- Catholic Health Services (Port Jefferson, NY)
- …peer-to-peer calls and advise on continued stay reviews that require additional Physician Advisor input. Knowledge of appeals process and necessary documentation ... experience as a member of the UM oversight committee or past Physician Advisor experience preferred. Ability to travel to the various Catholic Health locations.… more
- Nuvance Health (Danbury, CT)
- …prioritize improvement efforts, and negotiate with payers for fair reimbursement. * * Physician Advisor Collaboration:* Collaborate with the physician ... advisor (PA) group and leader to ensure processes and goals are aligned; including peer-to-peer results, observation rates, observation conversion rates, medical necessity outreach, and feedback to the utilization review team on denial outcomes. *… more
- Nuvance Health (Danbury, CT)
- …Forwards reviews that require secondary physician review to appropriate resource ( Physician Advisor ) 13) Coordinates with care team in changing LOC/Status, ... The purpose of the Utilization Management Nurse is to support the physician , the interdisciplinary team, and organization with the underlying objective of enhancing… more
- Adecco US, Inc. (New Haven, CT)
- …In this client-facing, remote-based role, you will work directly with physician offices and manufacturer partners to resolve reimbursement challenges and deliver ... landscapes and available support services. The FRM acts as a trusted advisor and key liaison between healthcare providers, specialty pharmacies, and internal patient… more
- Quinnipiac University (Hamden, CT)
- …& Immunology and diagnostic medical sonography and graduate majors in physician assistant studies, occupational therapy, physical therapy, social work, biomedical ... + Support curriculum development and evaluation. + Serve as an academic faculty advisor and mentor to students. + Participate in faculty development opportunities. +… more
- Quinnipiac University (Hamden, CT)
- …& Immunology and diagnostic medical sonography and graduate majors in physician assistant studies, occupational therapy, physical therapy, social work, biomedical ... + Support curriculum development and evaluation. + Serve as an academic faculty advisor and mentor to students. + Participate in faculty development opportunities. +… more