members, focusing on clinical drivers and patient safety concerns. Clinical Outlier Support: Collaborate with leadership... cause analysis and coaching. Provide clinical outlier support by focusing on hospitalizations and quality and leveraging...
safety concerns. Clinical Outlier Support: Collaborate with leadership to align on priority clinics not meeting goals... outlier support by focusing on hospitalizations and quality and leveraging support from various clinical roles. Perform...
of trends, outlier and opportunities. Identifies strategies, and implements timely and effective action plans to maintain...
). This is not a place to idle. We work with pace, precision, and intent. We’re building an outlier company — and we operate accordingly...
review process. Retrieves information for the Physician Advisors as needed. Works the DNFB report to determine outlier days...
. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier, and Readmission reviews. Pricing...
issues (e.g., software), and flags outlier results for review. (The above statements in this job description are intended...
and optimize case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates...
, outlier definition for issues, and solution strategies. Continuously update the SOP based on product iterations and customer...
and management-owned businesses. We achieve outlier results for our clients by leveraging direct relationships with various types...