- Crouse Hospital (Syracuse, NY)
- …medical staff regarding federal and state utilization and quality regulations. The physician advisor will act as a liaison between the Medical Documentation ... license to practice medicine. Preferred: Additional education in quality and utilization management through continuing medical education programs and self-study.… more
- Beth Israel Lahey Health (Burlington, MA)
- …America) Position Summary: Reporting directly to the Chief Medical Officer (CMO), the Physician Advisor will play an active role in optimizing healthcare ... of medical services while maintaining compliance with all regulatory requirements. The Physician Advisor is responsible for assisting the organization to… more
- CommonSpirit Health (Houston, TX)
- …Texas. Candidates licensed in other states will be considered for future openings.** As the Utilization Management Physician Advisor II, the Physician ... of documentation importance + Assist in communications of internal physician advisor services in the hospital newsletters...as a Joint Operating Committee (JOC), as requested by Utilization Management or Managed Care: Works with… more
- CommonSpirit Health (Englewood, CO)
- …of four 10-hour shifts per week, or five 8-hour shifts per week.** As the Utilization Management Physician Advisor (PA), the PA conducts clinical ... care services. The PA communicates remotely with case and utilization management to discuss selected cases and...+ Minimum of 1 year of experience as a Physician Advisor required. + Minimum of 5… more
- CommonSpirit Health (Phoenix, AZ)
- …hospitals and out in the community. **Responsibilities** This is a remote position. As the Utilization Management Physician Advisor (PA), the PA conducts ... care services. The PA communicates remotely with case and utilization management to discuss selected cases and...+ Minimum of 1 year of experience as a Physician Advisor required. + Minimum of 5… more
- Ellis Medicine (Schenectady, NY)
- …will include Director of Quality and Risk, Director of Family Medicine Residency Program, Physician Advisor Utilization Management , and System Wide ... in accordance with Hospital Policy and Procedure, and oversight of physician contract management functions. + Serves as primary liaison to all clinical… more
- Highland Hospital (Rochester, NY)
- … Physician **Department/Cost Center:** 776 - Quality Assurance **Job Description:** The Utilization Management Physician Advisor is responsible for ... through teaching, consulting, and advising the utilization management department. The Physician Advisor shall develop expertise on matters regarding… more
- Garnet Health (Middletown, NY)
- …community. The Physician advisor is a key member of the hospital's Utilization Management Committee. The Physician Advisor also ensures ... Management Services and Director of CDI. The Physician Advisor is a physician ...Management department and the hospital on matters regarding physician practice patterns, documentation, over and under- utilization … more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Physician Advisor is responsible for teaching, consulting, and advising the case management department, clinical documentation ... of healthcare quality and acceptable levels of cost. The Physician Advisor will conduct clinical reviews on...actively participates in defining operational strategic objectives for the Utilization Management Program and serve as the… more
- WMCHealth (Valhalla, NY)
- …duties as assigned. Qualifications/Requirements: Experience: Experience as a CDI champion and/or Case management Physician Advisor or having 3-5 years as a ... Physician Advisor Company: WMC Advanced ...ensuring physician support and execution of for Utilization Management and Documentation strategies and processes.… more
- Highmark Health (Jefferson Hills, PA)
- **Company :** Allegheny Health Network **Job Description :** ESSENTIAL RESPONSIBILITIES: ** Physician Advisor - AHN** + Works in concert with the admitting ... denials and participates in data collection activities for resource utilization management . + Receives daily report form...regularly with coding and clinical documentation specialists. + The Physician Advisor would be an active member… more
- Dignity Health (Gilbert, AZ)
- …with facility utilization initiatives (ie leverage the leadership influence of Physician Advisor by mobilizing other physicians and staff). Provide education ... follow us on Twitter (https://twitter.com/ChandlerRegiona) . **Responsibilities** **Job Summary:** The Physician Advisor plays a critical role in promoting… more
- WellSpan Health (York, PA)
- Physician Advisor Location: WellSpan Health, York, PA Schedule: Part Time Sign-On Bonus Eligible Remote/Hybrid Regular Express Your Interest See More Events ... Management staff. Duties and Responsibilities + Renders utilization management determination in accordance with State...to Health referrals and cases as needed. + Provides Physician Advisor support to all WellSpan entities… more
- Sutter Health (San Francisco, CA)
- **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's leadership team ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management… more
- AdventHealth (Altamonte Springs, FL)
- …**Shift** : **Days** **The role you'll contribute:** The Onsite Physician Advisor provides primary support for Care Management (CM) and Clinical ... at the campus, as well as, the medical liaison for payor escalations. The Physician Advisor is responsible for educating, informing and advising members of the,… more
- Ascension Health (Birmingham, AL)
- **Details** ** Physician Advisor needed for Ascension St. Vincent's in Birmingham, AL** + **Schedule:** Full-time + **Hospital:** Ascension St. Vincent's + ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Provide medical direction in… more
- Ascension Health (Tulsa, OK)
- **Details** Ascension St John is looking for a hybrid physician (remote and in person) to provide medical direction in the care management , clinical ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** **Responsibilities:** * Reviews medical… more
- Sharp HealthCare (San Diego, CA)
- …refers situations needing immediate intervention to UR Manager, Physician Advisor , as appropriate.Participate in system or site-level utilization review ... care and supports other members of the System Centralized Utilization Management team to ensure final status...timely and proactive interaction with the CPPC team, admitting/attending physician , payer, physician advisor and… more
- Trinity Health (Boise, ID)
- …of two years' experience in hospital based medicine with exposure to utilization management and documentation initiatives. 3. Demonstrated teamwork, performance ... Excellence (MDDUE) is the lead provider for coordination and oversight of our Physician Advisor team and Clinical Documentation Improvement team. The MDDUE will… more
- Billings Clinic (Billings, MT)
- … Advisor , per department process or procedure *Insurance and Utilization Management *Maintains working knowledge of CMS requirements and readmission ... to provide additional clinical information supporting status or LOC, escalate case to the physician advisor for second level review as early as possible and… more