- 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...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- Beth Israel Lahey Health (Plymouth, MA)
- …trends/root causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. + Participate ... you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We Are:** At… more
- RWJBarnabas Health (Newark, NJ)
- …; support utilization review : Collaborate with physicians and the physician advisor in utilization review escalations, ensuring appropriate ... + Knowledge of state and federal regulations regarding case management, including utilization review , discharge planning, auditing, and scope of practice. +… more
- Ochsner Health (New Orleans, LA)
- …Assurance and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty Certification by the American Board of Quality Assurance ... at Ochsner Health and discover your future today!** The Physician Advisor (PA- Utilization Management) serves...and Utilization Review Physicians (ABQAURP) or (4) commitment… more
- Catholic Health Initiatives (Omaha, NE)
- …for assuring the effective, efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, ... consulting, and advising the care management and utilization review departments, medical staff members, and... Advisor shall develop expertise on matters regarding physician practice patterns, over and under- utilization of… more
- Catholic Health Initiatives (Chattanooga, TN)
- …Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty ... Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. +...efficient utilization of health care services. The Physician Advisor is a physician … more
- Highmark Health (Pittsburgh, PA)
- …Case Managers, UM nurses, and the hospital leadership team. The Physician Advisor is an integral part of the Utilization Management Committee and ... medical necessity and appropriateness of: admission to the hospital, utilization of observation status and services for those patients,...the bi-weekly Throughput Meeting. + The Physician Advisor needs to be able to review … more
- 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 ... + Extended Length of Stay (LOS) Rounds + Multidisciplinary Rounds + Utilization Review Committee Meetings + Clinical Documentation Improvement (CDI) Committee… more
- WMCHealth (Valhalla, NY)
- Physician Advisor Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Physicians Department: Clinical Care Mgmt- WMC Health Union: ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29449) Internal Applicant link Job Details: Job Summary: The Physician Advisor is responsible for developing positive… more
- Mohawk Valley Health System (Utica, NY)
- …level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure ... hospitals objectives, and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides the… more
- WellSpan Health (York, PA)
- **General Summary** Provides direct supervision of case management and utilization review activities performed by the WellSpan Case Management staff. **Duties ... + Is a member of and attends the monthly Utilization Review committee, identifies cases for ...to Health referrals and cases as needed. + Provides Physician Advisor support to all WellSpan entities… more
- 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
- Hackensack Meridian Health (Brick, NJ)
- …Utilization Review Physicians, Inc. (ABQAURP) is **preferred** . + Physician Advisor Sub-specialty Certification by the American Board of Quality ... **Hackensack Meridian Health** is seeking a dedicated Physician Advisor to join our team...teaching, consulting and advising of the care management and utilization review departments and hospital leadership. +… more
- AdventHealth (Orlando, FL)
- … Management/Medicare Regulations . Two years or greater experience as a Physician Advisor . Three years of leadership experience **LICENSURE, CERTIFICATION, ... services and appeals for denials. Provides guidance to clinical questions from Utilization Management staff involved in authorizations, concurrent review , and… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other ... and understanding of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters and other… more
- CommonSpirit Health (Houston, TX)
- …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 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… more
- 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 ... Staff and Hospital Committees or administrative roles, preferred. + Experience as a Physician Advisor in the acute care setting and/or the payer environment,… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our...Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission… more
- WMCHealth (Suffern, NY)
- Physician Advisor Company: Good Samaritan Hospital City/State: Suffern, NY Category: Physicians Department: Care Management Union: NO Position: Full Time Shift: ... Now External Applicant link Internal Applicant link Job Details: Summary: The Physician Advisor is responsible for developing positive relationships with both… more
- Hackensack Meridian Health (Manahawkin, NJ)
- …a highly motivated and experienced physician to join our team as a ** Physician Advisor ** . This vital role offers a unique opportunity to combine your ... outcomes. + Board Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) preferred. + Membership in the American… more
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