- Sutter Health (Sacramento, CA)
- …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- Beth Israel Lahey Health (Plymouth, MA)
- …trends/root causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. + Participate ... you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We Are:** At… more
- RWJBarnabas Health (Newark, NJ)
- …; support utilization review : Collaborate with physicians and the physician advisor in utilization review escalations, ensuring appropriate ... + Knowledge of state and federal regulations regarding case management, including utilization review , discharge planning, auditing, and scope of practice. +… more
- Emory Healthcare/Emory University (Duluth, GA)
- …clinical judgement, and discussions with the attending physician and/or physician advisor . + The UR Specialist will perform utilization review by ... _development,_ and leadership programs + And more **Description** The Utilization Review (UR) Specialist is responsible for...documentation of authorized, unauthorized or denied days to the Physician and the care team in order to reduce… more
- Ochsner Health (New Orleans, LA)
- …Assurance and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty Certification by the American Board of Quality Assurance ... at Ochsner Health and discover your future today!** The Physician Advisor (PA- Utilization Management) serves...and Utilization Review Physicians (ABQAURP) or (4) commitment… more
- Catholic Health Initiatives (Omaha, NE)
- …for assuring the effective, efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, ... consulting, and advising the care management and utilization review departments, medical staff members, and... Advisor shall develop expertise on matters regarding physician practice patterns, over and under- utilization of… more
- Catholic Health Initiatives (Chattanooga, TN)
- …for assuring the effective, efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, ... American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician ... Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty Certification by the American… more
- Highmark Health (Pittsburgh, PA)
- …Case Managers, UM nurses, and the hospital leadership team. The Physician Advisor is an integral part of the Utilization Management Committee and ... medical necessity and appropriateness of: admission to the hospital, utilization of observation status and services for those patients,...the bi-weekly Throughput Meeting. + The Physician Advisor needs to be able to review … more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Physician Advisor is responsible for teaching, consulting, and advising the case management department, clinical documentation ... is a key member and leader of the hospital's utilization review /management committee, which is charged with...of healthcare quality and acceptable levels of cost. The Physician Advisor will conduct clinical reviews on… 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 ... + Extended Length of Stay (LOS) Rounds + Multidisciplinary Rounds + Utilization Review Committee Meetings + Clinical Documentation Improvement (CDI) Committee… more
- Catholic Health Services (Melville, NY)
- …UR department, and presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. ... Initiatives Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical… more
- Trinity Health (Silver Spring, MD)
- …the organization. Works to lead standardization of policy, procedure and approach to physician advisor roles in utilization management, length of stay, ... **Employment Type:** Full time **Shift:** **Description:** **Position Title: Lead Physician Advisor ** **Employment Type: Exempt** **What We Offer:** Competitive… more
- WellSpan Health (York, PA)
- Physician Advisor Location: WellSpan Health, York, PA Schedule: Full Time General Summary Provides direct supervision of case management and utilization ... + Is a member of and attends the monthly Utilization Review committee, identifies cases for ...to Health referrals and cases as needed. + Provides Physician Advisor support to all WellSpan entities… more
- Mohawk Valley Health System (Utica, NY)
- …level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure ... hospitals objectives, and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides the… more
- Trinity Health (Silver Spring, MD)
- …Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization /level of care (LOC), ... **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits, Free… more
- Catholic Health Services (West Islip, NY)
- …of hospitalization, LOC status, LOS management, continued stay decisions, clinical review of patients, utilization review activities, resource ... advice, and quality issues. Maintains knowledge of government regulations related to utilization review , transition planning, billing, and managing patients and… more
- Hackensack Meridian Health (Brick, NJ)
- …Utilization Review Physicians, Inc. (ABQAURP) is **preferred** . + Physician Advisor Sub-specialty Certification by the American Board of Quality ... **Hackensack Meridian Health** is seeking a dedicated Physician Advisor to join our team...teaching, consulting and advising of the care management and utilization review departments and hospital leadership. +… more
- CommonSpirit Health (Phoenix, AZ)
- …a more just, equitable, and innovative healthcare delivery system. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts ... and understanding of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters and other… more
- Community Health Systems (Franklin, TN)
- …optimize patient care, ensure adherence to best practices, and support efficient resource utilization . The Physician Advisor also assists in compliance with ... **Job Summary** The Physician Advisor provides clinical expertise and...provides clinical expertise and guidance to support case management, utilization review , and quality improvement initiatives across… more
- CommonSpirit Health (Houston, TX)
- …a remote position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews ... providing quality patient care, to assure effective and efficient utilization of health care services. The PA communicates remotely...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5… more
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