- 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
- WMC Health (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 ... Job Details: Job Summary: The Physician Advisor is responsible for developing...ensuring physician support and execution of for Utilization Management and Documentation strategies and processes.… more
- Medstar Health (Columbia, MD)
- …program development Review critical cases referred by utilization review and case management teams Guide your physician advisor team with best practices ... System Medical Director of Physician Advisor Services MedStar Health is...in developing performance metrics that improve length of stay management and resource utilization throughout our enterprise.… more
- Trinity Health (Silver Spring, MD)
- …from 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 parking, employee… more
- Dignity Physician Careers (Carmichael, CA)
- …hospital or office environment (Required). 2+ years of work experience as a Physician Advisor (Preferred). Membership in the American College of Physician ... a leading Level 2 Trauma Center in Sacramento, CA, is seeking a dedicated and experienced Physician Advisor to join our team and play a pivotal role in shaping… more
- Alameda Health System (Oakland, CA)
- SUMMARY: The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate use of healthcare resources while ... observation, outpatient). 3. Expeditiously refer cases to the internal/external Physician Advisor for review of requests that...of fresh staff as requested by the Manager of Utilization Management . 17. Maintains knowledge of current… more
- Sharp HealthCare (La Mesa, CA)
- …competency and individual development planning process. Maintain current knowledge of case management , utilization management , and discharge planning, as ... and provides information to the department head as indicated. Utilization review and utilization management ... venues. Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.… more
- HEALTH FIRST CAREERS (Palm Bay, FL)
- …plan goals. Works collaboratively and maintains active communication with physicians, nursing, physician advisor , and other members of the interdisciplinary care ... in a acute care hospital. Knowledge/Skills/Abilities: Knowledge of care transitions, utilization management , case management , performance improvement and… more
- GRIFOLS, SA (Phoenix, AZ)
- …than 110 countries and regions. 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
- Baptist Health (Alabaster, AL)
- …include assessing patients' risk factors and the need for care coordination, clinical utilization management and the transition to the next appropriate level of ... to: o Accurate medical necessity screening and submission for Physician Advisor review o Care coordination that...related to admission and continued stay approval. *Adheres to Utilization Management Plan. *Integrates National standards for… more
- Valley Presbyterian (Los Angeles, CA)
- …level of customer satisfaction in the most cost-effective manner. Responsible for Utilization Management , Case Management , and Discharge planning activities ... acute setting, with Critical Care experience desirable. Previous experience in Case Management , Utilization Management , or Discharge Planning preferred.… more
- Generis Tek, Inc. (Gainesville, FL)
- …in the development and implementation of critical pathways. Utilizes computer support and physician advisor to determine potential outliers (length of stay and ... need to know and understand the medical needs for patient Certification in Case Management , Nursing or Utilization Review is preferred Florida RN license and/or… more
- Baptist Memorial Health Care Corporation (Memphis, TN)
- …healthcare insurance providers in response to post-claim denials received by BMHCC. Physician Advisor communication may be necessary to provide further clinical ... and escalation options outside the formal appeal process. Works closely with physician advisor for assistance with medically complex case appeals, hearings,… 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
- UnitedHealth Group (Los Angeles, CA)
- …optimize program success in collaboration with other programs, such as hospital utilization management and claims adjudication teams Collaborate with IT partners ... Participate in other Value Innovation programs, as assigned Change Management Participate in the cross collaboration with regional care...review (DRG, UM, PA) or prior role as hospital physician advisor Experience as a hospitalist *All… more
- Tenet Health (Manteca, CA)
- …national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention Transition ... the following activities: Accurate medical necessity screening and submission for Physician Advisor review, Care coordination, Transition planning assessment and… more
- VISITING NURSE dba Stillwater Hospice (Bluffton, IN)
- …Retirement Plan for all employees with no cost access to a Financial Advisor and a strong Company Match for full-time employees. Shift Incentive Pay, Performance ... procedures. Delivers nursing care to patients, which includes pain/symptom management , teaching, providing direct care, case management ,...on an ongoing basis. Follows orders from the patient's physician and informs the physician and other… 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
