- Sutter Health (San Francisco, CA)
- **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's leadership team ... and the hospital to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely… more
- Sharp HealthCare (San Diego, CA)
- …This position ensures timely and proactive interaction with the CPPC team, admitting/attending physician , payer, physician advisor and other members of the ... system emergency departments (ED), attending physicians as well as the physician advisor . Assists in the repatriation and post-stabilization process to mitigate… more
- Sharp HealthCare (San Diego, CA)
- …reconciliation. This position ensures timely and proactive interaction with the admitting/attending physician , payer, physician advisor and other members of ... system emergency departments (ED), attending physicians as well as the physician advisor . Identifies and escalates cases not meeting criteria for admission or… more
- Sutter Health (Berkeley, CA)
- …that chart documentation supports LOC determination and assignment. * Works with Physician Advisor and Attending Physicians to obtain necessary documentation to ... of the level of care. * Follows policies and procedures for Physician Advisor referrals. * Facilitates and expedites the discharge of patients from the… more
- Highland General Hospital (San Leandro, CA)
- …Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. 3. Collaborates and communicates regularly ... denials with the attending physician and the Care Management physician advisor ; prepares case reports; documents treatment plan, progress notes and discharge… more
- LA Care Health Plan (Los Angeles, CA)
- …and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and ... within required turnaround times specific to the case type. Identifies cases needing Physician Advisor (PA) review or input and presents for physician review… 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
- LA Care Health Plan (Los Angeles, CA)
- …and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and ... risk/high cost cases and reports are maintained and referred to the Physician Advisor /UM Director. Documents in platform/system of record. Utilizes designated… more
- Actalent (San Marcos, CA)
- …the following activities: + accurate medical necessity screening and submission for Physician Advisor review care coordination, + implementation of the ... the plan of care established by RN, SW and Physician , + collaboration with physicians, office staff and ancillary...based on Medical Necessity process and submits for Secondary Physician review per Kaiser policy. + Ensures timely communication… more
- Actalent (San Diego, CA)
- …the following activities: a) accurate medical necessity screening and submission for Physician Advisor review b) care coordination, c) implementation of the ... the plan of care established by RN, SW and Physician , g) collaboration with physicians, office staff and ancillary...based on Medical Necessity process and submits for Secondary Physician review per Kaiser policy. + Ensures timely communication… more
- Actalent (Rancho Mirage, CA)
- …the following activities: a) accurate medical necessity screening and submission for Physician Advisor review b) care coordination, c) implementation of the ... the plan of care established by RN, SW and Physician , g) collaboration with physicians, office staff and ancillary...based on Medical Necessity process and submits for Secondary Physician review per Kaiser policy. Ensures timely communication of… more
- Alameda Health System (Alameda, 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
- Highland General Hospital (Alameda, 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 (Coronado, 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 (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
- Travelers Insurance Company (Diamond Bar, CA)
- …+ Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor , peer reviews, MCU). + Partner with Claim Professional ... to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome. + Utilize internal Claim Platform Systems to manage all claim activities on a timely basis. + Utilize Preferred Provider Network per… more
- Cedars-Sinai (Los Angeles, CA)
- …Description** **What will I be doing in this role?** The Senior Talent Advisor will be a consultative strategic partner and acknowledged expert in recruitment. The ... Senior Talent Advisor is responsible for full-cycle recruitment of various positions...+ Experience working in healthcare with significant experience in physician /faculty/provider recruitment either in a community hospital or academic… more
- Abbott (Santa Clara, CA)
- …colleagues serve people in more than 160 countries. **Job Title** Principal Clinical R&D Advisor **Working at Abbott** At Abbott, you can do work that matters, grow, ... CA** , currently has an opportunity for a **Principal** **Clinical R&D Advisor ** to provide clinical knowledge, expertise and direction relevant to manufacturing,… more
- UCLA Health (Los Angeles, CA)
- Description The Physician Assistant Supervisor reports to the designated medical director for clinical practice and designated person for administrative issues. Key ... Unit Director of the Main Operating Room or designee, this candidate is an active physician assistant, working 65% of their time as a Robotic PA in the Operating… more
- Indian Health Service (Winterhaven, CA)
- …responsibilities, and also provides patient care services as a primary care physician . Participate in the formulation of policies, programs, and procedures related ... or indirectly all medical staff, serving as their principal advisor on assigned committees and task forces. Responsible for...a current, active, unrestricted license or registration as a Physician from a State, the District of Columbia, the… more