- Martin Luther King, Jr. Community Hospital (Los Angeles, CA)
- …peer to peer discussions between attending physicians, Case Management Consultants, and Physician Advisor in cases requiring evaluation and justification of ... SUMMARY The purpose of the Case Manager I position supports the physician and interdisciplinary team in facilitating patient care, with the underlying objective… more
- Sutter Health (Santa Rosa, 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 ... and the hospital to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely… 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 ... and the hospital to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely… more
- Sutter Health (Modesto, CA)
- …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the ... and the hospital to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely… more
- UCLA Health (Los Angeles, CA)
- Description The Physician Advisor provides physician leadership and clinical expertise related to coordination of patient care, length of stay and level of ... flow/throughput management, ancillary services utilization and clinical documentation improvement. The Physician Advisor reviews clinical cases to provide a … more
- Dignity Health (San Bernardino, CA)
- **Job Summary and Responsibilities** As our Physician Advisor you will play a critical role in promoting evidence-based standards of medical care while ... at no payroll deduction. **Job Requirements** Required Licensure: + Must be a licensed Physician (MD or DO) in the state of California. \#LI-DH **Where You'll Work**… more
- The County of Los Angeles (Los Angeles, CA)
- …pertaining to Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission or continued stay is being ... appropriate screening criteria and standards; serves as the liaison with the physician advisor for the referral of unusual questionable cases, on referred cases… more
- The County of Los Angeles (Los Angeles, CA)
- …and analyzes reports prepared by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician advisor ... Accreditation of Hospitals' utilization review standard. Under the direction of a physician member of the Utilization Review Committee, the incumbent is responsible… more
- Sedgwick (West Hills, CA)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
- Sedgwick (West Hills, CA)
- …external support and arranges referrals to vendors for services such as physician advisor reviews, surveillance, independent medical evaluations, and functional ... plan.** **Carefully reviews and interprets detailed medical records-including attending physician statements, office notes, and operative reports-to assess whether… more
- Alameda Health System (San Leandro, CA)
- …action when cases do not meet criteria - coordinates denials with the attending physician , and the UR physician advisor . Prepares case reports; documents ... disposition of Medi-Cal, self-pay, and out-of-plan patients, including working with physician to determine readiness for transfer, securing placement and completing… more
- Sharp HealthCare (San Diego, CA)
- …utilization management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee preparation, ... a comprehensive plan of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary team in the… more
- Sharp HealthCare (La Mesa, CA)
- …utilization management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee preparation, ... a comprehensive plan of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary team in the… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …volunteers, within their scope of practice and in collaboration with a physician advisor . Will oversee pre-employment, annual requirements and return to ... work screenings and decisions/actions related to results. Assists with Human Resources initiatives and programs in a confidential capacity to formulate, determine and effectuate management policies. **Minimum Qualifications/Work Experience:** * Required: 3+… more
- Cardinal Health (Sacramento, CA)
- …systems, pharmacies, ambulatory surgery centers, clinical laboratories and physician offices worldwide. The company provides clinically-proven medical products ... and pharmaceuticals and cost-effective solutions that enhance supply chain efficiency from hospital to home. Cardinal Health connects patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management.… more
- UCLA Health (West Hills, CA)
- Description This candidate is an active physician assistant, working 80% of their time in their designated clinical specialty and 20% of their time in administrative ... the practice of advanced healthcare professionals (AHP), including nurse practitioners and physician assistants. Ensures quality of care and serves as a role model,… more
- Sharp HealthCare (San Diego, CA)
- …physicians (Medical Directors (both medical and behavioral health) and the Physician Reviewers) to coordinate the necessary co-management of our members related ... health and pharmacy needs. This position also provides the physician cohesive collaboration necessary for the continuum of care...membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer.… more
- CommonSpirit Health (Rancho Cordova, CA)
- **Job Summary and Responsibilities** **Location - This position will support the Physician Enterprise in the National office so you can reside anywhere in the ... Delivery Consulting, this role serves as a strategic partner and trusted advisor to regional and market leaders. The consultant will design, implement, and… more
- Pfizer (South San Francisco, CA)
- …internal and external stakeholders. The Director acts as a senior advisor and strategic partner, supporting initiatives that enhance organizational effectiveness, ... on internal and external matters, serving as a trusted advisor . **BASIC QUALIFICATIONS** + Bachelor's degree (advanced degree such...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… more
- Sharp HealthCare (San Diego, CA)
- …health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for and provides ... experience in the clinical practice of medicine. + Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director.… more
