- Highmark Health (Pittsburgh, PA)
- …interdisciplinary care team including Physicians, Case Managers, UM nurses, and the hospital leadership team. The Physician Advisor is an integral part ... The Physician Advisor works in concert with the admitting physician , Case Management, and other hospital personnel, to evaluate the medical necessity… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting, and advising the case management department, clinical ... of ensuring high levels of healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews on cases referred by … more
- Mohawk Valley Health System (Utica, NY)
- PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on ... of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance… more
- WMCHealth (Valhalla, NY)
- …other duties as assigned. Qualifications/Requirements: Experience: Experience as a CDI champion and/or Case management Physician Advisor or having 3-5 years ... Physician Advisor Company: WMC Advanced ...to the utilization and resource management areas of Integrated Case Management including mentoring/coaching care coordinators, utilization review staff… more
- Sutter Health (Santa Rosa, CA)
- …in joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the ... and strengthening the relationship with System Enterprise and the hospital to appropriately optimize the use of Sutter Health...to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician… more
- CommonSpirit Health (Englewood, CO)
- **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other ... utilization of health care services. This individual meets with case management and health care team members to discuss...of documentation importance + Assists in communications of internal physician advisor services in the hospital… more
- Sutter Health (San Francisco, CA)
- …in joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the ... and strengthening the relationship with System Enterprise and the hospital to appropriately optimize the use of Sutter Health...to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician… more
- CommonSpirit Health (Houston, TX)
- …must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case ... to meet regulatory requirements and, in accordance with the hospital 's objectives for providing quality patient care, to assure...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5… more
- CommonSpirit Health Mountain Region (Salt Lake City, UT)
- …must be located in or willing to relocate to the Salt Lake City Area._ _The Physician Advisor reports directly to the Medical Director Physician Advisor ... and Hospital Committees or administrative roles, preferred. + Experience as a Physician Advisor in the acute care setting and/or the payer environment,… more
- Ascension Health (Jacksonville, FL)
- …time of the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a ... **Details** + **Department** : Case Management + **Schedule:** Full Time | Hybrid...least 5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/… more
- Ascension Health (Hoffman Estates, IL)
- …time of the offer._ **Responsibilities** **Position Highlights** Ascension St. Alexius is looking for a Physician Advisor to join our team. We are looking for a ... **Details** + **Specialty** : Physican Advisor + **Schedule:** Full Time | Onsite +...least 5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/… more
- Brockton Hospital (Brockton, MA)
- …record review, denials, appeals and reconsideration hearings. Works closely with the physician advisor to proactively intervene in cases where utilization of ... as required or assigned. SUPERVISORY RESPONSIBILITY: Directly manages the case management team at Brockton Hospital and...manages the case management team at Brockton Hospital and Signature Medical Group QUALIFICATION REQUIREMENTS: + Must… more
- Sharp HealthCare (San Diego, CA)
- …utilization management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee preparation, ... **Facility:** Sharp Memorial Hospital **City** San Diego **Department** **Job Status** Regular...**FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case … more
- Sharp HealthCare (La Mesa, CA)
- …utilization management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee preparation, ... **Facility:** Grossmont Hospital **City** La Mesa **Department** **Job Status** Per...**FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case … more
- Parkview North Hospital (Fort Wayne, IN)
- …the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions ... Licensure/Certification: Valid Indiana Registered Nurse license required. Certification in Case Management highly desirable. Experience: Required at least 2 years… more
- Ellis Medicine (Schenectady, NY)
- …prior to implementation of discharge plan + Collaborates and makes referrals to physician advisor when unable to resolve issues with attending physician ... preferred + Two years of inpatient experience in a hospital environment preferred. + Previous case management,...nurse or ancillary staff member. Make appropriate referral to physician advisor regarding trends/areas of concern +… more
- Houston Methodist (The Woodlands, TX)
- …appropriate, by analyzing clinical protocols. + Escalates appropriate cases to the Physician Advisor (or services) for appropriate second level review, peer-peer ... discussions, and payer denial- appeal needs. Consults with physician advisor as necessary to resolve progression-of-care barriers through appropriate… more
- Mount Sinai Health System (New York, NY)
- …to reduce readmission rate. h. Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum ... depts) Collective bargaining unit: NYSNA-MSH NYSNA at Mount Sinai Hospital , 329 - Case Management -...criteria to justify continued inpatient stay. c. Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment… more
- HCA Healthcare (Gainesville, FL)
- …the development and implementation of critical pathways. + Utilizes computer support and physician advisor to determine potential outliers (length of stay and ... Do you have the career opportunities as a(an) RN Case Manager you want in your current role? We...opportunity for you to join HCA Florida North Florida Hospital which is a part of the nation's leading… more
- Houston Methodist (The Woodlands, TX)
- …external case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need ... At Houston Methodist, the Case Manager (CM) Certified position is a registered...patient satisfaction. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional healthcare team… more