- 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
- AdventHealth (Altamonte Springs, FL)
- …outcomes. Through primary support of Utilization Management, the Physician Advisor is responsible for providing clinical review of utilization , ... Altamonte Springs, FL **The role you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support… 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
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting, and advising the case management department, clinical documentation ... is a key member and leader of the hospital's utilization review /management committee, which is charged with...of healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews… 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
- Catholic Health Services (Melville, NY)
- …UR department, and presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. ... Initiatives Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical… 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
- 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
- Catholic Health Services (Roslyn, NY)
- …of hospitalization, LOC status, LOS management, continued stay decisions, clinical review of patients, utilization review activities, resource ... advice, and quality issues. Maintains knowledge of government regulations related to utilization review , transition planning, billing, and managing patients and… 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 (Englewood, CO)
- **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
- 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
- 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
- Hackensack Meridian Health (Neptune City, 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
- Ascension Health (Hoffman Estates, IL)
- …time of the offer._ **Responsibilities** **Position Highlights** Ascension St. Alexius is looking for a Physician Advisor to join our team. We are looking for a ... **Details** + **Specialty** : Physican Advisor + **Schedule:** Full Time | Onsite +...work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. This… more
- Ascension Health (Jacksonville, FL)
- …time of the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a ... 5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to… more
- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... by reviewing payor peer-to-peer cases. Every day you will review cases for which authorization has been denied evaluating...position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues:… more
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