- Lakeland Regional Health (Lakeland, FL)
- …State! Join Lakeland Regional Health's expert team as a General Cardiology Physician and contribute to our tradition of providing patient-centered care in beautiful ... mentoring in our Cardiovascular Disease Fellowship Program Large employed physician group comprised of over 275 providers in over...Beach, named the " Beach in America" by Trip Advisor or have a blast at any one of… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Hybrid (frequently on site) + **Call Schedule:** ... offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a Physician… more
- AdventHealth (Maitland, FL)
- …than 32,000 inpatients and 125,000 outpatients each year **The role you'll contribute:** The Physician Advisor for CDI is a board-certified physician who ... the severity of illness, risk of mortality, and complexity of care + Physician and Staff Education: Educate physicians and advanced practice providers (APPs) on best… more
- AdventHealth (Orlando, FL)
- …Utilization Management/Medicare Regulations . Two years or greater experience as a Physician Advisor . Three years of leadership experience **LICENSURE, ... of correct disease reporting and ICD code capture for physician /hospital performance profiling, E&M payment, pay-for-performance and hospital reimbursement. Educate… more
- AdventHealth (Orlando, FL)
- …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 ... contracted managed care payers. The PA role is responsible for providing physician review of utilization, claims management, and quality assurance related to… more
- AdventHealth (Orlando, FL)
- …and feedback based on results. + Provides ongoing feedback to physicians, administration, Physician Advisor , CDI Director, and VP of Clinical Services. + Works ... each year **The role you'll contribute:** The Clinical Documentation Integrity Physician Liaison is a Registered Nurse, Advanced Practice Registered Nurse, or… more
- Ascension Health (Jacksonville, FL)
- …of High Reliability Organization principles for physician activities. + Serves as physician advisor to assist with level of care, length of stay, denial ... patients, physicians and clinical staff. Identifies, cultivates and develops emerging physician leaders, provides coaching and mentoring by identifying deficits and… more
- AdventHealth (Altamonte Springs, FL)
- …medical staff office, medical school affiliation(s), and residency programs. The CMO serves as physician advisor to the Case Management staff and serves as ... **GENERAL SUMMARY** **:** The Chief Medical Officer (CMO) provides physician leadership. Responsible for improving clinical outcomes for internally...physician liaison to promote appropriate utilization of resources by… more
- AdventHealth (Tampa, FL)
- …dx, topics, DRGs and denials. Acts as a direct contact for the Physician Documentation Improvement designee ( physician advisor ) and site administration. ... Develops/utilizes educational programs to keep the Clinical Documentation Specialist/physicians/service lines/ advisor up to date on regulatory changes and/or identified… more
- AdventHealth (Tampa, FL)
- …status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by ... skills as necessary to ensure timely resolution of issues. Collaborates with the physician and all members of the multidisciplinary team to facilitate care for… more
- Sedgwick (Orlando, FL)
- …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 (Orlando, FL)
- …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
- AdventHealth (Daytona Beach, FL)
- …status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by ... department standards. Additionally, the UM RN is responsible for denial avoidance strategies including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable for a designated patient caseload and responsible… more
- HCA Healthcare (Lake City, FL)
- …unresolved status, level of care and standards of care issues through the Physician Advisor /established chain of command in a timely manner. **What ... qualifications you will need:** + (RN) Registered Nurse + Associate Degree + One year experience in case management and/or supervisory /management position involving case management/utilization review/responsibility in an acute care hospital and/or managed… more
- CVS Health (FL)
- …+ Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization A Plus +. + ... Electronic medical systems/record experience. + Managed Care experience. + Medicaid experience. **Pay Range** The typical pay range for this role is: $174,070.00 - $374,920.00 This pay range represents the base hourly rate or base annual full-time salary for… more
- AdventHealth (Orlando, FL)
- …when clinical and coding determinations are in conflict. Works directly with the physician advisor to discuss cases that require additional evaluation and ... finalization. **The value you'll bring to the team:** + Participates in both formal and informal education sessions with Coding, CDI, and other clinical staff as needed. Educates on the importance of documentation and necessary verbiage, providing a better… more
- HCA Healthcare (Sun City Center, FL)
- …you want to join an organization that invests in you as a Patient Customer Advisor ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... the opportunity to make a difference. We are looking for a dedicated Patient Customer Advisor like you to be a part of our team. **Job Summary and Qualifications**… more
- University of Miami (Miami, FL)
- …Palmer Eye Institute, has an exciting full time opportunity for a Patients Benefits Advisor 2 in the Department of Patient Access in Miami, Florida. The Patient ... Benefits Advisor 2 ensures that patients have adequate insurance coverage...documented prior to the receipt of services. + Contacts physician offices to obtain missing patient information. + Utilizes… more
- University of Miami (Miami, FL)
- …department of Patient Access has an exciting opportunity for a full-time Patient Benefit Advisor 2 to work onsite on the UHealth campus. The Patient Benefits ... Advisor 2 ensures that patients have adequate insurance coverage...documented prior to the receipt of services. + Contacts physician offices to obtain missing patient information. + Utilizes… more
- CenterWell (The Villages, FL)
- …help patients get back to the life they love. The **Clinical Assessment Advisor ** directly completes and oversees development/ of the plan of treatment as approved ... by physician , performs ongoing evaluation of patient needs and coordinates...health aides to ensure optimal clinical outcomes. Works with physician and/or referral source to obtain all pertinent clinical… more
