- 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
- CommonSpirit Health (Englewood, CO)
- **Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case ... the submission of necessary documentation. + Assists in communications of internal physician advisor services in the hospital newsletters and other communication… more
- Catholic Health Initiatives (Bismarck, ND)
- **Responsibilities** **Join Our Team as a Physician Advisor at CHI St. Alexius Health!** Are you a physician leader passionate about optimizing patient care, ... excellence? CHI St. Alexius Health is seeking a visionary ** Physician Advisor ** to join our dedicated team...of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician … 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
- BJC HealthCare (Ballwin, MO)
- …About the Role** BJC HealthCare System is now hiring a **Full-Time** **Lab Associate II - Phlebotomy** located at **BJC Medical Group at** **Wentzville - BJCMG** ( ... 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
- BJC HealthCare (St. Louis, MO)
- …Role** BJC HealthCare System is now hiring a **Full-Time** **Lab Associate II - Phlebotomy** located at **Missouri Baptist Medical Center - Laboratory-Service.** ... 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
- Beth Israel Lahey Health (Burlington, MA)
- …Collaborates with both internal & external partners to obtain resources. Maintains physician &/or surgeon's schedule. Registers patient & ensures demographic data is ... entered accurately. 3. Communicates schedules on a daily basis. Reviews with advisor . Updates staff with revisions. Posts schedules. 4. Acts as liaison to with… 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
- Houston Methodist (Nassau Bay, 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
- Veterans Affairs, Veterans Health Administration (Westport, NY)
- …within mandated clinic timeframes. Performs daily review of active/pending consults, physician encounters, EWL, Recall Reminder list, Return to Clinic list, ... in order to prevent congressional and adverse publicity. Serves as technical advisor and liaison with contacts at all levels. Incumbent must completely understand… more
- Johns Hopkins University (Baltimore, MD)
- …**Specific Duties & Responsibilities** + Serve as a strategic thought partner and advisor to the General Counsel on critical legal issues that affect the University ... arrangements, academic affiliations with other health systems, acquisition of physician practices, physician employment agreements, and inter-entity agreements… more
- Houston Methodist (Nassau Bay, TX)
- …the external case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need ... improvements, patient satisfaction). **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional health care team to… 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
- AbbVie (Mettawa, IL)
- …market intelligence, and internal stakeholder initiatives. They will be a key advisor to the VP of Abbvie Patient Services, Neuroscience, Eyecare, & Specialty ... Services, Market Access and Trade. This role will report to the Director II , Market Access and Patient Services Insights. + Act as intelligence partner across… more
- WellSpan Health (York, PA)
- …the OGC, including supporting a culture of informed decision making and risk mitigation; ( ii ) oversee assignment of matters to OGC attorneys and staff and serve as a ... selecting and managing outside counsel. + Serves as a trusted and strategic advisor to WellSpan Health, hospital and service line leadership. Provides guidance on… more
- Catholic Health Initiatives (Bismarck, ND)
- …a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and ... culture and achieve strategic goals. **You will:** + **Be a strategic HR advisor :** Partner with leaders to develop and implement HR plans that support business… 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