- Hackensack Meridian Health (Brick, NJ)
- **Hackensack Meridian Health** is seeking a dedicated Physician Advisor to join our team at Ocean University Medical Center. This role offers the opportunity to ... obtain a New Jersey Medical License + 1-2+ years of experience as a Physician Advisor or similar role + Ability to build rapport with medical staff and hospital… more
- Hackensack Meridian Health (Manahawkin, NJ)
- …a highly motivated and experienced physician to join our team as a ** Physician Advisor ** . This vital role offers a unique opportunity to combine your ... Review Physicians (ABQAURP) preferred. + Membership in the American College of Physician Advisors (ACPA) encouraged. 160739 HACKENSACK MERIDIAN HEALTH (HMH) IS AN… more
- Hackensack Meridian Health (North Bergen, NJ)
- …present. + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + Performs ... first business day. + Refers cases not meeting criteria to the physician advisor or designated vendor for determination and action. + Participates actively on… more
- Atlantic Health System (Morristown, NJ)
- …for CMS required patient notices. 8. Completes and documents utilization reviews, physician advisor referrals and other communications related to assigned cases ... with the patients discharge plan. 5. Refers cases and issues to Physician Advisors or Designees in compliance with department procedures with timely follow… more
- Travelers Insurance Company (Morristown, NJ)
- …+ 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
- RWJBarnabas Health (Newark, NJ)
- …resource utilization; support utilization review: Collaborate with physicians and the physician advisor in utilization review escalations, ensuring appropriate ... and timely care, and conduct risk assessments: Identify and mitigate potential risks to patient safety and quality of care. + Operational Excellence & Complianceresponsibilities including analyze data and drive performance improvement: Analyze key performance… more
- Evolent (Trenton, NJ)
- … Advisor will be primarily responsible for primary care physician IPA (Individual Practice Association and/or MSO (Management Services Organization) engagement ... more connected care journey. We are hiring for a Practice Performance Advisor to join our Provider Relations Team. **Collaboration Opportunities:** The Practice… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and supervision of the Surgical Intensivist, the Hackensack University Medical Center Physician Assistant Trauma Service manages a variety of patients in the ... critical care and intermediate care setting. This position serves as an advisor , resource, preceptor and leader for other members of the patient care team. The… more
- Atlantic Health System (Morristown, NJ)
- …negotiate a full range of hospital contracts including, without limitation, physician contracts, IT, SaaS and software licensing agreements, clinical affiliation ... and located in Morristown, NJ. -Working with Contract Coordinators, oversee physician , real estate and contract management process, including development of… more
- RWJBarnabas Health (New Brunswick, NJ)
- …the formulation of health care policies and a detailed knowledge of physician office management and billing practices + Exceptional communication skills and ... + Full-Time + Days Essential Functions: + The position has dual reporting to the physician chief/chair and Vice President for CINJ + This position has a dotted line… more
- Highmark Health (Trenton, NJ)
- …and prospects, serving as a clinical subject matter expert (SME) and trusted advisor . Provide a value proposition that demonstrates clinical and financial value of ... stakeholders. **EDUCATION** **Required** + Bachelor's degree in Nursing, Pharmacist, Physician Assistant or Clinical field **Substitutions** + None **Preferred** +… more
- Alight (NJ)
- …decisions via telephone and in writing. + Initiating communications to claimant, physician , and /or plan holder to obtain information, make assessment, and initial ... with job. Setting up claim for initial benefit approval including physician statement(s) and medical records. + Following claim management procedures and… more
- RWJBarnabas Health (Monmouth County, NJ)
- …years experience in a progressively responsible clinic administrator position + Physician practice management experience + Experience managing multiple Surgical and ... + Experience working in an academic setting Essential Functions: + Operational Advisor /Supporter - Provides support and guidance to assigned Regional Managers and… more
- Fresenius Medical Center (Toms River, NJ)
- …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
- MTF (Edison, NJ)
- …and medical related issues. + Acts as the organization's most senior advisor on medical/health related matters and top authority responsible for the organization's ... years' experience as an MD or DO. + US Licensed and Board eligible physician /Eligible for NJ Licensure. + Experience in donor eligibility and organ and tissue… more
- Union County College (Cranford, NJ)
- …student/athlete's eligibility. Working closely with our student athletes, Academic advisor for student athletes, Coordinator of Student Advisement/Athletics and ... college regulations. * Following medical guidelines for injured athletes per ATC /Team physician . * Maintaining accurate records of actual time spent in all duties… more
- Adecco US, Inc. (NJ)
- …In this client-facing, remote-based role, you will work directly with physician offices and manufacturer partners to resolve reimbursement challenges and deliver ... landscapes and available support services. The FRM acts as a trusted advisor and key liaison between healthcare providers, specialty pharmacies, and internal patient… more
- RWJBarnabas Health (New Brunswick, NJ)
- …financial performance, and patient throughput + Serve as a liaison and advisor for all clinical or non-clinical departments/areas within the cancer center, providing ... and productive work environment + Collaborate with other clinical departments and physician leaders to ensure seamless integration of care across the continuum +… more