- Ochsner Health (New Orleans, LA)
- …Come make a difference at Ochsner Health and discover your future today!** The Physician Advisor (PA- Utilization Management) serves as the physician leader ... (2) Board Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty… 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
- Hackensack Meridian Health (Hackensack, NJ)
- The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... and Hackensack UMC. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of… more
- Beth Israel Lahey Health (Burlington, MA)
- …making a difference in people's lives.** In conjunction with the admitting/attending physician , the Utilization Review RN assists in determining the appropriate ... 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
- Texas Health Resources (Dallas, TX)
- …contact with targeted physician practices with the intent to increase physician utilization of Texas Health services. + Develop quarterly sales plans ... orientation of service offerings and service delivery process improvement to encourage physician utilization of THR services. + Provides market assessment/field… 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 ... the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a Physician… more
- Ascension Health (Baltimore, MD)
- …5 years of recent experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experince. This position reports to the ... the offer._ **Responsibilities** **Position Highlights:** Ascension St. Agnes is looking for a Physician Advisor to join our team. We are looking for a Physician… 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 ... the offer._ **Responsibilities** **Position Highlights** Ascension St. Alexius is looking for a Physician Advisor to join our team. We are looking for a Physician… more
- Ascension Health (Austin, TX)
- …5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to ... of the offer._ **Responsibilities** **Position Highlights** Ascension Seton is looking for a Physician Advisor to join our team. We are looking for a Physician… 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
- 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
- Queen's Health System (Honolulu, HI)
- …ability to work effectively with physicians preferred. o Experience using physician scheduling and utilization programs highly desirable. Equal Opportunity ... experience performance improvement activities, including but not limited to physician scheduling, credentialing, benchmarking and productivity, quality metrics monitoring,… 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
- Atlantic Health System (Morristown, NJ)
- …the process for CMS required patient notices. 8. Completes and documents utilization reviews, physician advisor referrals and other communications related to ... with the patients discharge plan. 5. Refers cases and issues to Physician Advisors or Designees in compliance with department procedures with timely follow… more
- Trinity Health (Silver Spring, MD)
- …distance from Washington DC and Baltimore, MD **General Summary:** Provides physician leadership and expertise related to appropriate utilization /level of ... to lead standardization of policy, procedure and approach to physician advisor roles in utilization management, length...and approach to physician advisor roles in utilization management, length of stay, denials/downgrades. Serves as … more
- CommonSpirit Health (Houston, TX)
- …position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred ... 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 years of… more
- Community Health Systems (Franklin, TN)
- …patient care, ensure adherence to best practices, and support efficient resource utilization . The Physician Advisor also assists in compliance with regulatory ... **Job Summary** The Physician Advisor provides clinical expertise and guidance to...provides clinical expertise and guidance to support case management, utilization review, and quality improvement initiatives across the organization.… more
- CommonSpirit Health (Phoenix, AZ)
- …more just, equitable, and innovative healthcare delivery system. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case ... hospital's objectives for assuring quality patient care and effective and efficient utilization of health care services. This individual meets with case management… 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
- HCA Healthcare (El Paso, TX)
- …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director Physician Services II with St. David's Healthcare, you can be a manager in… more
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