Peer to Peer Specialist: Discover this New Non-Clinical PA/NP Job!

Рет қаралды 314

Күн бұрын

In this video, my guest Paola Gonzalez, a seasoned PA, discusses her unique role as a peer-to-peer specialist. Learn how this position helps prevent insurance denials and streamlines patient care by meeting insurance criteria. Paola shares insights on how PAs and NPs can create and transition into this non-clinical role within their institutions, benefiting both patient care and financial health. Paola also shares advice for all practicing clinicians on how to avoid insurance denials and to easily navigate the peer-to-peer process! You are not going to want to miss this interview!
(Sorry for the poor video quality. Zoom was having a bad day!)
Peer to Peer guidelines:
Evicore: www.evicore.com/provider/clin...
Carelon: guidelines.carelonmedicalbene...
NIA (Evolent): www1.radmd.com/resources/clin...
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Camera: Sony ZV1 - amzn.to/3IFFFMd
Microphone: Rode Wireless GO II - amzn.to/3Pnvks5
Lights: Neewer 660 LED Video Light, 2 pk - amzn.to/49080aT
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Learn about other Non-Clinical Roles for PAs/NPs:
• Discover non-clinical ...
Timestamps:
00:00 Intro
00:58 Meet Paola Gonzalez
02:14 Discovering the Peer to Peer Specialist Role
04:21 What is a Peer to Peer?
08:13 Duties of a Peer to Peer Specialist
12:46 Challenges From Physicians?
13:26 Tips & Documentation to Prevent Insurance Denials
16:18 Insurance Guidelines to Know
20:35 Keeping a Clinical Day
21:26 Is This Role Available Everywhere?
22:36 How to Create This Role in Your Organization
24:18 Leadership Opportunities From This Role
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Gift & Product Guides: • Gift & Product Guides
PA & NP Opportunities Around the World: • Opportunities Around t...
PANRE-LA: • PANRE-LA
Professional PA Topics: • Professional PA Topics!
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Interviews with PAs & NPs in various medical specialties: • Explore Medical Specia...
Welcome to my channel, The Medicine Couch, where I strive to help PAs & NPs craft a career they love by highlight all the possibilities open to us with our degrees. I do that by exploring all the medical specialties we can work in, finding cool & unusual jobs PAs & NPs can do, as well as discovering non-clinical roles for those ready to transition out of clinical practice! I also discuss professional topics and highlight resources that make your life better.
If these are topics that interest you, then subscribe and become part of the Medicine Couch family! If you have an idea for a video or have questions, please email me at admin@themedicinecouch.com
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Пікірлер: 10

@TheMedicineCouch 17 күн бұрын

What do you think of this role? Something you'd be interested in? Or does it sound like a nightmare job to you!

@TheMedicineCouch 17 күн бұрын

Oddly enough, after posting this video, I happened to see a job within Medical Industry that revolves around the Peer to Peer process! Here is the link to help you understand what you could do with this experience. www.jobs.abbott/us/en/job/31086798/Clinical-Market-Access-Senior-Supervisor?fbclid=IwZXh0bgNhZW0CMTEAAR1OZxEYoKEJXmH8g2sfc9i9U5cNQiCeGkWFW46a2ebaouYkd1ia0AnoDp0_aem_ZmFrZWR1bW15MTZieXRlcw

@lilylife4426 17 күн бұрын

According to the post, "the base pay for this position is $72,700.00 - $145,300.00". This is for 5 days/week and 25% travel and the rest in office, not remote. The post states they prefer RN license. It may work for someone who is burnt out in clinic, probably a good position for an actual RN who is tired of working at a hospital. Thank you for posting this as it makes me feel grateful for my clinic schedule. In my specialty, 3 1/2 days a week is full time, but it's my particular company that only hires highly experienced APP's. It took me almost 10 years to get there. It's definitely great to have more options for our profession, so companies will need to treat us well to keep us in clinical positions.

@jobro8079 9 күн бұрын

Love your channel. How do I search for this position or keywords? Everything but what Im looking for populates when searching Peer to Peer Specialist. Is there another title?

@TheMedicineCouch 8 күн бұрын

As mentioned in the video, this is a rare job at this point. If a PA or NP was interested in doing this, they would likely need to pitch the idea to large medical centers. You would want to revisit that part of the video where she explains how someone would go about doing that. Having said that, If the organization this PA works at advertises an opening for this type of work, I would imagine they would use Peer to Peer Specialist. Thanks so much for watching and I am happy to hear that you enjoy the channel!

@Jayjay-311 10 күн бұрын

How is this different from utilization management?

@TheMedicineCouch 8 күн бұрын

I'm not familiar with utilization management roles, but from a quick job board search it looks like these positions are not staffed with medical providers. In order to complete a peer to peer, by definition, it has to be done by a medical provider. There is a certain level of medical knowledge that is necessary to be able to pick up the chart of a patient this is not yours, understand all the factors influencing the decision to order the test whether they are explicitly written out or not, and then be able to argue the point with a doctor from the insurance company. There may be other deferences, but I can't really compare or contrast because I don't know all the aspects of a utilization management position.

@jakesolar-bassett6619 17 күн бұрын

What do U think about medicinal cannabis for oncology?

@TheMedicineCouch 14 күн бұрын

In general, I think it can be a good thing to help people. However, I have not researched it and I don’t work with it, so I can’t really give an educated opinion. I do have a couple of thoughts though. One is that the cannabis available today is much stronger than the cannabis that used to be available, which can be concerning and part of the reason why I think that we are seeing more negative side effects nowadays. The other thought is that I really wish cannabis would be studied more. I think it could potentially have good medical benefits.

@jakesolar-bassett6619 14 күн бұрын

In Israel we have cannabis injections and cannabis pills