Children's Pediatric Specialists, the physician multispecialty group pr ...
-
Jackson Health System Miami, United States Full timePosition Summary: · Patient Care Technician is a member of the health care team who performs functions which support the delivery of a single standard of care, under the supervision of a registered nurse, for a group of patients relating to their hygiene, safety, nutrition, elim ...
-
Nicklaus Children's Hospital Coconut Grove, United States Full timeJob Summary · Plans, organizes, and directs all diagnostic services in the Heart Station. Ensures adherence to departmental policies as they relate to the daily operations of the Heart Station. Support operations by providing administrative oversight of the Heart Station through ...
-
Jackson Health System Miami, United States Full timeJOB DESCRIPTION Department : Jackson Memorial Hospital - Infectious Disease Physician (Bone and Joint Infections Specialist) · Address : 1611 NW 12th Ave, Miami, Florida, 33136 · Shift details : Full-Time, Days · Why Jackson: · Jackson Memorial Hospital is the flagship hospita ...
-
Jackson Health System Miami, United States Full timePosition Summary: · The Physician Advisor (PA) serves as a clinical resource to the medical staff and Case Management/Social Work by providing identification, facilitation and resolution of utilization issues. · The PA role reports to the CMO, CUO or his/her designee. · The Ph ...
-
Jackson Health System Miami, United States Full timePosition Summary: · Patient Finance Specialist is responsible for timely and accurate patient registration. Interviews patients for all pertinent account information and verifies insurance coverage. · Duties & Responsibilities: Interviews patients and or family/relative or othe ...
-
Nicklaus Children's Hospital Coconut Grove, United States contractJob Summary · Provide evidence-based assessment and intervention services for children and adolescents. Provides services with youth and their families focusing on early detection, differential diagnosis, and intervention for children with developmental disabilities such as Autis ...
Physician Advisor, Utilization Management, Jackson Memorial Hospital, Full time, Days - Miami, United States - Jackson Health
Description
Department: Jackson Memorial Hospital Administration
Address: 1611 NW 12 Avenue, Miami, FL 33136
Hours: Full-Time, Days and rotating weekends every 4th to 5th weekend
Why Jackson:
Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine.
Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do.
Position Summary:
· The Physician Advisor (PA) serves as a clinical resource to the medical staff and Case Management/Social Work by providing identification, facilitation and resolution of utilization issues.
· The PA role reports to the CMO, CUO or his/her designee.
· The Physician Advisor addresses the following issues: level of care, Payer peer to peer correspondence, documentation, compliance, discharge planning, and hospital reimbursement and quality issues.
· Additionally, the Physician Advisor role ensures proper ensures proper status determination with support for CM/SW (case manager/social worker).
· Additionally, Physician Advisors promote understanding and cooperation between the medical staff through communication, collaboration and education.
Duties & Responsibilities:
· Acute Inpatient/Care Management Functions: Physician Advisors are expected to round on their designated units daily and be the bridge with the various medical teams and physicians to ensure appropriate utilization, and improved documentation.
· ·Participates in review of long stay patients to facilitate the use of the most appropriate level of care and to reduce readmissions. Provides feedback to attending and consulting physicians regarding level of care, length of stay, quality issues. Assists physicians with end of life care planning when appropriate.
· ·Documents response to case management referrals. Communicates with payors to justify admissions and overturn denials as appropriate, including peer to peer communication with payors.
· ·The Physician Advisor conducts clinical reviews on cases referred by care management staff and/or other health care professionals to help determine admission status, meet regulatory requirements and assure quality patient care and effective utilization of health care services.
· The PA acts as consultant to and resource for attending physicians regarding their decisions relative to appropriateness of hospitalization, continued stay, use of resources and payor requirements. The Physician Advisor works with clinical teams to resolve delays related to consultations, imaging and procedures.
· Hospital Process Improvement: Promotes coordination, communication and collaboration among all team members. Actively engage with attending physicians and residents/fellows when concurrent or retrospective review identifies a documentation issue.
· Supports the organization in quality improvement efforts requiring physician input and/or involvement.
· · Clinical Documentation Support: Acts as a liaison between the CDI professional, HIM, and the hospital's medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data. Educates hospital staff physicians about ICD coding guidelines and clinical Terminology.
Qualifications
Experience:
The ideal candidate has experience as a hospitalist, physician advisor, or experience with utilization review or CDI. Knowledge of, and experience with InterqQual, MCG, and major payor classes is desirable.
Education:
MD or DO degree (US or Foreign Medical Graduate) is required.
License Certification:
Active Florida medical license or house physician license (or eligibility) is required. ABQAURP certification is preferred.
Jackson Health System is an equal opportunity employer and makes employmentdecisions without regard to race, color, religion, sex, sexual orientation, gender identity,national origin, veteran status, disability status, age, or any other status protected bylaw.
