• Sun Pharmaceuticals, Inc (Princeton, NJ)
    …insights to different levels of the organization. + Act as a senior advisor and thought partner to SUNs NAM leadership across Commercial, Digital, Medical, Access ... Patient Claims data, Patient Longitudinal data or other types of patient and physician level data. + Experience utilizing complex data to drive business decisions,… more
    DirectEmployers Association (10/02/25)
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  • CDI Physician Advisor

    Penn Medicine (Philadelphia, PA)
    …Monument Road, Bala Cynwyd, PA Hours: M-F, 8hr days, hybrid Summary: + The CDI Physician Advisor is a key member of the healthcare organization's leadership team ... administrative (approximately 80%) with a clinical component (approximately 20%).The CDI Physician Advisor will act as a resource and liaison between our… more
    Penn Medicine (10/17/25)
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  • Physician Advisor

    R1 RCM (Jenkintown, PA)
    …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
    R1 RCM (10/24/25)
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  • Clinical Resource Coordinator - Full Time Day…

    Penn Medicine (Philadelphia, PA)
    …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician Advisor Discharge planning activities: timely coordination of home… more
    Penn Medicine (11/07/25)
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  • Clinical Resource Coordinator BSN RN affiliate…

    Penn Medicine (Philadelphia, PA)
    …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician AdvisorDischarge planning activities: timely coordination of home care, DME,… more
    Penn Medicine (11/06/25)
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  • Clin Resource Coord ED at HUP Cedar

    Penn Medicine (Philadelphia, PA)
    …work? Determines the medical necessity of proposed admission using InterQual, referral to Physician Advisor , and/or use of clinical judgment, the purpose of ... which is not only to determine medical necessity of admission but also to work to decompress Emergency Department Census real time. In addition, role includes coordination of swift discharge plan to move patient in the ED to the appropriate level of care given… more
    Penn Medicine (10/28/25)
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  • Utilization Review Specialist

    Hunterdon Health Care System (Flemington, NJ)
    …utilization activities, using Milliman Care Guidelines under the guidance of the Physician Advisor , to provide clinical information to payors as requested ... and ensures correct status of all patients to insure maximum reimbursement. 2. Works with medical and clinical staff to improve overall quality and completeness of clinical documentation. 3. Communicates and educates medical, clinical and coding staff of… more
    Hunterdon Health Care System (10/31/25)
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  • Medical Director

    Hunterdon Health Care System (Flemington, NJ)
    …meetings with providers, COO to discuss progress of the Hospitalist program and physician advisor to ensure proper documentation, lower LOS and readmission ... rates. 2. Promote patient satisfaction. 3. Enhance communication with consultants, hospital staff and primary care providers. 4. Provide leadership to practitioners resulting in overall hospitalist service improvement by: a. Promoting team work b. Assisting in… more
    Hunterdon Health Care System (10/31/25)
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  • Director Care Coordination

    Hunterdon Health Care System (Flemington, NJ)
    …for options for post- hospital levels of care. 5. Collaborate closely with the Physician Advisor , Hospitalist Director and Supervisor of Social Work to reduce ... LOS and increase opportunity days, by ensuring that all inpatient clinical resources are utilized and effectively managed through frequent, timely team meetings, attendance at Interdisciplinary Rounds with Care Coordination and multi-disciplinary team. 6.… more
    Hunterdon Health Care System (09/06/25)
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  • Senior Associate, Employee Claims-Workers'…

    BAYADA Home Health Care (Pennsauken, NJ)
    …state Workers' Compensation laws that govern our work. + Act as a trusted advisor and become a subject matter expert with regard to Employee Claims functions and ... workers in modified or light-duty placements as directed by their treating physician ; seek alternate work assignments for injured workers if job opportunities do… more
    BAYADA Home Health Care (10/15/25)
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  • Healthcare Revenue Cycle Senior Consultant

    Deloitte (Philadelphia, PA)
    …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
    Deloitte (11/08/25)
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  • Cardiac PET Senior Account Manager

    GE HealthCare (Philadelphia, PA)
    …sales forecasts and shared volume targets. With your Cardiac PET Physician Outreach teammate, conduct regular business analyses of the local market-customers, ... and Education Programs to create awareness of Flycardo. + Be a trusted advisor to Imaging Centers and Cardiologists by deepening your understanding of their goals,… more
    GE HealthCare (08/21/25)
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