• Utilization Review, Management

    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
    Sutter Health (05/29/25)
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  • Physician Advisor Denials…

    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 (07/11/25)
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  • Physician Advisor

    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
    CommonSpirit Health (06/28/25)
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  • Medical Director Physician Advisor

    AdventHealth (Altamonte Springs, FL)
    …you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management (CM) ... safety, and quality outcomes. Through primary support of Utilization Management , the Physician Advisor is responsible for providing clinical review of … more
    AdventHealth (08/01/25)
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  • Coord Physician Adv Ops

    Covenant Health Inc. (Knoxville, TN)
    …monthly data report on each physician 's activities impacting Utilization Management activities. + Manages physician advisor reports and assists with ... Overview Physician Advisor Operations Coordinator, Revenue Integrity and Utilization...will perform activities to help facilitate utilization management functions related to the coordination of physician more
    Covenant Health Inc. (08/01/25)
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  • Physician , Chief of Inpatient Medicine

    Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
    …Experience supervising physicians and supporting utilization management as a Physician Utilization Management Advisor (PUMA) is preferred; Must ... L. Pettis Memorial Veterans Hospital is recruiting for a Full-Time, Permanent, Physician , Chief of Inpatient Medicine and reports directly to the ED-Inpatient… more
    Veterans Affairs, Veterans Health Administration (06/15/25)
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  • Physician (Psychiatry) - Section Chief

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    …Office (HRO), performs psychiatry Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure ... of mental health. Incumbent collaborates and participates with facility leadership and Utilization Management to ensure practices follow JC, CARF, and CO… more
    Veterans Affairs, Veterans Health Administration (07/03/25)
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  • Physician Advisor - Allegheny Health…

    Highmark Health (Pittsburgh, PA)
    …Physicians, Case Managers, UM nurses, and the hospital leadership team. The Physician Advisor is an integral part of the Utilization Management Committee ... Advisor works in concert with the admitting physician , Case Management , and other hospital personnel,...appeal letters and participates in data collection activities for utilization management . + Receives daily report from… more
    Highmark Health (06/19/25)
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  • Physician Advisor

    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 ... improvement of a hospital's utilization management , regulatory compliance, quality assurance, revenue...and process improvement metrics for facility, UM/Medical Staff, and Physician Advisor program. + Communicate facility feedback… more
    Catholic Health Initiatives (06/15/25)
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  • Director Physician Advisor

    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
    Catholic Health Services (06/27/25)
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  • Physician Advisor

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting, and advising the case management department, clinical ... of healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews...actively participates in defining operational strategic objectives for the Utilization Management Program and serve as the… more
    Houston Methodist (07/05/25)
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  • Physician Advisor

    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
    WMCHealth (05/22/25)
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  • Physician Advisor

    Dignity Health (Carmichael, CA)
    …of the Department of Care Coordination's utilization and compliance activities. The Physician Advisor may report directly to the VP Medical Affairs, Chief ... **Responsibilities** ** Physician Advisor - Champion Quality Care...State of California. + Certification in Health Care Quality Management (HCQM) **Licensure:** + Physician License in… more
    Dignity Health (07/09/25)
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  • CDI Physician Advisor

    Sutter Health (Emeryville, CA)
    …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's ... 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
    Sutter Health (08/02/25)
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  • Physician Advisor

    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 ... hospitals objectives, and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides the… more
    Mohawk Valley Health System (07/09/25)
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  • Physician Advisor

    Trinity Health (Silver Spring, MD)
    …Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization /level of care (LOC), ... **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits, Free… more
    Trinity Health (07/18/25)
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  • Physician Advisor

    Catholic Health Services (Roslyn, NY)
    …peer-to-peer calls and advise on continued stay reviews that require additional Physician Advisor input. Knowledge of appeals process and necessary documentation ... Prepares for and participates in (or ideally, leads) monthly Utilization Management (UM) Committee. Documents patient care...a member of the UM oversight committee or past Physician Advisor experience preferred. Ability to travel… more
    Catholic Health Services (06/27/25)
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  • Physician Advisor

    AdventHealth (Orlando, FL)
    …and serves as a resource to Medical Staff colleagues regarding best practices, Utilization Management and Care Management structures, and functions and ... productive internal/external relationships with all physicians and constituents of Utilization Management , Care Management and...Regulations . Two years or greater experience as a Physician Advisor . Three years of leadership… more
    AdventHealth (05/15/25)
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  • Physician Advisor

    CommonSpirit Health Mountain Region (Salt Lake City, UT)
    …must be located in or willing to relocate to the Salt Lake City Area._ _The Physician Advisor reports directly to the Medical Director Physician Advisor ... assigned sites. This position provides support to the facility Utilization Management Committees, medical staff, UM Hub,...Committees or administrative roles, preferred. + Experience as a Physician Advisor in the acute care setting… more
    CommonSpirit Health Mountain Region (07/29/25)
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  • Physician Advisor

    Dignity Health (Carmichael, CA)
    …hospital or office environment (Required). + 2+ years of work experience as a Physician Advisor (Preferred). + Membership in the American College of Physician ... enhance the clinical credibility of the Care Coordination Department's utilization and compliance activities. + Participate in an annual...in Sacramento, CA, is seeking a dedicated and experienced Physician Advisor to join our team and… more
    Dignity Health (06/14/25)
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