- 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
- McLaren Health Care (Bay City, MI)
- …interdisciplinary team regarding continued stays review/LOS outliers,Collaborate with providers/ physician advisor when medical necessity and/or appropriateness ... of various commercial and government payers in collaboration with the admitting/attending physician . Partners with the health care team to ensure hospital admissions… more
- McLaren Health Care (Port Huron, MI)
- …team regarding continued stays review/LOS outliers, 8. Collaborate with providers/ physician advisor when medical necessity and/or appropriateness of ... of various commercial and government payers in collaboration with the admitting/attending physician . Partners with the health care team to ensure hospital admissions… 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
- Munson Healthcare (Traverse City, MI)
- …appropriately to readmission or psychosocial risk factors. + Consults with physician advisor as necessary to resolve progression-of-care barriers through ... which may impact placement. + Utilizes the Program Manager, Director and Medical Advisor as expert advisors to gain insights in dealing with physicians and Resource… 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
- University of Michigan (Ann Arbor, MI)
- …appropriate utilization management venues + Conducts referrals and consultation with Physician Advisor **Professional Development** + Actively participates in ... 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
- 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
- CVS Health (Lansing, MI)
- …of clinical experience Previous UM experience with a Health Plan / Payor/ Physician Advisor in a Healthcare system. Board Certification in Internal Medicine, ... Family Medicine, Emergency Medicine or Med / Peds Preferred. **Education:** Medical Doctor or Doctor of Osteopathic Medicine **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… 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
- Tenet Healthcare (Detroit, MI)
- Call Center Advisor - Health Acess Center - 2506000735 Description : Detroit Medical Center Shared Services is committed to providing exceptional patient care in a ... initiates outbound calling for the assigned department to include physician /program/patient satisfaction surveys and pre-appointment/scheduling reminders. Responsibilities Provides tele-health… 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
- Centene Corporation (Lansing, MI)
- …Purpose:** Establishes and fosters a healthy working relationship between community physician and small provider practices and WellCare. Educates providers and ... guidance form Senior Quality Practice Advisors and management, educates community physician and small provider practices in appropriate HEDIS measures, medical… more
- Corewell Health (Greenville, MI)
- …healthcare leader, Corewell Health in West Michigan is committed to preparing the physician of tomorrow to best care for our patients and their families. Corewell ... Family Medicine Residency Program is seeking to add a Family Medicine Physician provider dedicated to delivering high-quality patient care to their team. Our… more
- Hospice of Michigan (Clinton Township, 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 (Detroit, 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
- Hospice of Michigan (Ada, 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
- Corewell Health (Royal Oak, 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
- Fresenius Medical Center (Muskegon, MI)
- …departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. + ... staff in problem solving. **PHYSICIANS:** + Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible… more