- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... University Medical Center. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of… more
- Hackensack Meridian Health (Hackensack, NJ)
- **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... and Hackensack UMC. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of… more
- Hackensack Meridian Health (Hackensack, NJ)
- **The Per Diem Advanced Practice Nurse (APN) or Physician Assistant (PA) for the Transition Utilzation Review Team utilizes a patient-centered coordinated care ... Knowledge, Skills and Abilities Required: 1. Successful completion of an approved physician 's assistant program, accredited by the AMA Council on Medical Education.… more
- Catholic Health Initiatives (Lexington, KY)
- …to assisting in the review of specific cases recognizes and trends Patterns of Physician utilization and communicates patterns and trends to the Utilization ... **Job Summary and Responsibilities** As a Physician Advisor, you will promote evidence-based medical care and appropriate hospital resource utilization ,… more
- Dana-Farber Cancer Institute (Boston, MA)
- …targeted physicians, office staff, and other key referral sources to increase physician utilization within a defined geographic territory. Striving to ... issue resolution workflow as needed, to capture, maintain, or increase physician utilization and ensure that internal and external obstacles to business growth… more
- Ascension Health (Georgetown, TX)
- …hospital setting (Adult Medicine Hospitialist experience preferred), preferably with some Physician Advisory/ Utilization Management work experience. If you are ... **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Remote (with some on-site prescense required) +… more
- Ascension Health (Jacksonville, FL)
- …5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to ... **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Hybrid (frequently on site) + **Call Schedule:** No… more
- The County of Los Angeles (Los Angeles, CA)
- …of Hospitals' utilization review standard. Under the direction of a physician member of the Utilization Review Committee, the incumbent is responsible ... UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply...by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician … more
- ChenMed (Miami, FL)
- …to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our ... organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this… more
- Nuvance Health (Danbury, CT)
- …Provides physician leadership and expertise related to appropriate utilization /level of care (LOC) and appropriate clinical documentation. Provides oversight for ... to lead standardization of policy, procedure and approach to physician advisor roles in utilization management, ,...and approach to physician advisor roles in utilization management, , documentation and denials/downgrades. * Serves as… more
- CommonSpirit Health (Englewood, CO)
- **Job Summary and Responsibilities** **This is a remote position** As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews ... 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 preferred. + Minimum of 5 years of… more
- HCA Healthcare (Nashville, TN)
- …and effective engagements. **Key responsibilities** + Integrating and coordinating physician advisors to identify/assess initiatives to improve utilization ... systems/processes for physicians to be involved in clinical resource utilization /selection + Manage communication, survey development, physician engagement,… more
- HCA Healthcare (Brentwood, TN)
- …as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + Have strategic and ... eligible. **Introduction** Do you have the career opportunities as a **Director of Physician Resource Group** you want with your current employer? We have an… 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 ... system's objectives for assuring quality patient care and effective and efficient utilization of health care services. This individual meets with case management and… more
- HCA Healthcare (Richmond, VA)
- …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... 156,000 hours impacting our communities. As a Director of Physician Services II with HCA Healthcare, you can be...medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services… more
- St. Peters Health (Helena, MT)
- …with the MD advisor or physician consultant(s) on any cases sent for physician review. 4. Performs daily utilization reviews on all patients admitted the day ... The Utilization Management RN reports directly to Utilization...reviews according to UR work plan and follow-up with physician consultants. 13. Confirm admission diagnosis and correct admission… more
- Trinity Health (Des Moines, IA)
- …paid malpractice, and a 403B match. **Essential Job Details** : . Lead physician -driven clinical resource utilization program, and work with MercyOne Leadership ... Full time **Shift:** **Description:** **MercyOne** is seeking a dynamic, board-certified Physician with Inpatient experience for a newly opened but established role… more
- Alameda Health System (Oakland, CA)
- …for patients, improve the quality of patient care and maximize the efficient utilization of physician and hospital resources. Report to departmental leadership ... Emergency Medicine Physician + Oakland, CA + Highland General Hospital...Equity, and Inclusion in the recruitment and training of physician workforce who reflect our community. Participate as a… more
- BJC HealthCare (St. Louis, MO)
- …questions, provide 'trade off' opportunities, and assist with quantifying savings of utilization changes in physician practice. + Integrate into existing ... experience) **Additional Information About the Role** BJC HealthCare is seeking a Product Utilization Manager to join our team to assist with the operating room and… more
- HCA Healthcare (Hendersonville, TN)
- …affairs. + Serves as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization , and quality profiling. Serves as a member of ... quality management and promote optimum patient experience. Major Responsibilities: Physician Alignment: + Leads clinical performance expectations that support the… more