• CDI Physician Advisor

    Penn Medicine (Philadelphia, PA)
    …Monument Road, Bala Cynwyd, PA Hours: M-F, 8hr days, hybrid Summary: + The CDI Physician Advisor is a key member of the healthcare organization's leadership team ... administrative (approximately 80%) with a clinical component (approximately 20%).The CDI Physician Advisor will act as a resource and liaison between our… more
    Penn Medicine (10/17/25)
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  • Physician Advisor

    R1 RCM (Jenkintown, PA)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... this remote position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues: authorization requested,… more
    R1 RCM (10/24/25)
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  • Regional Medical Director

    UPMC (Media, PA)
    …+ Develops and maintains effective relationships with providers. + Serves as physician advisor for UPMC Passavant McCandless and UPMC Passavant Cranberry ... would join a highly educated and motivated team of physician advisors at CCBHO who advocate well for the...agencies with regard to psychiatric services. + Serve as advisor to quality departments from a regional perspective. +… more
    UPMC (11/06/25)
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  • Clinical Resource Coordinator - Full Time Day…

    Penn Medicine (Philadelphia, PA)
    …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician Advisor Discharge planning activities: timely coordination of home… more
    Penn Medicine (11/07/25)
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  • RN Utilization Management - System Care Management…

    Guthrie (Sayre, PA)
    …based tools and peer-reviewed journals. + Provides clinical denial management assistance to Physician Advisor and denials team. + Ensure compliance with all ... (UM) in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, payers, and the Guthrie Clinic health system business office,… more
    Guthrie (11/11/25)
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  • Clinical Resource Coordinator BSN RN affiliate…

    Penn Medicine (Philadelphia, PA)
    …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician AdvisorDischarge planning activities: timely coordination of home care, DME,… more
    Penn Medicine (11/06/25)
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  • RN, Case Manager (Part time), Forbes

    Highmark Health (Monroeville, PA)
    …for denial trends with the care coordination teams, performance improvement teams, physicians/ physician advisor and third party payers. + Maintains a working ... knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as an educational resource to all AHN staff regarding utilization review practice and… more
    Highmark Health (11/11/25)
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  • Medical Director - North Central

    CVS Health (Harrisburg, PA)
    …of clinical experience Previous UM experience with a Health Plan / Payor/ Physician Advisor in a Healthcare system. Board Certification in Internal Medicine, ... Family Medicine, Emergency Medicine or Med / Peds Preferred. **Education:** Medical Doctor or Doctor of Osteopathic Medicine **Pay Range** The typical pay range for this role is: $174,070.00 - $374,920.00 This pay range represents the base hourly rate or base… more
    CVS Health (11/10/25)
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  • Clin Resource Coord ED at HUP Cedar

    Penn Medicine (Philadelphia, PA)
    …work? Determines the medical necessity of proposed admission using InterQual, referral to Physician Advisor , and/or use of clinical judgment, the purpose of ... which is not only to determine medical necessity of admission but also to work to decompress Emergency Department Census real time. In addition, role includes coordination of swift discharge plan to move patient in the ED to the appropriate level of care given… more
    Penn Medicine (10/28/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …assignment of documented medical care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by ... RAC/MIC/QIO and other governmental or commercial payor auditors in retrospective reviews for DRG and documentation or coding-related issues. + Develop and apply appeal arguments and draft appeal letters to support and defend the codes assigned by the coding… more
    St. Luke's University Health Network (10/28/25)
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  • Case Management Manager - UPMC

    UPMC (Washington, PA)
    …Assists with management of departmental budget. + Collaborates with Director, Medical Director/ Physician Advisor and staff to ensure effective processes and ... systems are established and maintained to meet department goals. + Participates in leadership development. + Functions as a resource person for the care management and denial management processes. + Coordinates daily flow of the department (this includes… more
    UPMC (10/10/25)
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  • Physician Assistant- Trauma Surgery

    Geisinger (Wilkes-Barre, PA)
    …. Act as a patient advocate in the medical care system serving as confidant, advisor , and liaison between the patient and physician . Position Details + Assesses ... track of pertinent procedure and laboratory results, discusses with physician , and returns call to family and patient regarding...of patient and family. + Discusses plan with the physician and relays information to the family and patient.… more
    Geisinger (08/21/25)
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  • Nurse Practitioner or Physician Assistant…

    Geisinger (Dickson City, PA)
    …will ultimately be an advocate in the medical care system serving as confidant, advisor , and liaison between the patient and physician . Location: Living in ... This individual will perform, under the responsibility and supervision of the physician , diagnostic and therapeutic tasks to establish a diagnosis and to plan… more
    Geisinger (09/01/25)
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  • Physician Assistant or Nurse Practitioner…

    Geisinger (Wilkes-Barre, PA)
    …APP will ultimately be an advocate in the medical care system serving as confidant, advisor , and liaison between the patient and physician . Job Duties + Performs ... This individual will perform, under the responsibility and supervision of the physician , diagnostic and therapeutic tasks to establish a diagnosis and to plan… more
    Geisinger (09/12/25)
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  • Physician Assistant or Nurse Practitioner…

    Geisinger (Danville, PA)
    …will ultimately be an advocate in the medical care system serving as confidant, advisor , and liaison between the patient and physician . Location: Living in ... This individual will perform, under the responsibility and supervision of the physician , diagnostic and therapeutic tasks to establish a diagnosis and to plan… more
    Geisinger (09/28/25)
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  • Critical Care Nurse Practitioner…

    Geisinger (Scranton, PA)
    Job Summary Geisinger Community Medical Center is seeking a Physician Assistant or an Acute Care Nurse Practitioner to join our skilled team of critical care ... 7pm-7am + Serve in a collaborative role with the physician and staff in assessing needs, planning and providing...patient advocate in the medical care system as confidant, advisor and liaison between patients, families and physicians +… more
    Geisinger (09/19/25)
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  • Physician Assistant or Nurse Practitioner…

    Geisinger (Danville, PA)
    …as a patient advocate in the medical care system as confidant, advisor , and liaison between patients, families and physicians. Opportunities for continued education, ... of collaboration, cooperation and collegiality. Position Details Education Bachelor's Degree- Physician Assistant (Required), Master's Degree- Physician Assistant (Preferred)… more
    Geisinger (11/15/25)
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  • Critical Care Nurse Practitioner…

    Geisinger (Wilkes-Barre, PA)
    Job Summary Geisinger Wyoming Valley Medical Center is actively seeking a Physician Assistant or Nurse Practitioner to join our dynamic critical care team. This is ... improvement initiatives + Serve as a patient advocate, liaison, and trusted advisor for patients and families + Moonlighting opportunities available for additional… more
    Geisinger (10/16/25)
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  • Physician Assistant or Nurse Practitioner…

    Geisinger (Lewistown, PA)
    …function as a patient advocate in the medical care system as confidant, advisor , and liaison between patients, families and physicians. The Advanced Practitioner in ... of collaboration, cooperation, and collegiality. Position Details Education Bachelor's Degree- Physician Assistant (Required), Master's Degree- Physician Assistant (Preferred)… more
    Geisinger (10/09/25)
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  • Physician Faculty (part time) - College…

    Lake Erie College of Osteopathic Medicine (Erie, PA)
    Physician Faculty (part time) - College of Medicine...(COM); + Serve on committees, as assigned and as advisor to assigned students and student club; + Work ... America Category: Education Employment Status: Part-time Description JOB SUMMARY: Physician Faculty members are well versed and experienced in...that may be required as a member of the Physician Faculty from time to time: + Serve as… more
    Lake Erie College of Osteopathic Medicine (11/07/25)
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