• Medstar Health (Columbia, MD)
    System Medical Director of Physician Advisor Services MedStar Health is seeking a System Medical Director with at least 10 years' experience to ... influence and clinical impact across our health system. As System Medical Director of Physician Advisor Services, you'll build, lead and manage a team of… more
    Upward (07/10/25)
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  • 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… more
    Upward (07/28/25)
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  • Valley Presbyterian (Los Angeles, CA)
    …(including situations involving the timely provision of services) to Physician Advisor or Medical Director as appropriate. Obtains authorizations as ... retrospective TARs within five (5) business days of notification. Document the medical necessity criteria page number and next review date on review records.… more
    Upward (07/30/25)
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  • Indiana University Health (Indianapolis, IN)
    …IU Health is seeking an Expert Financial Advisor to join our physician group finance leadership team. This director -level role reports directly to the ... physicians, 1,500 advanced practice providers, and 6,000 support staff. The Expert Financial Advisor is one of several director -level leaders serving as trusted… more
    Upward (07/20/25)
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  • International SOS Government Medical Services (San Jose, CA)
    …Chief Medical Officer (OCMO) of US Customs and Border Protection (CBP), the National Medical Director (NMD) and the Deputy National Medical Director ... of healthcare services to persons in custody. The National Medical Director shares the administrative functions that...medical sentinel events. Seeks guidance from the Pediatric Advisor , Behavioral Health Advisor , or other leadership… more
    Upward (07/01/25)
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  • Geisinger (Scranton, PA)
    …plan of the physician . Functions as a patient advocate in the medical care system as confidant, advisor , and liaison between patients, families and ... Job Title: Physician Assistant Gastroenterology Location: Scranton, Pennsylvania Job Category:...physicians. Reports clinically to the Director of GI and administratively to GI Chief Advanced… more
    Upward (07/28/25)
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  • Spencer Britt (Detroit, MI)
    …a BC/BE Geriatric Medicine Physician to lead a clinical team as the Center Medical Director in the Detroit, MI area. Position Highlights: The purpose of the ... Center Medical Director (CMD) role is to lead...Center Medical Director (CMD) role is to lead the clinical team...is practiced, serving as a formal mentor, coach, and advisor to providers in clinics, and participating in critical… more
    Upward (07/30/25)
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  • International SOS Government Medical Services (Tampa, FL)
    …This Position is Contingent on Contract Award. Under the direction of the National Medical Director , physician supervisors and in collaboration with the ... Advisor , or in their absence the Deputy National Medical Director . Works under the clinical supervision...Physician , Physician Supervisor, or the Pediatric Advisor , or in their absence, the Deputy Medical more
    Upward (07/01/25)
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  • Crossover Health (San Jose, CA)
    …that embraces healthcare as a proactive part of their lifestyle. Job Summary The Medical Director is a critical member of the Practice Leadership triad (which ... of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention...includes the Practice Director and Account Manager), engaged in defining the overall… more
    Upward (07/14/25)
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  • International SOS Government Medical Services (Chattanooga, TN)
    …reviews and other duties requiring medical expertise. Serves as a professional advisor to physician colleagues from medical schools, graduate training ... Medical Services is looking for an experienced Clinic Director to oversee the delivery and quality of healthcare...maintain current/physical residency in the continental US Pass a medical examination conducted by a licensed physician more
    Upward (07/24/25)
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  • Community Health Systems (Statesboro, GA)
    …stays, and discharge planning. Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. ... a comprehensive benefits package, including: 401(k) match Paid Time Off (PTO) Medical , dental, vision and flexible spending accounts Life and disability insurance… more
    Upward (07/25/25)
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  • 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 ... for all components necessary for preadmission, admission process. Assist the physician offices in obtaining necessary assessments prior to surgery, procedures,… more
    Upward (07/17/25)
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  • Baptist Memorial Health Care Corporation (Memphis, TN)
    …healthcare insurance providers in response to post-claim denials received by BMHCC. Physician Advisor communication may be necessary to provide further clinical ... and escalation options outside the formal appeal process. Works closely with physician advisor for assistance with medically complex case appeals, hearings,… more
    Upward (07/19/25)
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  • Homeland Center (Harrisburg, PA)
    …of our patient's own home. Using compassion and skill, our nurses provide physician -ordered medical treatment to promote healing, independence, and the best ... you independently motivated to provide the highest quality of physician ordered patient care? Do you know how to...with matching and the direct support of a financial advisor to help you meet your goals. Generous Paid… more
    Upward (07/18/25)
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  • Director Physician Advisor

    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
    Catholic Health Services (06/27/25)
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  • Physician Advisor

    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
    CommonSpirit Health Mountain Region (07/29/25)
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  • Clinical Documentation Physician Liaison

    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
    AdventHealth (05/15/25)
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  • Utilization Management Nurse Specialist RN II

    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
    LA Care Health Plan (07/08/25)
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  • Case Manager I - Sharp Memorial Hospital - FT…

    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
    Sharp HealthCare (07/13/25)
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  • Physician Advisor - Allegheny Health…

    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
    Highmark Health (06/19/25)
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