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Lamia Eltouny
Executive Health Resources - United Health Group
6120 Stoneridge Mall Road, Suite 110 - Pleasanton, CA 94588
Drtouny@doctor.com - 908-666-2722
WORK EXPERIENCE
Executive Health Resources
United Health Group - October 2013 to Present
Expert Physician Advisor
• Advise, assist and educate treating physicians, hospital case managers, senior medical management,
administration and all others involved in the delivery of timely, appropriate and cost effective care.
• Promote the efficient and effective clinical care of hospitalized patients via collaborative telephonic
communication and interactions with hospital clients.
• Promote payor and provider adherence to NCQA standards, state regulations, and all other applicable
regulatory standards.
• Promote hospital adherence to ensure compliance with CMS policy regarding inpatient admissions and
observation status, as well as the appropriateness of hospital stay.
• Provide in-depth clinical expertise in the management of specific patient populations to effectively manage
length of stay for hospital clients and facilitate care across the healthcare continuum by intervening as
necessary to address barriers to timely and efficient care delivery and reimbursement.
• Discuss and educate treating physicians regarding alternative courses of action or modification to the
treatment plan, including but not limited to, appropriate documentation of the plan of care, to resolve utilization
issues.
Staff Physician
Texas Valley Bend - Laredo, TX - July 2013 to November 2013
Hospitalist Physician
Evangelical Community Hospital - Lewisburg, PA - January 2013 to August 2013
Staff Physician
Masonic Home - Burlington, NJ - 2011 to December 2011
Take Care Health Systems - October 2011 to November 2011
Various locations
Urgent Care/Occupational Medicine
Hospitalist Physician
Shore Memorial Hospital - Somers Point, NJ - June 2011 to August 2011
Winslow Indian Health Center - Winslow, AZ - March 2011 to May 2011
Outpatient medicine serving Pediatric to Geriatric Navajo Indian population
Hospitalist Physician
Good Samaritan Medical Center - Lebanon, PA - November 2010 to December 2010
Hospitalist Physician
Phoenix Indian Medical Center - Phoenix, AZ - July 2010 to September 2010
Hospitalist Physician
Newton Memorial Hospital - Newton, NJ - March 2010 to April 2010
Nocturnal Hospitalist
Evangelical Community Hospital:
Nocturnal Hospitalist - Lewisburg, PA - July 2009 to March 2010
responsible for admissions, emergency room consultations and response to codes.
Hospitalist Physician
Kittitas Valley Community Hospital - May 2009 to June 2009
rounded on all patients in hospital on medicine service including the Intensive Care Unit, admissions,
responded to codes, and consultations.
Hospitalist- Admissions, Rounding, management of patients
Maui Memorial Medical Center - January 2009 to April 2009
in all departments including ICU.
Hospitalist Physician
Good Samaritan Hospital - February 2008 to December 2008
February 2008- December 2008
Hospitalist position: Responsibilities to include ICU rounding, admission, diagnosis, and management of all
patients on service.
Staff physician
Ft. Yuma Indian Health Services - August 2007 to January 2008
in Urgent care and chronic disease management of underserved population.
Hospitalist Physician
Marquette General Hospital - August 2007 to August 2007
rounded on ICU patients and patients on floors, responsible for admission, management, discharge and
arranging follow up for all patients admitted or transferred from outlying hospitals.
Marquette Family Residency Program: July 2004- 2007
Marquette Michigan
EDUCATION
Medical University of the Americas
May 2001 to June 2004
Seton Hall University - South Orange, NJ
September 1996 to December 1996

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Lamia-Eltouny

  • 1. Lamia Eltouny Executive Health Resources - United Health Group 6120 Stoneridge Mall Road, Suite 110 - Pleasanton, CA 94588 Drtouny@doctor.com - 908-666-2722 WORK EXPERIENCE Executive Health Resources United Health Group - October 2013 to Present Expert Physician Advisor • Advise, assist and educate treating physicians, hospital case managers, senior medical management, administration and all others involved in the delivery of timely, appropriate and cost effective care. • Promote the efficient and effective clinical care of hospitalized patients via collaborative telephonic communication and interactions with hospital clients. • Promote payor and provider adherence to NCQA standards, state regulations, and all other applicable regulatory standards. • Promote hospital adherence to ensure compliance with CMS policy regarding inpatient admissions and observation status, as well as the appropriateness of hospital stay. • Provide in-depth clinical expertise in the management of specific patient populations to effectively manage length of stay for hospital clients and facilitate care across the healthcare continuum by intervening as necessary to address barriers to timely and efficient care delivery and reimbursement. • Discuss and educate treating physicians regarding alternative courses of action or modification to the treatment plan, including but not limited to, appropriate documentation of the plan of care, to resolve utilization issues. Staff Physician Texas Valley Bend - Laredo, TX - July 2013 to November 2013 Hospitalist Physician Evangelical Community Hospital - Lewisburg, PA - January 2013 to August 2013 Staff Physician Masonic Home - Burlington, NJ - 2011 to December 2011 Take Care Health Systems - October 2011 to November 2011 Various locations Urgent Care/Occupational Medicine Hospitalist Physician Shore Memorial Hospital - Somers Point, NJ - June 2011 to August 2011 Winslow Indian Health Center - Winslow, AZ - March 2011 to May 2011 Outpatient medicine serving Pediatric to Geriatric Navajo Indian population Hospitalist Physician Good Samaritan Medical Center - Lebanon, PA - November 2010 to December 2010 Hospitalist Physician Phoenix Indian Medical Center - Phoenix, AZ - July 2010 to September 2010
  • 2. Hospitalist Physician Newton Memorial Hospital - Newton, NJ - March 2010 to April 2010 Nocturnal Hospitalist Evangelical Community Hospital: Nocturnal Hospitalist - Lewisburg, PA - July 2009 to March 2010 responsible for admissions, emergency room consultations and response to codes. Hospitalist Physician Kittitas Valley Community Hospital - May 2009 to June 2009 rounded on all patients in hospital on medicine service including the Intensive Care Unit, admissions, responded to codes, and consultations. Hospitalist- Admissions, Rounding, management of patients Maui Memorial Medical Center - January 2009 to April 2009 in all departments including ICU. Hospitalist Physician Good Samaritan Hospital - February 2008 to December 2008 February 2008- December 2008 Hospitalist position: Responsibilities to include ICU rounding, admission, diagnosis, and management of all patients on service. Staff physician Ft. Yuma Indian Health Services - August 2007 to January 2008 in Urgent care and chronic disease management of underserved population. Hospitalist Physician Marquette General Hospital - August 2007 to August 2007 rounded on ICU patients and patients on floors, responsible for admission, management, discharge and arranging follow up for all patients admitted or transferred from outlying hospitals. Marquette Family Residency Program: July 2004- 2007 Marquette Michigan EDUCATION Medical University of the Americas May 2001 to June 2004 Seton Hall University - South Orange, NJ September 1996 to December 1996