- 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)
- …Salt Lake 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 ...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. ... + Works in conjunction with Coding Liaison, CDI Director , and VP of Clinical Services to provide in-services...(APRN) + NP - Nurse Practitioner - Licensed + Physician Assistant (PA) + Medical Doctor (MD)… more
- LA Care Health Plan (Los Angeles, CA)
- …High risk/high cost cases and reports are maintained and referred to the Physician Advisor /UM Director . Document in platform/system of record. Utilize ... and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and… more
- Sharp HealthCare (San Diego, CA)
- …management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee preparation, delivery ... of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary...by community and professional standard as adopted by the medical staff.The RN CM I will assure that the… more
- Highmark Health (Pittsburgh, PA)
- …reports to the Senior Vice President of Care Continuum and Transitions and the Medical Director of Physician Advisors. **Duties:** + The Physician ... The **Allegheny Health Network (AHN)** is recruiting a full-time ** Physician Advisor ** to join our team located...When requested, discuss the case with the insurance company medical director to obtain payer authorization or… more
- Sharp HealthCare (La Mesa, CA)
- …management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee preparation, delivery ... of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary...by community and professional standard as adopted by the medical staff.The RN CM will assure that the patients… more
- WMCHealth (Valhalla, NY)
- Physician Advisor Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Physicians Department: Clinical Care Mgmt- WMC Health Union: ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29449) Internal Applicant link Job Details: Job Summary: The Physician Advisor is responsible for developing positive… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Director Strategic Advisor Western Montana ... across service lines. * Collaborates and consults with the Interim CPG Director on physician contracting, growth opportunities, recruiting, and service line… more
- AdventHealth (Orlando, FL)
- …relationships and share observations and provider improvement opportunities. Collaborates with Medical Director (s) to review and provide insight regarding ... and member physicians alike Demonstrated ability to provide expert medical advice Practicing Physician with Direct patient...Regulations . Two years or greater experience as a Physician Advisor . Three years of leadership… more
- Mayo Clinic (Rochester, MN)
- …+ Retirement: Competitive retirement package to secure your future. **Responsibilities** The Director of Physician Compensation is responsible for the strategic ... long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or...maintaining compliance with applicable regulatory and legal standards. The Director will serve as a trusted advisor … more
- UPMC (Washington, PA)
- …+ Assists with management of departmental budget. + Collaborates with Director , Medical Director / Physician Advisor and staff to ensure effective ... operations of the Case management department under the direction of the Director . The Manager is accountable for the following Case Management functions: training,… more
- UPMC (Pittsburgh, PA)
- …+ Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor , Attending Physicians and clinical team to ... requirements and that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain necessary documentation… more
- Swedish Health Services (Seattle, WA)
- …for secondary review to Case Management Department leadership, the Medical Director , or Physician Advisor . **Resource Management:** Assures prudent ... an interdisciplinary team process that is prioritized and based on determined medical diagnosis, patient needs, and expected patient outcomes. * Interacts with… more
- Swedish Health Services (Seattle, WA)
- …for secondary review to Case Management Department leadership, the Medical Director , or Physician Advisor . *Resource Management; Assures prudent ... the patient's health, safety and rights. * Advocates for the patient, family, physician , and facility to obtain benefits from insurance carriers and others that… more
- Beth Israel Lahey Health (Boston, MA)
- …advocating for the health of patients, families, and communities. The Clinical Advisor provides leadership in the provision of nursing services, supports the ... care to patients and families, under the direction of the nurse manager and/or director . Training, evaluation and competencies for this role are overseen by a Nurse… more
- Sharp HealthCare (San Diego, CA)
- …Medical Management and Quality Improvement Director . + Oversees and mentors Medical Directors and Physician Reviewers. + Actively engages with SHC leaders ... employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and...Health Plan's (SHP) physicians ( Medical Directors (both medical and behavioral health) and the Physician … more
- UPMC (Media, PA)
- …Behavioral Health (CCBH) is seeking a qualified individual to fulfill the role of Regional Medical Director in Delaware County, PA. The Regional Medical ... for the clinical needs of Community Care members. The Medical Director also participates in regional leadership...and maintains effective relationships with providers. + Serves as physician advisor for UPMC Passavant McCandless and… more
- Immigration and Customs Enforcement (Washington, DC)
- …reviews and other duties requiring medical expertise; Serves as a professional advisor to physician colleagues from medical schools, graduate training ... (IHSC). The incumbent will report directly to the IHSC Medical Director or designee. This is a...not eligible for this position. Responsibilities DUTIES AND RESPONSIBILITIES: Physician Support Duties: Serves at various IHSC medical… more
- Takeda Pharmaceuticals (Boston, MA)
- …company that will inspire you and empower you to shine? Join us as a Medical Director , Clinical Sciences - Plasma Derived Therapies in our Cambridge office. At ... plasma-oriented therapies for patients with serious, complex diseases. The Medical Director - Immunodeficiency leads and drives...and the conduct of clinical studies. Serves as an advisor to assoc. med directors and clinical… more