- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... this remote position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues: authorization requested,… more
- Sedgwick (Southfield, MI)
- …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 (Southfield, MI)
- …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
- Tenet Healthcare (Detroit, MI)
- …the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning ... of care based on Medical Necessity process and submits case for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers… more
- Tenet Healthcare (Detroit, MI)
- …the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning ... of care based on Medical Necessity process and submits case for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers… more
- Sedgwick (Southfield, MI)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... + Negotiates return to work with or without job accommodations via the claimants physician and employer. + Refers cases as appropriate to team lead and clinical case… more
- Tenet Healthcare (Detroit, MI)
- …inappropriate utilization of resources or quality issues to management and to a physician advisor . Identifies non-acute days or delays in discharge and assesses ... causative factors. Establishes and maintains effective relationships with physicians and all other staff members, internally and externally. Identifies problems or any dissatisfaction experienced by any customer or referring source and works to resolve them to… 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 ... good standing at Henry Ford Macomb Hospital (HFMH) or attainment of membership following job initiation. CERTIFICATIONS/LICENSURES REQUIRED: Michigan medical and DEA licensure. Board certification in Internal Medicine or Emergency Medicine. #pr Additional… more
- Huntington National Bank (Detroit, MI)
- Description Job Summary: As a Treasury Management Advisor III - Corporate Healthcare, you will play a pivotal role in driving the growth and success of our treasury ... negotiation, and implementation. In this role, you will act as a trusted advisor to both clients and prospects, providing insightful guidance and strategic advice on… more
- Hospice of Michigan (Detroit, MI)
- …and provide patient and family oriented hospice services. Communicates with the Physician , Social Worker and Spiritual Care Advisor to provide assessment ... and technology available, communicates complete and accurate information to attending physician (s), other team disciplines and other departments in a timely manner.… more
- Hospice of Michigan (Southfield, MI)
- …and uses identified system(s) to meet the need. + Conferences with the Physician , Social Worker and Spiritual Care Advisor to provide assessment information ... hospice care to establish appropriate levels of care and to assist the physician in determining the patient's eligibility for hospice and determines scope and… more
- Hospice of Michigan (Southfield, MI)
- …patients' immediate needs upon admission and throughout care. + Confers with the physician , social worker and spiritual care advisor to provide assessment ... hospice care to establish appropriate levels of care and to assist the physician in determining the patient's eligibility for hospice and determine scope and… more
- Corewell Health (Grosse Pointe, MI)
- …and documents on EPIC. Communicate with patients and physician /office regarding authorization/referral requirements. Obtain financial responsibility forms or ... EPIC tools. Provide information for follow up and referral to the Financial Advisor as appropriate. Initiate payment plans and obtain payment, Informs and explains… more
- Deloitte (Detroit, MI)
- …client stakeholders, implement recommendations, and begin to build long-term trusted advisor relationships with client counterparts. The team Our Industry Solutions ... form, HCFA-1500, claim form and claim scrubber + Experience with hospital and physician financial and patient accounting systems, such as EPIC, Cerner, Soarian, SMS,… more
- Henry Ford Health System (Detroit, MI)
- …with greater complexity and ambiguity. The role is a trusted advisor to organization's leaders and team members in providing actionable interpretation ... data tables. + Comfortable and effective in interacting independently with C-Suite and Physician leaders. + Does not hesitate in taking the lead in any situation,… more