- Wellstar Health System (Marietta, GA)
- …denials, but will not have any expanded quality improvement roles. Utilization Management : The PRN Physician Advisor (PA) will conduct clinical review ... Responsibilities and Essential Functions: The PRN Physician Advisor (PA) will work closely with Utilization ... Advisor (PA) will work closely with Utilization management team to provide timely consultation… more
- Community Health Systems (Statesboro, GA)
- …and discharge planning. Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. ... clinical nursing experience required 3-5 years of experience in care management or utilization review required 1-3 years of leadership experience in a healthcare… more
- Community Health Systems (Bentonville, AR)
- … of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee. Identifies avoidable hospital days ... place to live! Job Summary The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities under… more
- UnitedHealth Group (Latrobe, PA)
- …requirement which is covered remotely. Preferred Qualifications: Board Certified / Eligible Physician Advisor and or Utilization Review experience At ... enter the new and growing non-clinical practice specialty of Physician Advisor within a facility setting. This...across our organization by communicating with hospital physicians and utilization management staff at client hospitals to… more
- South Shore Health (Weymouth, MA)
- …that fail to meet criteria and refers these cases to appropriate manager or physician advisor for secondary review. c - Contacts attending physicians daily on ... status of patient. Refers the questionable status to internal physician advisor or EHR according to the...resources, patient care processes, and data analysis. Knowledge of utilization management as it relates to third… more
- Advocate Aurora Health (Oak Lawn, IL)
- …trends related to care management activities with Director of Inpatient Care Management Operations, Physician Advisor and site Medical Staff Leadership ... to ensure high quality, cost effective coordinated care. Works collaboratively with Physician Advisor (s) on challenging cases, removing barriers to discharge.… more
- University of Southern California (Los Angeles, CA)
- …of Case Management Assistants. *Makes appropriate referrals to Physician Advisor , communicating accurate clinical information. *Participates in InterQual ... The RN case manager role integrates the functions of utilization management , quality management , discharge...3 working days of patient discharge. *Notifies director and physician advisor timely of patients who do… more
- Tenet Healthcare Corporation (Detroit, MI)
- …responsibility. As directed, implements external and internal audit recommendations. Engages physician advisor to facilitate care decisions, as needed. Maintains ... 2.Three to five years clinical nursing experience. 3.Two years experience in utilization management , case management or discharge planning in an acute care… more
- Beth Israel Lahey Health (Needham, MA)
- …and leadership for Utilization Review, working closely with HIM and Case Management , chairing UR committee and reviewing and signing off Code 44 cases in real ... and administrative affairs related to health care delivery and medical staff management of patient care while providing a visible, institutional commitment to… more
- Advocate Aurora Health (Milwaukee, WI)
- …and implementing and reporting care coordination, discharge planning and utilization management (UM) activities. Collaborates with managers, physicians, ... for the patient's plan of care. Refers cases to physician advisor as needed to ensure efficient...hospital staff regarding admission status and acute care criteria, utilization management issues, care coordination and discharge… more
- Oxford Global Resources (Dallas, TX)
- …Experience: Minimum five (5) years of experience in either clinical nursing, case management , Inpatient Coding, Utilization Review, Physician Assistant or ... The CDI Coding Specialist uses clinical knowledge to serve as an advisor to providers and staff regarding complete and accurate documentation supporting services… more
- GRIFOLS, SA (Cincinnati, OH)
- …countries and regions. Overview: The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key products ... within the Bleeding Management product portfolio with a primary responsibility for the...Build relationships in institutions aligned with customer segmentation. Develop physician influencer champions to submit and approve P&T requests… more
- Nuvance Health (Poughkeepsie, NY)
- …case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within ... and at a minimum the case manager reviews observation cases daily. 3. Utilizes physician advisor to interface with physicians as needed. 4. Collaborates with the… more
- Tenet Health (Commerce Township, MI)
- …include the following activities: a) accurate LOS screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment ... to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to… 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...with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management… more
- Catholic Health Services (Melville, NY)
- …and presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. Supervises ... an educational program. Collaborates with management in recruiting new Catholic Health Physician Advisor hires. Trains new Physician Advisor hires.… more
- CommonSpirit Health (Englewood, CO)
- **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or ... of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters...such as Joint Operating Committee (JOC), as requested by Utilization Management or Care Management .… more
- CommonSpirit Health (Houston, TX)
- …is a remote position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case ... 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 preferred. + Minimum of 5… more
- Community Health Systems (Gadsden, AL)
- … of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee. + Identifies avoidable hospital ... Part-Time role **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities… more
- Community Health Systems (Bentonville, AR)
- … of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee. + Identifies avoidable hospital ... place to live! **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities… more
