- Sutter Health (Modesto, CA)
- …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the ... under-utilization of resources, medical necessity, documentation best practices, level of care progression , denial management and compliance with governmental… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …while ensuring high levels of healthcare quality and acceptable levels for the cost of care . 3. The Physician Advisor will conduct clinical reviews on cases ... **Job Summary and Responsibilities** 1. The Physician Advisor serves the Hospital through...staff; and coordinating with Hospital leadership on matters regarding progression of patient care , medical necessity, compliance… more
- 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 Initiatives (Bismarck, ND)
- …of clinical practice experience. + Three years of experience as a Physician Advisor and/or other leadership experience in acute care settings with focus on ... focusing on accurate level-of- care determinations and efficient patient progression . + **Strategic Leadership:** Provide oversight of physician advisory… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits, Free ... distance from Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization/level of… more
- 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 ... under-utilization of resources, medical necessity, documentation best practices, level of care progression , denial management and compliance with governmental… more
- Sutter Health (Emeryville, 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 ... under-utilization of resources, medical necessity, documentation best practices, level of care progression , denial management and compliance with governmental… more
- 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 ... over and under-utilization of resources, medical necessity, levels of care , care progression , denial management,...Medical License + 1-2+ years of experience as a Physician Advisor or similar role + Ability… more
- UCLA Health (Los Angeles, CA)
- …clinical cases to provide a physician perspective towards decisions on care coordination, patient status, care progression , patient access ... Description The Physician Advisor provides physician ...leadership and clinical expertise related to coordination of patient care , length of stay and level of care… more
- Penn Medicine (Philadelphia, PA)
- …and patient flow measures by ensuring efficient and effective utilization of health care services. The Physician Advisor role includes teaching, consulting, ... necessity, levels of care , care progression , patient readmissions, and denial management. The Physician Advisor partners with the managed care… more
- Beth Israel Lahey Health (Boston, MA)
- …plan of care . Escalate deviations from the plan to the Physician Advisor as appropriate. Possesses effective verbal and written communication, ... business day of admission/bed placement and each day throughout the stay to facilitate care progression to establish an anticipated length of stay and transition… more
- Munson Healthcare (Traverse City, MI)
- …to readmission or psychosocial risk factors. + Consults with physician advisor as necessary to resolve progression -of- care barriers through appropriate ... The Patient Care Manager facilitates progression -of- care ;...placement. + Utilizes the Program Manager, Director and Medical Advisor as expert advisors to gain insights in dealing… more
- Catholic Health Initiatives (Lexington, KY)
- …and collaborate with interdisciplinary teams, patients, and family to facilitate care progression . + Ensure post-acute follow-up appointments for identified ... and document communications relating to insurance requests, authorizations, denials and Physician Advisor status recommendations to the appropriate licensed… more
- UNC Health Care (Chapel Hill, NC)
- …situations of questionable clinical or administrative appropriateness per established guidelines to the Care Management Physician Advisor and/or Care ... Management Leadership. Identify potential and actual care progression concerns for incoming patients, and route concerns to the appropriate care team… more
- CommonSpirit Health (Phoenix, AZ)
- …of federal, state and payer regulatory and contract requirements. + Previous Physician Advisor / Care Management or equivalent experience. Excellent ... practice patterns, over and under-utilization of resources, medical necessity, levels of care , care progression , compliance with governmental and private… more
- Nuvance Health (Poughkeepsie, NY)
- …Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider ... the case manager reviews observation cases daily. 3. Utilizes physician advisor to interface with physicians as...outcomes. Communicates and coordinates with the patient/family and health care team to Intervene when progression is… more
- Tenet Healthcare (Detroit, MI)
- …include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition ... on Medical Necessity process and submits case for Secondary Physician review per Tenet policy. Ensures timely communication of...Coordination: Screens patients for factors that may affect the progression of care and intervenes as needed… more
- Mount Sinai Health System (New York, NY)
- …and refers cases to the physician advisor to support timely progression of patients along the continuum of care and (appropriate) discharge planning. i. ... patients to determine the appropriateness of the Level of Care , assist in the development of the plan of...criteria to justify continued inpatient stay. c. Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment… more
- HCA Healthcare (Houston, TX)
- …service/severity of illness. Escalates cases as appropriate and per policy to [ Physician Advisor and Director]. Collaborates with the House Supervisor relative ... physicians and interdisciplinary team, the case manager ensures patient progression through the continuum of care in...ensures patient progression through the continuum of care in an efficient and cost-effective manner. The case… more
- Houston Methodist (Houston, TX)
- …for cost, quality, and service and patient satisfaction. Collaborates with the Physician Advisor to address identified educational needs for providers and ... and data in a comprehensive manner. + Works with physician leadership and the interprofessional health care ...delays or avoidable days due to failure of the progression of care process. + Conducts chart… more