• buyer (New York, NY)
    …that meets established criteria; and refers all other cases to the MetroPlusHealth Physician Advisor /Medical Director . Informs member and provider of ... case management functions.Participate in Medical Management grand rounds with the Physician Advisor .Performs all other duties as assignMinimum QualificationsHigh… more
    Talent (10/07/25)
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  • The Career Sphere (Indianapolis, IN)
    …rebuild healthcare as it should be.For more information, visit .Position DescriptionThe Medical Director will join Oak Street Health at a critical time in the ... Street is leading the transition from fee-for-service to value-based care.The Medical Director will be responsible for leading our clinicians in his/her neighborhood… more
    Talent (10/07/25)
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  • The Career Sphere (Southgate, MI)
    Seeking a BC/BE Internal Medicine or Family Medicine Physician to lead a clinical team as the Center Medical Director in the Detroit, MI area. Position ... Highlights: The purpose of the Center Medical Director (CMD) role is to lead the clinical team...is practiced, serving as a formal mentor, coach, and advisor to providers in clinics, and participating in critical… more
    Talent (10/07/25)
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  • Inside Higher Ed (Skokie, IL)
    Director .QualificationsEducation/ Experience Bachelor of Science required MS in Physician Assistant Studies preferred National Commission Cert of Physician ... - first year, second, and culminating year students Master's capstone advisor -reviewing and grading Master's projects Curriculum: Review academic/ clinical… more
    Talent (09/30/25)
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  • Seneca Health (Salamanca, NY)
    …protocols necessary for quality ambulatory health care programs. Consults with and advises Director of Quality and Director of Nursing to maintain and monitor ... for the electronic medical record. Serves as the Medical Advisor for the Seneca Nation and SNHS during community...with the SNHS CEO, Chief Operating Officer (COO) and Director of Quality to monitor staff compliance with regulatory… more
    Upward (08/10/25)
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  • Director Physician Advisor

    Catholic Health Services (Melville, NY)
    …and standardize the implementation of CM processes and policies, as well as the Physician Advisor role, activities and expectations. + Collaborates with CM and ... to Physician Advisors through annual performance evaluation. + Monitors Physician Advisor performance dashboard with Key Performance Indicators (KPIs). +… more
    Catholic Health Services (09/26/25)
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  • Physician Advisor

    CommonSpirit Health Mountain Region (Salt Lake City, UT)
    …City Area._ _The Physician Advisor reports directly to the Medical Director Physician Advisor /UR and is responsible for maintaining a collaborative ... partnership with the Medical Director CDI, Enterprise Director Case Management, UM...Committees or administrative roles, preferred. + Experience as a Physician Advisor in the acute care setting… more
    CommonSpirit Health Mountain Region (09/26/25)
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  • Case Management Manager - UPMC

    UPMC (Washington, PA)
    …Case Management staff + Assists with management of departmental budget. + Collaborates with Director , Medical Director / Physician Advisor and staff to ... operations of the Case management department under the direction of the Director . The Manager is accountable for the following Case Management functions: training,… more
    UPMC (07/11/25)
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  • Professional Care Manager

    UPMC (Pittsburgh, PA)
    …+ Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor , Attending Physicians and clinical team to ... requirements and that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain necessary documentation… more
    UPMC (09/17/25)
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  • Clinical Documentation Physician Liaison

    AdventHealth (Orlando, FL)
    …and feedback based on results. + Provides ongoing feedback to physicians, administration, Physician Advisor , CDI Director , and VP of Clinical Services. ... each year **The role you'll contribute:** The Clinical Documentation Integrity Physician Liaison is a Registered Nurse, Advanced Practice Registered Nurse, or… more
    AdventHealth (08/07/25)
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  • Care Manager RN - Emergency Department

    Swedish Health Services (Seattle, WA)
    …appropriate for secondary review to Case Management Department leadership, the Medical Director , or Physician Advisor . *Resource Management; Assures prudent ... the patient's health, safety and rights. * Advocates for the patient, family, physician , and facility to obtain benefits from insurance carriers and others that… more
    Swedish Health Services (10/02/25)
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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.… more
    Hunterdon Health Care System (09/06/25)
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  • Physician Advisor

    Virginia Mason Franciscan Health (Tacoma, WA)
    **Job Summary and Responsibilities** 1. The Physician Advisor serves the Hospital through collaborating with, advising, and teaching the Care Coordination ... in the over and under-utilization of resources. 2. The Physician Advisor should be a key member...in review of long-stay patients, in conjunction with the Director /Manager of Case Management and to facilitate determination of… more
    Virginia Mason Franciscan Health (09/06/25)
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  • Medical Director

    HCA Healthcare (Nashville, TN)
    …Board Certification. + Minimum of 5 years of experience in clinical practice. + Physician advisor or payor medical director experience preferred. **Parallon ... of assigned peer to peers and documentation of the outcomes. The Medical Director will also provide physician education regarding accurate determination and… more
    HCA Healthcare (09/27/25)
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  • Physician Advisor

    HonorHealth (AZ)
    …across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The System Physician Advisor (PA) serves as a liaison between the hospital ... and state utilization and quality regulations. As a CDI physician advisor , the PA will act as...requested by Utilization Management or Managed Care: Works with Director , Management and staff to facilitate client profiles, clinical… more
    HonorHealth (09/17/25)
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  • CDI Physician Advisor

    Sutter Health (Santa Rosa, CA)
    …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...to obtain query responses * Meets regularly with CDI Director , CDI Managers, and CDI Leads to understand current… more
    Sutter Health (09/13/25)
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  • Talent Advisor , Physician

    SSM Health (Oklahoma City, OK)
    …Regular **Job Highlights:** **Join Our Mission at SSM Health - Now Hiring a Physician & Provider Talent Advisor (Oklahoma -based)** SSM Health's Physician ... provider recruitment leaders. May lead assigned programs or searches including medical director or physician leadership roles. + Oversees and ensures effective… more
    SSM Health (10/04/25)
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  • Physician Advisor Clinical Appeals

    CommonSpirit Health (Englewood, CO)
    …and understanding of documentation importance + Assist in communications of internal physician advisor services in the hospital newsletters and other ... Management or Managed Care: Works with the Care Management Director and staff to facilitate client profiles, clinical service...required + Minimum 3 years of experience as a Physician Advisor required + Minimum 5 years… more
    CommonSpirit Health (09/28/25)
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  • Physician Advisor - Des Moines…

    Trinity Health (Des Moines, IA)
    … with Inpatient experience for a newly opened but established role as a Physician Advisor . The ideal candidate will have served on Hospital committees or ... strong working knowledge of CMS and commercial insurance regulations. The Physician Advisor must possess a team-building mindset and a collaborative approach to… more
    Trinity Health (08/26/25)
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  • Physician Advisor

    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 (09/04/25)
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