- Appcast (Baltimore, MD)
- Utilization Review Nurse RN - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER Full-time - Day shift - 7:00am-7:30pm RN Other 91224 $38.20-$59.21 Experience ... and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to decrease avoidable delays… more
- CoxHealth (Lake Spring, MO)
- …◦ This position is responsible for facilitating timely and accurate physician documentation in the medical record through concurrent chart review. Interdisciplinary ... team regarding proper clinical documentation utilizing approved guidelines. Understand and utilization of ICD-10-CM and PCS coding assignment and follow Official… more
- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... University Medical Center. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of… more
- Penn Medicine (Philadelphia, PA)
- …financial, quality, and patient flow measures by ensuring efficient and effective utilization of health care services. The Physician Advisor role includes ... teaching, consulting, and advising case management, utilization review and provider staff. The physician ...management, utilization review and provider staff. The physician advisor works with the. clinical documentation integrity team… more
- Sutter Health (Sacramento, CA)
- …health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of resources, medical ... Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's… more
- Beth Israel Lahey Health (Boston, MA)
- …difference in people's lives.** Position Summary: In conjunction with the admitting/attending physician , the Utilization Review RN assists in determining the ... of care being billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records to ensure criteria for… more
- Ascension Health (Jacksonville, FL)
- …5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to ... **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Hybrid (frequently on site) + **Call Schedule:** No… more
- Ascension Health (Hoffman Estates, IL)
- …of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. This position reports directly ... **Details** + **Specialty** : Physician Advisor + **Schedule:** Full Time | Onsite...to physicians and other clinicians on regulatory requirements, appropriate utilization of alternate levels of care, community resources, clinical… more
- Henry Ford Health System (Clinton Township, MI)
- …of inpatients. EDUCATION/EXPERIENCE REQUIRED: MD or DO. Two (2) years of physician advisor and/or utilization management experience. Medical Staff membership in ... GENERAL SUMMARY: The Medical Director of Utilization Management shall have responsibility for the medical oversight of activities related to Henry Ford Macomb… more
- AdventHealth (Orlando, FL)
- …our contracted managed care payers. The PA role is responsible for providing physician review of utilization , claims management, and quality assurance related to ... inpatients and 125,000 outpatients each year **The role you'll contribute:** As the physician advisor (PA), this role educates, informs, and advises members of the … more
- The County of Los Angeles (Los Angeles, CA)
- …of Hospitals' utilization review standard. Under the direction of a physician member of the Utilization Review Committee, the incumbent is responsible ... UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply...by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician … more
- ChenMed (Miami, FL)
- …to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our ... organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this… more
- Beth Israel Lahey Health (Plymouth, MA)
- …and identifies trends/root causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. + ... a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time**...and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you will:** +… more
- HCA Healthcare (Brentwood, TN)
- …as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + Have strategic and ... eligible. **Introduction** Do you have the career opportunities as a **Director of Physician Resource Group** you want with your current employer? We have an… more
- CommonSpirit Health (Englewood, CO)
- **Job Summary and Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews ... system's objectives for assuring quality patient care and effective and efficient utilization of health care services. This individual meets with case management and… more
- HCA Healthcare (Vidalia, GA)
- …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... United Kingdom. We are looking for a Director of Physician Services II for our South Atlantic Division, where...medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services… more
- HCA Healthcare (Kansas City, MO)
- …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... colleagues invested over 156,000 hours impacting our communities. As a Director of Physician Services II with Midwest Women's Healthcare, you can be a manager in… more
- Trinity Health (Des Moines, IA)
- …paid malpractice, and a 403B match. **Essential Job Details** : . Lead physician -driven clinical resource utilization program, and work with MercyOne Leadership ... Full time **Shift:** **Description:** **MercyOne** is seeking a dynamic, board-certified Physician with Inpatient experience for a newly opened but established role… more
- Alameda Health System (Oakland, CA)
- …for patients, improve the quality of patient care and maximize the efficient utilization of physician and hospital resources. Report to departmental leadership ... AHMG Emergency Medicine Physician + Oakland, CA + Alameda Health Medical...Equity, and Inclusion in the recruitment and training of physician workforce who reflect our community. Participate as a… more
- HCA Healthcare (San Antonio, TX)
- …affairs. + Serves as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization , and quality profiling. Serves as a member of ... quality management and promote optimum patient experience. Major Responsibilities: Physician Alignment: + Leads clinical performance expectations that support the… more
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