- Ochsner Health (New Orleans, LA)
- …Come make a difference at Ochsner Health and discover your future today!** The Physician Advisor (PA- Utilization Management) serves as the physician leader ... (2) Board Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty… more
- Sutter Health (Sacramento, CA)
- …health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of resources, medical ... Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …Mental Health services on various Medical Center committees; serving as the back-up Physician Utilization Management Advisor (PUMA) for Mental Health; assists as ... West Palm Beach VA Medical Center is seeking a Physician (Psychiatry) to serve as an Intensive Community Mental...Service, will oversee many aspects of mental health resource utilization , such as use of psychotropic medications and mental… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …with consulting specialty services is required; Experience supervising physicians and supporting utilization management as a Physician Utilization Management ... L. Pettis Memorial Veterans Hospital is recruiting for a Full-Time, Permanent, Physician (Hospitalist) Chief and reports directly to the Service Chief of Emergency… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …performs psychiatry Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure compliance. Coordinates and ... Health & Behavioral Science Service is seeking an experienced and dynamic Physician (Psychiatry) Section Chief. Ideal applicants are those who want to contribute… more
- Ascension Health (Hoffman Estates, IL)
- …of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. This position reports directly ... the offer._ **Responsibilities** **Position Highlights** Ascension St. Alexius is looking for a Physician Advisor to join our team. We are looking for a Physician… more
- Ascension Health (Baltimore, MD)
- …5 years of recent experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experince. This position reports to the ... the offer._ **Responsibilities** **Position Highlights:** Ascension St. Agnes is looking for a Physician Advisor to join our team. We are looking for a Physician… more
- Ascension Health (Jacksonville, FL)
- …5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to ... the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a Physician… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Physician Advisor Operations Coordinator, Revenue Integrity and Utilization PRN/OCC, Variable Hours, Day Shift Covenant Health Overview: Covenant Health ... utilization management functions related to the coordination of physician advisor related activities. Prepares necessary documentation for insurance … more
- The County of Los Angeles (Los Angeles, CA)
- …of Hospitals' utilization review standard. Under the direction of a physician member of the Utilization Review Committee, the incumbent is responsible ... UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply...by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician … more
- ChenMed (Miami, FL)
- …to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our ... organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this… more
- Beth Israel Lahey Health (Plymouth, MA)
- …and identifies trends/root causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. + ... a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time**...and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you will:** +… more
- Sutter Health (Berkeley, CA)
- …to justify acute hospital admission, need for continued stay, and proper utilization of physician , nursing, and ancillary services. Responsible for concurrent ... for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with hospital… more
- CommonSpirit Health (Houston, TX)
- …position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred ... 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 years of… 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 health ... hospital's objectives for assuring quality patient care and effective and efficient utilization of health care services. This individual meets with case management… more
- HCA Healthcare (Brentwood, TN)
- …as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + Have strategic and ... eligible. **Introduction** Do you have the career opportunities as a **Director of Physician Resource Group** you want with your current employer? We have an… more
- HCA Healthcare (Gainesville, FL)
- …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... colleagues invested over 156,000 hours impacting our communities. As a Director of Physician Services II with HCA Florida North Florida Hospital, you can be a… more
- Alameda Health System (Oakland, CA)
- …for patients, improve the quality of patient care and maximize the efficient utilization of physician and hospital resources. Report to departmental leadership ... AHMG Emergency Medicine Physician + Oakland, CA + Alameda Health Medical...Equity, and Inclusion in the recruitment and training of physician workforce who reflect our community. Participate as a… more
- Bon Secours Mercy Health (Richmond, VA)
- … executive leadership and support to medical staff includes oversight of physician utilization , compliance, leadership development, and physician relations. ... Officer (Dotted Line to Hospital President)** The VPMA serves as senior hospital physician and as a member of senior leadership team. Provides leadership and… more
- BJC HealthCare (St. Louis, MO)
- …questions, provide 'trade off' opportunities, and assist with quantifying savings of utilization changes in physician practice. + Integrate into existing ... **Additional Information About the Role** BJC HealthCare is seeking a Product Utilization Manager to assist with nursing and lab supplies. Ideal candidates will… more
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