- Sutter Health (Oakland, 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 ... under-utilization of resources, medical necessity, documentation best practices, level of care progression , denial management and compliance with governmental… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …while ensuring high levels of healthcare quality and acceptable levels for the cost of care . 3. The Physician Advisor will conduct clinical reviews on cases ... We are seeking a physician with leadership experience interested in our new Physician Advisor position. 1. The Physician Advisor serves the… more
- Penn Medicine (Philadelphia, PA)
- …Monument Road, Bala Cynwyd, PA Hours: M-F, 8hr days, hybrid Summary: + The CDI Physician Advisor is a key member of the healthcare organization's leadership team ... (approximately 80%) with a clinical component (approximately 20%).The CDI Physician Advisor will act as a resource... practice patterns, CDI, Coding, medical necessity, levels of care , care progression , denial management,… more
- Penn Medicine (Philadelphia, PA)
- …organization's goals and objectives for assuring the effective and efficient utilization of health care services. The Physician Advisor is a physician ... each day. Are you living your life's work? The Physician Advisor is a key member of...over and under-utilization of resources, medical necessity, levels of care , care progression , denial management,… more
- Catholic Health Initiatives (Bismarck, ND)
- …of clinical practice experience. + Three years of experience as a Physician Advisor and/or other leadership experience in acute care settings with focus on ... focusing on accurate level-of- care determinations and efficient patient progression . + **Strategic Leadership:** Provide oversight of physician advisory… 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 ... billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of...(RAC's). + Assist with mitigating barriers to discharge and care progression . + Perform concurrent review of… more
- UCLA Health (Los Angeles, CA)
- …clinical cases to provide a physician perspective towards decisions on care coordination, patient status, care progression , patient access ... Description The Physician Advisor provides physician ...leadership and clinical expertise related to coordination of patient care , length of stay and level of care… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …Fosters integration and strong collaborative partnerships with nursing, quality, hospitalist, physician advisor , other physician leadership in supporting ... interventions, denial prevention related to medical necessity through proactive progression of care and addressing barriers to...post-acute providers and staff to ensure seamless transitions of care . + Partners with physician leader to… more
- Beth Israel Lahey Health (Boston, MA)
- …plan of care . Escalate deviations from the plan to the Physician Advisor as appropriate. Possesses effective verbal and written communication, ... business day of admission/bed placement and each day throughout the stay to facilitate care progression to establish an anticipated length of stay and transition… more
- University of Southern California (Arcadia, CA)
- …social work intervention based on department criteria. + Refers cases and issues to physician advisor in compliance with department procedures and follows up as ... care team and are documented as necessary to ensure continuity of care . + Ensures/maintains plan consensus from patient/family, physician , and payer. +… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …and collaborate with interdisciplinary teams, patients, and family to facilitate care progression . + Ensure post-acute follow-up appointments for identified ... and document communications relating to insurance requests, authorizations, denials and Physician Advisor status recommendations to the appropriate licensed… more
- Catholic Health Initiatives (Lexington, KY)
- …and collaborate with interdisciplinary teams, patients, and family to facilitate care progression . + Ensure post-acute follow-up appointments for identified ... and document communications relating to insurance requests, authorizations, denials and Physician Advisor status recommendations to the appropriate licensed… more
- UNC Health Care (Chapel Hill, NC)
- …situations of questionable clinical or administrative appropriateness per established guidelines to the Care Management Physician Advisor and/or Care ... Management Leadership. Identify potential and actual care progression concerns for incoming patients, and route concerns to the appropriate care team… more
- CommonSpirit Health (Phoenix, AZ)
- …of federal, state and payer regulatory and contract requirements. + Previous Physician Advisor / Care Management or equivalent experience. Excellent ... practice patterns, over and under-utilization of resources, medical necessity, levels of care , care progression , compliance with governmental and private… more
- Eastern Connecticut Health Network (Manchester, CT)
- …and documents findings based on department policy/procedure; refers appropriate cases to Physician Advisor for recommendation(s). + Ensures order in chart/EMR ... 3 years' experience in case management, discharge planning, and/or progression of care in the acute- care...regulations for continued stay. + Escalates review timely to physician advisor timely for lack of medical… more
- Nuvance Health (Danbury, CT)
- …discharge plan of care . Escalate deviations from the plan to the Physician Advisor as appropriate.15.Completes clear and concise documentation of the care ... to have post-acute needs and every 1-2 days throughout their stay to facilitate care progression to establish an anticipated length of stay and transition… more
- Nuvance Health (Carmel, NY)
- …discharge plan of care . Escalate deviations from the plan to the Physician Advisor as appropriate. 15. Completes clear and concise documentation of the ... and every 1-2 days throughout their stay to facilitate care progression to establish an anticipated length...resources needed to facilitate successful transitions. 4. Navigates the care delivery system while collaborating with the physician… more
- Houston Methodist (Houston, TX)
- …review teams to facilitate efficient use of resources and seeks assistance from the Physician Advisor when necessary. Informs management of the possible need for ... of utilization review functions through point of entry, observation progression of care management, concurrent review and...physician and all members of the interprofessional health care team to facilitate care and communication… more
- Tenet Healthcare (Detroit, MI)
- …level of care per Tenet policy. Oversees submission of cases to Physician Advisor review to ensure timely referral, follow up and documentation. Implements ... processes to prevent payer disputes, f) develops and provides physician education and feedback on hospital utilization, g) ensures...and the healthcare team relevant to the o Effective progression of care , o Appropriate level of… more
- Mount Sinai Health System (New York, NY)
- …and refers cases to the physician advisor to support timely progression of patients along the continuum of care and (appropriate) discharge planning. i. ... patients to determine the appropriateness of the Level of Care , assist in the development of the plan of...criteria to justify continued inpatient stay. c. Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment… more