- HireMaster (Maryville, TN)
- …of care and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan and CMS regulation. Maintains expert level knowledge of ... the regulatory documents as provided by CMS. Consults with interdisciplinary team, Physician Advisor and administrative leadership as necessary to resolve… more
- 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …judgement, and discussions with the attending physician and/or physician advisor . This individual will: + Perform utilization review by completing ... + And more **Description** We're seeking an **Inpatient Registry Utilization Review Nurse (PRN)** who is responsible...documentation of authorized, unauthorized or denied days to the Physician and the care team in order to reduce… more
- Dayton Children's Hospital (Dayton, OH)
- …and retrospective denials. The Physician Advisor role will support the Utilization Review RN for second level clinical reviews for cases that do not ... Facility:Dayton Children's - Main CampusDepartment: Utilization Review TeamSchedule:Part timeHours:8Job Details:Under the supervision of the Manager of … more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …and identification of trends in the over and under- utilization of resources. 2. The Physician Advisor should be a key member of the medical staff and take on ... the role as leader of the Hospital's utilization review /management committee, which is charged with...and utilization management (including LOS). 4. The Physician Advisor should discuss his/her role with… more
- BayCare Health System (Riverview, FL)
- …Board certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) + Preferred - Physician Advisor ... excellence. BayCare is currently in search of our newest Physician Advisor to join the Physician...through teaching, consulting, and advising the care management and utilization review departments and the hospital leadership.… 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
- HonorHealth (AZ)
- …staff regarding federal and state utilization and quality regulations. As a CDI physician advisor , the PA will act as a liaison between the CDI ... Learn more at HonorHealth.com. Responsibilities Job Summary The System Physician Advisor (PA) serves as a liaison...reviewing a particular patient record. Assists with identifying a physician to review such record. Acts as… 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
- AdventHealth (Tampa, FL)
- …outcomes. Through primary support of Utilization Management, the Physician Advisor is responsible for providing clinical review of utilization , ... cancer and other diseases. **The role you'll contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary… 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
- Sutter Health (Emeryville, CA)
- …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our...Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission… 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
- AdventHealth (Orlando, FL)
- … Management/Medicare Regulations . Two years or greater experience as a Physician Advisor . Three years of leadership experience **LICENSURE, CERTIFICATION, ... services and appeals for denials. Provides guidance to clinical questions from Utilization Management staff involved in authorizations, concurrent review , and… 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
- 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 ... Staff 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)
- **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Hybrid (frequently on site) + **Call Schedule:** ... **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We...work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If… more
- Hackensack Meridian Health (Brick, NJ)
- …highly motivated and experienced physician to join our team as a **Senior** ** Physician Advisor ** . This vital role offers a unique opportunity to combine ... outcomes. + Board Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) preferred. + Membership in the American… more
Related Job Searches:
Advisor,
Physician,
Physician Advisor,
Physician Review,
Review,
Utilization,
Utilization Review,
Utilization Review Physician