- Northeast Georgia Health System, Inc (Gainesville, GA)
- …physician advisor . Works collaboratively with the physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... certifications:Preferred Educational Requirements: Bachelors DegreePreferred Experience: Discharge planning and utilization review experience is recommended. Other: Job… more
- Beth Israel Lahey Health (Burlington, MA)
- …resource allocation - Serves as physician expert and provide support to utilization review team regarding utilization decisions pertaining to commercial ... America) Position Summary: Reporting directly to the Chief Medical Officer (CMO), the Physician Advisor will play an active role in optimizing healthcare… more
- St. Luke's University Health Network (Allentown, PA)
- …and/or physician queries + Serves as liaison between Physician Advisor /Medical Director, Finance, Utilization Review Department and CDCI. PHYSICAL ... of cases lost with feedback to respective departments + Conduct concurrent review with utilization review department for post op surgical cases with… more
- 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 ... other health care professionals in accordance with the hospitals Utilization Review guidelines to ensure efficient ...as a member of a UM committee or past physician advisor experience. Experience in documentation optimization,… 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...Steering Committee + Extended Length of Stay Rounds + Utilization Review Committee + Care Management Staff… more
- WMCHealth (Valhalla, NY)
- Physician Advisor Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Allied Health Prof/Technical Department: Clinical Care Mgmt- ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26206) Internal Applicant link Job Details: Job Summary: The Physician Advisor is responsible for developing positive… 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 ... General Summary Provides direct supervision of case management and utilization review activities performed by the WellSpan...to Health referrals and cases as needed. + Provides Physician Advisor support to all WellSpan entities… 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
- AdventHealth (Altamonte Springs, FL)
- …of clinical documentation, patient safety, and quality outcomes. The Physician Advisor is responsible for providing clinical review of utilization , ... **Schedule:** **FT** **Shift** : **Days** **The role you'll contribute:** The Onsite Physician Advisor provides primary support for Care Management (CM) and… 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 case ... providing quality patient care, to assure effective and efficient utilization of health care services. The PA communicates remotely...+ Minimum of 1 year of experience as a Physician Advisor required. + Minimum of 5… more
- CommonSpirit Health (Phoenix, AZ)
- …and out in the community. **Responsibilities** This is a remote position. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case ... providing quality patient care, to assure effective and efficient utilization of health care services. The PA communicates remotely...+ Minimum of 1 year of experience as a Physician Advisor required. + Minimum of 5… 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
- Billings Clinic (Billings, MT)
- …from Medicare (IMM). *Follows department procedures and policies for Condition Code44, Physician Advisor review , and HINN processes *Documents Avoidable ... to provide additional clinical information supporting status or LOC, escalate case to the physician advisor for second level review as early as possible… more
- Munson Healthcare (Traverse City, MI)
- …not support hospital level of care to offer alternatives. + Refers cases to the Physician Advisor when documentation is inadequate to support acute level of care ... progression of care. + Consults with case manager and/or physician advisor as necessary to resolve progression-of-care...payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? +… more
- The County of Los Angeles (Los Angeles, CA)
- …Organization guidelines and the Joint Commission on Accreditation of Hospitals' utilization review standard. Under the direction of a physician member of the ... UTILIZATION REVIEW NURSE SUPERVISOR II Print...by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of … more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review FT Days - 2305004256 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and ... payors Performing accurate medical necessity screening and timely submission for Physician Advisor reviews Collaborating with payors, physicians, office staff… 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 ... and internal transfer requests and direct admission requests. This position supports utilization review functions to ensure appropriate patient status and… more
- Glens Falls Hospital (Glens Falls, NY)
- …documents findings based on department standards; refers appropriate cases to EHR or Physician Advisor for recommendation(s) * Ensures order in chart/EMR and ... can be foundhere. **Job:** **Nursing - Case Management* **Title:** *Registered Nurse - Utilization Review Nurse - Care Management (Sign-On Bonus for Full-Time &… more
- Trinity Health (Boise, ID)
- … Excellence (MDDUE) is the lead provider for coordination and oversight of our Physician Advisor team and Clinical Documentation Improvement team. The MDDUE will ... will have at least 2 years experience as a Physician Advisor , and will have experience building...patients not meeting inpatient criteria. C. Participates in local Utilization Review Committee and be a member… more
- UNC Health Care (Chapel Hill, NC)
- …data into the correct computer system in a timely manner. Consults with Physician Advisor as necessary to resolve barriers through appropriate administrative and ... improve the health and well-being of the unique communities we serve. Utilization Manager Psych Team completes clinical reviews for all areas: Inpatient, Observation… more
