- Humana (Sacramento, CA)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
- Sutter Health (Santa Rosa, CA)
- …best practices, level of care progression, denial management and compliance with governmental regulations and conditions of participation and commercial ... in the appropriate level of care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on… more
- Sutter Health (Emeryville, CA)
- …best practices, level of care progression, denial management and compliance with governmental regulations and conditions of participation and commercial ... in the appropriate level of care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on… more
- Hospice Of San Joaquin (Stockton, CA)
- …condition. Care Plan will be current and up to date with at least 90% compliance threshold and updates at IDT meeting every 21 days. 4. Makes recommendations to IDT ... and goals are accurately and clearly stated and kept in accordance with Medicare , MedicCal, State home health agency and JCAHO standards. 6. Collaborates with… more