- Catholic Health Initiatives (Chattanooga, TN)
- …of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty Certification by the American Board of ... Review Physicians, Inc. (ABQAURP) preferred. + Business Degree **Overview** The Physician Advisor is a key member of CHI Memorial's leadership team and… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Manager Physician Advisor Coordination? At Parallon, you come first. HCA Healthcare has committed up ... the opportunity to make a difference. We are looking for a dedicated Manager Physician Advisor Coordination like you to be a part of our team. **Job Summary and… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Physician Advisor provides clinical expertise and guidance to support case management, utilization review, and quality improvement ... ensure adherence to best practices, and support efficient resource utilization. The Physician Advisor also assists in compliance with regulatory standards and… 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 ... to be named a Forbes "Best Employer" seven times. Position Summary: The Physician Advisor Operations Coordinator will perform activities to help facilitate… more
- Baptist Memorial (Memphis, TN)
- …healthcare insurance providers in response to post-claim denials received by BMHCC. Physician Advisor communication may be necessary to provide further clinical ... options outside the formal appeal process. + Works closely with physician advisor for assistance with medically complex case appeals, hearings, or level… more
- Baptist Memorial (Memphis, TN)
- …healthcare insurance providers in response to post-claim denials received by BMHCC. Physician Advisor communication may be necessary to provide further clinical ... options outside the formal appeal process. + Works closely with physician advisor for assistance with medically complex case appeals, hearings, or level… more
- Sedgwick (Memphis, TN)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
- Sedgwick (Memphis, TN)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
- Travelers Insurance Company (Franklin, TN)
- …+ Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor , peer reviews, MCU). + Partner with Claim Professional ... to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome. + Utilize internal Claim Platform Systems to manage all claim activities on a timely basis. + Utilize Preferred Provider Network per… more
- Community Health Systems (Powell, TN)
- …and discharge planning. + Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. ... + Identifies avoidable days and implements communication systems to address and resolve them effectively. + Coordinates discharge planning and social services functions to ensure compliance with federal and state laws and Joint Commission standards. + Acts as… more
- Evolent (Nashville, TN)
- … Advisor will be primarily responsible for primary care physician IPA (Individual Practice Association and/or MSO (Management Services Organization) engagement ... more connected care journey. We are hiring for a Practice Performance Advisor to join our Provider Relations Team. **Collaboration Opportunities:** The Practice… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- …is for an Infectious Disease Physician who will be a member and advisor of the Infection Control Program at Mountain Home VAMC. The position is 80% clinical, ... center. Provides direct clinical supervision of advance practice nurses or physician assistants and other staff as appropriate. Establishes professional working… more
- HCA Healthcare (Nashville, TN)
- …OB **Job Summary:** TriStar Southern Hills is seeking a family medicine physician for a core faculty position within our community-based outpatient residency program ... administrative, and clinical care + Serve as a role model, mentor, and advisor to residents in the program + Participate in the selection, orientation, and… more
- Cardinal Health (Nashville, TN)
- …payors. The VP of Revenue and Payor Operations will be a seasoned leader and advisor , with proven experience in the Oncology physician office space. They will be ... Summary** Senior executive leader responsible for leading all aspects of Navista's Physician Office's revenue cycle, managed care and value based care programs and… more
- HCA Healthcare (Nashville, TN)
- …What you will do in this role: + Performs Outpatient Services ( Physician , Urgent Care Center, Free-standing Oncology Center, Imaging and Diagnostic Center) ... client engagement team. + Serves as a trusted business advisor by providing the client advice. + Provides input...need: + 6-8 years' experience (Outpatient Services Coding - Physician , Urgent Care, Oncology, or Diagnostic Imaging preferred) +… more
- Covenant Health Inc. (Knoxville, TN)
- …and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a ... at assigned facilities. Serves as the primary leader and advisor to hospital departments and administrative leadership in matters...in a timely manner. + Serves as the onsite advisor and liaison to all hospital departments and leadership… more
- Covenant Health Inc. (Knoxville, TN)
- …Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health ... result of internal or external changes. Involves extensive work with executive and physician leaders at the facility and corporate level. Functions as an integral… more
- Highmark Health (Nashville, TN)
- …and prospects, serving as a clinical subject matter expert (SME) and trusted advisor . Provide a value proposition that demonstrates clinical and financial value of ... stakeholders. **EDUCATION** **Required** + Bachelor's degree in Nursing, Pharmacist, Physician Assistant or Clinical field **Substitutions** + None **Preferred** +… more
- Covenant Health Inc. (Knoxville, TN)
- …and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a ... or external changes. The Service Line Consultant works extensively with executive and physician leaders at the facility and corporate level. It functions as an… more
- HCA Healthcare (Nashville, TN)
- …+ Understand mindsets, sentiment and key drivers of behavior for consumer, physician , colleague and other important industry audiences. + Utilizes quantitative and ... teams members (direct and indirect). Additional Core Responsibilities: + Serve as advisor and thought leader to internal business units on brand strategy, business… more