- Placed App (New Braunfels, TX)
- …for utilization of services are not met. Proactively refer cases to the physician advisor for medical necessity reviews, peer-to-peer reviews, and denial ... avoidance. Effectively collaborate with the Interdisciplinary team including the Physician Advisor for secondary reviews. Proactively review patients at the… more
- Catholic Health Services (Melville, NY)
- …and standardize the implementation of CM processes and policies, as well as the Physician Advisor role, activities and expectations. Collaborates with CM and CDI ... to Physician Advisors through annual performance evaluation. Monitors Physician Advisor performance dashboard with Key Performance Indicators (KPIs).… more
- CommonSpirit Health Mountain Region (Salt Lake City, UT)
- …City Area._ _The Physician Advisor reports directly to the Medical Director Physician Advisor /UR and is responsible for maintaining a collaborative ... partnership with the Medical Director CDI, Enterprise Director Case Management, UM...Committees or administrative roles, preferred. + Experience as a Physician Advisor in the acute care setting… more
- AdventHealth (Orlando, FL)
- …and feedback based on results. + Provides ongoing feedback to physicians, administration, Physician Advisor , CDI Director , and VP of Clinical Services. ... our flagship hospital, 1,368-bed AdventHealth Orlando + Serves as the major tertiary facility for much of the Southeast, the Caribbean and South America +… more
- Hunterdon Health Care System (Flemington, NJ)
- …for options for post- hospital levels of care. 5. Collaborate closely with the Physician Advisor , Hospitalist Director and Supervisor of Social Work to ... Home Health Agencies; Acute and Subacute Rehab; LTACH, Skilled Nursing Facilities and Assisted Living. 2. Provide leadership in planning, developing, organizing,… more
- Sharp HealthCare (San Diego, CA)
- …in appropriate utilization management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee ... ** Facility :** Sharp Memorial Hospital **City** San Diego **Department**...of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary… more
- Sharp HealthCare (La Mesa, CA)
- …in appropriate utilization management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee ... ** Facility :** Grossmont Hospital **City** La Mesa **Department** **Job...of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- **Responsibilities** 1. The Physician Advisor serves the Hospital through collaborating with, advising, and teaching the Care Coordination Department; serving as ... in the over and under-utilization of resources. 2. The Physician Advisor should be a key member...in review of long-stay patients, in conjunction with the Director /Manager of Case Management and to facilitate determination of… more
- HCA Healthcare (Houston, TX)
- …of service/severity of illness. Escalates cases as appropriate and per policy to [ Physician Advisor and Director ]. Collaborates with the House Supervisor ... with other hospital departments, external service organizations, agencies and healthcare facilities . **What qualifications you will need:** + (RN) Registered Nurse +… more
- HonorHealth (AZ)
- …across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The System Physician Advisor (PA) serves as a liaison between the hospital ... and state utilization and quality regulations. As a CDI physician advisor , the PA will act as...Identifies patients who are appropriate for transfer to LTACH facilities and works with physicians to facilitate referrals as… more
- AdventHealth (Orlando, FL)
- …Utilization Management/Medicare Regulations . Two years or greater experience as a Physician Advisor . Three years of leadership experience **LICENSURE, ... Maintains a positive and supportive relationship between the inpatient facilities , payors and physicians (hospitalist groups and primary care providers),… more
- UPMC (Washington, PA)
- …Case Management staff + Assists with management of departmental budget. + Collaborates with Director , Medical Director / Physician Advisor and staff to ... the Case management department under the direction of the Director . The Manager is accountable for the following Case...(RN) *Current licensure either in the state where the facility is located or, if the facility … more
- UPMC (Pittsburgh, PA)
- …+ Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor , Attending Physicians and clinical team to ... that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain...Registered Professional Nurse either in the state where the facility is located or in a state covered by… more
- Carle Health (Danville, IL)
- Overview The Caregiver Advisor (CGA) serves as a primary resource for both those in the community who act as caregivers for someone 60+ (or an adult 18+ with a ... 55+ who are actively raising a grandchild. The Caregiver Advisor stays in close contact with all those enrolled...not limited to: Health Department, Home Health Providers, LTC facilities , day care centers, Land of Lincoln Legal Services,… more
- Swedish Health Services (Seattle, WA)
- …appropriate for secondary review to Case Management Department leadership, the Medical Director , or Physician Advisor . *Resource Management; Assures prudent ... health, safety and rights. * Advocates for the patient, family, physician , and facility to obtain benefits from insurance carriers and others that provide… more
- State of Arkansas (Alexander, AR)
- SOCIAL SERVICES ADVISOR Date: Sep 12, 2025 Req ID: 52713 Location: Alexander, AR, US, 72202 Category: AR DEPT OF HUMAN SERVICES Anticipated Starting Salary: ... a completed packet to be reviewed by the clinical director . Tracking and initiating commitment order extensions, when necessary,...treatment. Meeting with CC Supervisor and corresponding with DHS Physician to work on youths over current Length of… more
- Immigration and Customs Enforcement (Washington, DC)
- …AND RESPONSIBILITIES: Physician Support Duties: Serves at various IHSC medical facilities on temporary duty (TDY) as assigned providing direct patient care, with ... The incumbent will report directly to the IHSC Medical Director or designee. This is a non-supervisory position. This...other duties requiring medical expertise; Serves as a professional advisor to physician colleagues from medical schools,… more
- Sharp HealthCare (San Diego, CA)
- …Quality Improvement Director . + Oversees and mentors Medical Directors and Physician Reviewers. + Actively engages with SHC leaders in Physician Experience ... ** Facility :** Health Plan **City** San Diego **Department** **Job...business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …improvement, risk management, and peer review activities. Serves as the Facility Utilization Management Advisor , ensuring appropriate utilization of services, ... (COS), serving as the Chief Medical Officer (CMO) at VACHCS, is the senior physician leader who not only makes clinical decisions and provides direct patient care… more
- Veterans Affairs, Veterans Health Administration (Tomah, WI)
- …them appropriately through committees and services. Acts as the PUMA ( Physician Utilization Management Advisor ) for Utilization Management, ensuring appropriate ... Chief of Staff will report to the Medical Center Director . The Chief of Staff serves in conjunction with...education VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Work Schedule: Monday - Friday 8:00… more
