- Medstar Health (Columbia, MD)
- …cases referred by utilization review and case management teams Guide your physician advisor team with best practices and case assignments Collaborate ... System Medical Director of Physician Advisor Services MedStar Health is...advisory experience and direct clinical practice Strong knowledge of case management, utilization review, regulatory standards, denials management, observation… 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, ... a comprehensive plan of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary team in the… more
- Valley Presbyterian (Los Angeles, CA)
- …criteria (including situations involving the timely provision of services) to Physician Advisor or Medical Director as appropriate. Obtains authorizations ... Job Summary: As a Registered Nurse/ Case Manager, Case Management Unit, you...and Discharge planning activities on designated units within the Hospital . Patient Care Coordination: Provide comprehensive patient care and… more
- Generis Tek, Inc. (Gainesville, FL)
- …in the development and implementation of critical pathways. Utilizes computer support and physician advisor to determine potential outliers (length of stay and ... be reached on # ###. We have Permanent role Case Manager RN for our client at Gainesville, FL....all components necessary for preadmission, admission process. Assist the physician offices in obtaining necessary assessments prior to surgery,… more
- Tenet Health (Commerce Township, MI)
- …include the following activities: a) accurate LOS screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment ... 1 year case management, discharge planning experience. Preferred: Acute hospital case management experience. Required: RN. Must be currently licensed,… more
- Tenet Health (Manteca, CA)
- …the following activities: Accurate medical necessity screening and submission for Physician Advisor review, Care coordination, Transition planning assessment and ... 5 years of acute hospital patient care experience. Preferred: Acute hospital case management experience. Certifications Required: RN. Must be currently… more
- HEALTH FIRST CAREERS (Palm Bay, FL)
- …plan goals. Works collaboratively and maintains active communication with physicians, nursing, physician advisor , and other members of the interdisciplinary care ... Bachelor's Degree in related field. Certification: CCM or ACM. Work Experience: Case Management experience in a acute care hospital . Knowledge/Skills/Abilities:… more
- VISITING NURSE dba Stillwater Hospice (Bluffton, IN)
- …Retirement Plan for all employees with no cost access to a Financial Advisor and a strong Company Match for full-time employees. Shift Incentive Pay, Performance ... the YMCA (multiple included, not just Allen County). RN Case Manager, Home Care POSITION OBJECTIVE: Manages and coordinates...specialized nursing skills. Prefer one (1) year of recent hospital or home health care experience. Must have a… more
- Baptist Health (Alabaster, AL)
- …but not limited to: o Accurate medical necessity screening and submission for Physician Advisor review o Care coordination that includes admitting diagnosis/ ... Summary Join our Growing Team at Baptist Health Shelby Hospital in Alabaster, AL! At Baptist Health Shelby ...the plan of care o Leading and facilitating Complex Case Review o Identification and documentation of potentially avoidable… more
- 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
