- Appcast (Randallstown, MD)
- Utilization Review Nurse RN Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm RN Other 92327 $38.20-$59.21 Experience ... system that values bold ideas and community-centered care. The Utilization Review Nurse RN conducts initial, concurrent...of stay and avoid delays and denied days. Utilizes Physician Advisor and administrative personnel for unresolved… more
- Sutter Health (Sacramento, CA)
- …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- Beth Israel Lahey Health (Plymouth, MA)
- …trends/root causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. + Participate ... you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We Are:** At… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …judgement, and discussions with the attending physician and/or physician advisor . This individual will: + Perform utilization review by completing ... + And more **Description** We're seeking an **Inpatient Registry Utilization Review Nurse (PRN)** who is responsible...documentation of authorized, unauthorized or denied days to the Physician and the care team in order to reduce… more
- Penn Medicine (Philadelphia, PA)
- …advising case management, utilization review and provider staff. The physician advisor works with the. clinical documentation integrity team to improve ... patient flow measures by ensuring efficient and effective utilization of health care services. The Physician Advisor role includes teaching, consulting, and… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …and identification of trends in the over and under- utilization of resources. 2. The Physician Advisor should be a key member of the medical staff and take on ... the role as leader of the Hospital's utilization review /management committee, which is charged with...and utilization management (including LOS). 4. The Physician Advisor should discuss his/her role with… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting, and advising the case management department, clinical documentation ... is a key member and leader of the hospital's utilization review /management committee, which is charged with...of healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews… more
- Catholic Health Services (Melville, NY)
- …and presents to Physician Advisors during the monthly Physician Advisor meeting. + Attends hospital Utilization Management (UM) committees. + Supervises ... Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC...of CM processes and policies, as well as the Physician Advisor role, activities and expectations. +… more
- HonorHealth (AZ)
- …staff regarding federal and state utilization and quality regulations. As a CDI physician advisor , the PA will act as a liaison between the CDI ... Learn more at HonorHealth.com. Responsibilities Job Summary The System Physician Advisor (PA) serves as a liaison...reviewing a particular patient record. Assists with identifying a physician to review such record. Acts as… more
- Mohawk Valley Health System (Utica, NY)
- …level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure ... hospitals objectives, and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides the… more
- Trinity Health (Silver Spring, MD)
- …Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization /level of care (LOC), ... **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits, Free… more
- AdventHealth (Orlando, FL)
- …for our contracted managed care payers. The PA role is responsible for providing physician review of utilization , claims management, and quality assurance ... inpatients and 125,000 outpatients each year **The role you'll contribute:** As the physician advisor (PA), this role educates, informs, and advises members of… 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 ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our...Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission… more
- Hackensack Meridian Health (Brick, NJ)
- …Utilization Review Physicians, Inc. (ABQAURP) is **preferred** . + Physician Advisor Sub-specialty Certification by the American Board of Quality ... **Hackensack Meridian Health** is seeking a dedicated Physician Advisor to join our team...teaching, consulting and advising of the care management and utilization review departments and hospital leadership. +… more
- AdventHealth (Orlando, FL)
- … Management/Medicare Regulations . Two years or greater experience as a Physician Advisor . Three years of leadership experience **LICENSURE, CERTIFICATION, ... services and appeals for denials. Provides guidance to clinical questions from Utilization Management staff involved in authorizations, concurrent review , and… more
- CommonSpirit Health (Englewood, CO)
- …and understanding of documentation importance + Assist in communications of internal physician advisor services in the hospital newsletters and other ... tools. The successful candidate will also collaborate cross-functionally with Utilization Management, CDI, coding, and compliance teams to reduce...required + Minimum 3 years of experience as a Physician Advisor required + Minimum 5 years… more
- CommonSpirit Health (Englewood, CO)
- **Job Summary and Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews ... the submission of necessary documentation. + Assists in communications of internal physician advisor services in the hospital newsletters and other communication… more
- CommonSpirit Health Mountain Region (Salt Lake City, UT)
- …must be located in or willing to relocate to the Salt Lake City Area._ _The Physician Advisor reports directly to the Medical Director Physician Advisor ... Staff and Hospital Committees or administrative roles, preferred. + Experience as a Physician Advisor in the acute care setting and/or the payer environment,… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Hybrid (frequently on site) + **Call Schedule:** ... **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We...work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If… more
