- Trinity Health (Silver Spring, MD)
- Employment Type: Full time Shift: Description: Position Title: Physician Advisor Type of Position: Exempt What We Offer: Benefits, Free parking, employee ... from Washington, DC, and Baltimore, MD. Position Overview: The Physician Advisor provides expertise related to appropriate...clinical documentation. 5. Revenue Excellence: conduct verbal and written Peer to Peer reviews to assist with… more
- WMC Health (Valhalla, NY)
- Job Details: Job Summary: The Physician Advisor is responsible for developing positive relationships with both employed and affiliated medical staff members in ... clinical rational for standard and expedited appeals. Participate in peer -to- peer review with payors and/or complete appeals...Experience: Experience as a CDI champion and/or Case management Physician Advisor or having 3-5 years as… more
- International SOS Government Medical Services (New York, NY)
- …but not required. Supervisory Controls Works under the administrative direction of a Physician , the Physician Supervisor, Pediatric Advisor , or in their ... and dated, whether electronic or paper. Participates with the Peer Review process, performs chart reviews as assigned, and...clinical supervision and/or direction of the Physician , Physician Supervisor, or the Pediatric Advisor , or… more
- International SOS Government Medical Services (Warwick, RI)
- …and initiatives, as well as modifications of ongoing activities; Assist with physician interviews, orientation and mentoring, peer reviews and other duties ... with training for clinical staff, support services personnel, and peer professional staff. Works with and is assigned to...requiring medical expertise. Serves as a professional advisor to physician colleagues from medical schools,… more
- AHMC Healthcare (Daly City, CA)
- …community and surrounding areas. 8 Monitors the care managers' involvement of the physician advisor for in-depth clinical education and to facilitate effective ... with attending physicians. 9 Monitors the care managers' involvement of the physician advisor for in-depth clinical education and to facilitate effective… more
- International SOS Government Medical Services (New York, NY)
- …mental health and pediatric care in the absence of a behavioral health advisor or pediatric advisor . Clinical supervisory authority over sector physicians, APPs, ... medical emergencies and medical sentinel events. Seeks guidance from the Pediatric Advisor , Behavioral Health Advisor , or other leadership as appropriate. Serves… more
- Elevance Health (Overland Park, KS)
- …and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. ... providers. Provides guidance for clinical operational aspects of a program. Conducts peer -to- peer clinical reviews with attending physicians or other providers… more
- Arnot Health (Elmira, NY)
- …the Case Management practice. The Case Manager will work cooperatively with the Physician Advisor and Team. DUTIES AND RESPONSIBILITIES: ** 1. Determines medical ... a member of the Case Management practice: a. Seeks and provides peer consultation about cases presenting problems and/or experiencing significant deviation from the… more
- Highmark Health (Pittsburgh, PA)
- …**Job Description :** The **Allegheny Health Network (AHN)** is recruiting a full-time ** Physician Advisor ** to join our team located in **Pittsburgh, PA** . ... the setting for the administration of that care. The Physician Advisor is responsible for level of... is responsible for level of care reviews and peer -to- peer discussions with payers if denials do… more
- WMCHealth (Valhalla, NY)
- Physician Advisor Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Physicians Department: Clinical Care Mgmt- WMC Health Union: ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29449) Internal Applicant link Job Details: Job Summary: The Physician Advisor is responsible for developing positive… more
- WellSpan Health (York, PA)
- …as needed. Assist with Bridges to Health referrals and cases as needed. + Provides Physician Advisor support to all WellSpan entities as needed and at the ... with InterQual, Milliman and other nationally accepted guideline. + Provides daytime physician advisor coverage with availability in person or by phone… more
- CommonSpirit Health (Englewood, CO)
- **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other health ... and understanding of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters and other… more
- Mohawk Valley Health System (Utica, NY)
- PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the ... billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of...reimbursement models in decision making and reviews. + Provide peer -to- peer payor review in collaboration with attending… 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
- Catholic Health Initiatives (Omaha, NE)
- **Responsibilities** ** Physician Advisor ** **Location: Lakeside and Midlands Hospital** **The Physician Advisor is charged with meeting the ... the effective, efficient utilization of health care services. The Physician Advisor is a physician ...or carved out days when appropriate by participating in Peer to Peer discussions and reviews +… more
- Catholic Health Initiatives (Bismarck, ND)
- …St. Alexius is looking for a Physcian Advisor to join the team! The Onsite Physician Advisor (PA) will serve as a physician leader and advocate for the ... upon-performance and process improvement metrics for facility, UM/Medical Staff, and Physician Advisor program. + Communicate facility feedback and metrics… more
- Provider Solutions & Development (Olympia, WA)
- Providence St. Peter Hospital is seeking a part-time Physician Advisor to join a highly dedicated team serving both the Providence St. Peter Hospital and the ... Providence Centralia Hospital. This is a unique and elevated Physician Advisor role where you will function...with securing authorizations and conducting peer to peer conversations with payors * Provide physician … more
- CommonSpirit Health (Houston, TX)
- …and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case ... to, governmental and commercial guidelines for reimbursement. + Conducts Peer to Peer discussions with payers as...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5… more
- Catholic Health Services (Roslyn, NY)
- …peer calls and advise on continued stay reviews that require additional Physician Advisor input. Knowledge of appeals process and necessary documentation ... experience as a member of the UM oversight committee or past Physician Advisor experience preferred. Ability to travel to the various Catholic Health locations.… more
- 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
