- CommonSpirit Health (Englewood, CO)
- **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other ... and understanding of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters and other… more
- Catholic Health Initiatives (Bismarck, ND)
- …St. Alexius is looking for a Physcian Advisor to join the team! The Onsite Physician Advisor (PA) will serve as a physician leader and advocate for the ... upon-performance and process improvement metrics for facility, UM/Medical Staff, and Physician Advisor program. + Communicate facility feedback and metrics… more
- Baptist Memorial (Memphis, TN)
- …healthcare insurance providers in response to post-claim denials received by BMHCC. Physician Advisor communication may be necessary to provide further clinical ... Overview Specialist-Denial Mitigation II RN Job Code: 21432 FLSA Status Job...outside the formal appeal process. + Works closely with physician advisor for assistance with medically complex… more
- The County of Los Angeles (Los Angeles, CA)
- …and analyzes reports prepared by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician advisor ... UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR … more
- City of New York (New York, NY)
- …in maintaining inventory of supplies under the direction of the clinic manager or physician -in-charge (PIC). Why you should work for us: - Loan Forgiveness: As a ... in "2" above. Additional Requirements A. To be assigned to Assignment Level II , candidates must have, in addition to meeting the minimum qualification requirements… more
- LA Care Health Plan (Los Angeles, CA)
- …and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and ... Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location:...cases and reports are maintained and referred to the Physician Advisor /UM Director. Document in platform/system of… more
- Sharing Hope SC (North Charleston, SC)
- Donation Program Manager II - All Locations Job Details Job Location Charleston - North Charleston, SC Position Type Full Time Travel Percentage Up to 50% Job Shift ... Regular Office Hours Description Summary The Donation Program Manager II is a senior representative of the We Are...Internal and External Consultation: + Act as a senior advisor for SHSC internal teams, offering expert guidance and… more
- BJC HealthCare (St. Louis, MO)
- …the Role** BJC HealthCare System is hiring a **Full-Time** **Float Lab Associate II - Phlebotomy** **$1000 sign-on to eligible candidates ** **Position Details:** + ... Steps:** + If selected to move forward with Interview Process, a Talent Advisor will contact you via email for a screen **Overview** **Missouri Baptist Medical… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …is required; Experience supervising physicians and supporting utilization management as a Physician Utilization Management Advisor (PUMA) is preferred; Must be ... L. Pettis Memorial Veterans Hospital is recruiting for a Full-Time, Permanent, Physician , Chief of Inpatient Medicine and reports directly to the ED-Inpatient… more
- The County of Los Angeles (Los Angeles, CA)
- …pertaining to Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission or continued stay is being ... criteria and standards; serves as the liaison with the physician advisor for the referral of unusual...Review Nurse* or Medical Service Coordinator, CCS.** -OR- OPTION II : Two (2) years of experience as a registered… 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 ... physician , nurse or ancillary staff member. Make appropriate referral to physician advisor regarding trends/areas of concern + Proactively monitors patient… more
- MD Anderson Cancer Center (Houston, TX)
- …verbal interaction with colleagues and walking to meeting locations throughout the campus. ii . Serve as mentor/ advisor for research and clinical trainees. iii. ... with the successful applicant's qualifications. We are seeking a highly motivated physician who has expertise in medical oncology, ideally with interest and… more
- AbbVie (Mettawa, IL)
- …fact-based analysis, customer insights and business knowledge. This individual will be an advisor to the Marketing VP, Brand Directors, Sales Directors, as well as ... plan: with insights and leading analytic techniques and capabilities across consumer/patient, physician , brand, payor, and channel. + Build, coach, and maintain a… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …with VA services to prevent congressional and adverse publicity. Serves as technical advisor and liaison with contacts at all levels. Work Schedule: Monday to Friday ... be proficient in spoken and written English in accordance with VA Handbook 5005, Part II , Chapter 3, Section A, paragraph 3.j. May qualify based on being covered by… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …stay and/or resource consumption. The CM escalates cases, as appropriate, to management, Physician Advisor , Complex Care team and/or Ethics committee. It is the ... policies, and procedures. The CM serves as a resource to the Physician , Interdisciplinary Care Team, and patient for the interpretation of external regulations… more
- City of New York (New York, NY)
- …by accident, by suicide, suddenly when in apparent health, when unattended by a physician , in a correctional facility or in any suspicious or unusual manner or where ... overdose mortality surveillance and reporting - Serve as a technical advisor on complex overdose epidemiological methods, providing expert consultation on study… more
- Houston Methodist (Nassau Bay, TX)
- …and hospital policies. + Effectively communicates with the patient, family, physician . In sports/orthopedics, communicates with coach regarding the patient's ability ... + Participates in clinical education programs as approved by the Faculty Advisor . Remains current on professional issues and clinical skills by attendance of… more
- Highmark Health (Monroeville, PA)
- …for denial trends with the care coordination teams, performance improvement teams, physicians/ physician advisor and third party payers. + Maintains a working ... and educational opportunities to employees. Forbes Hospital is a 315 bed, Level II trauma hospital located in the community of Monroeville. Our hospital offers the… more