- Houston Methodist (Houston, TX)
- At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting, and advising the case management department, clinical ... of healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews...position will conduct clinical reviews on cases referred by case management and/or other healthcare professionals in… more
- Ascension Health (Georgetown, TX)
- **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Remote (with some on-site prescense ... Highlights** Ascension in Austin, TX is looking for a Physician Advisor to join our team. We...setting (Adult Medicine Hospitialist experience preferred), preferably with some Physician Advisory/ Utilization Management work experience. If… more
- Houston Methodist (The Woodlands, TX)
- … manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need for issuing ... PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated unit(s). This… more
- Erickson Living (Dallas, TX)
- …experience (medical/surgical, community health nursing, home health care) and/or 3 years case management and/or UR experience preferred. + Knowledge of health ... Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage...information about health care options, serves as guide and advisor to the patient and their family, and establishes… more
- HCA Healthcare (San Antonio, TX)
- …of care with physician . Refers cases not meeting acute care criteria to Physician Advisor as needed. + Facilitates and or provides education of hospital ... Minimum of 3 years RN experience, preferably experienced in area in which Case Management will be performed + Prefer at least one year experience in utilization… more
- HCA Healthcare (San Antonio, TX)
- …of care with physician . Refers cases not meeting acute care criteria to Physician Advisor as needed. + Facilitates and or provides education of hospital ... Minimum of 3 years RN experience, preferably experienced in area in which Case Management will be performed + Prefer at least one year experience in utilization… more
- HCA Healthcare (San Antonio, TX)
- …of care with physician . Refers cases not meeting acute care criteria to Physician Advisor as needed. + Facilitates and or provides education of hospital ... at least one year experience in utilization review, resource management , discharge planning or case management . Methodist Hospital Stone Oak is equipped… more
- UTMB Health (Galveston, TX)
- …improvement strategies for care management . + Partners with the Physician Advisor (s) for effective relationships with physicians, services, specialties, etc. ... # 2600060 **Summary:** **_The Director is accountable for the implementation of the case management program for Hospital Galveston as well as the Patient… more
- UTMB Health (Galveston, TX)
- …* Assesses, plans, implements, and evaluates patient needs, discharge planning and Case Management outcomes for patients and families. * Utilizes leadership ... Care Coordinator (RN) Care Management (Weekends) **Galveston, Texas, United States** **New** Nursing...and customer requests/needs * Partners with physicians and the Physician Advisor (s) to build and maintain effective… more
- Sedgwick (Irving, TX)
- …Lane Suite 125 Irving, TX 75063 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and ... and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability… more
- Texas Health Resources (Arlington, TX)
- … principles. Escalates issues to Chief Quality Medical Officer (CQMO), Physician Advisor , and/or Senior Director as appropriate. Fiscal Responsibility ... Master's Degree Preferred Experience 5 Years Directly related experience in hospital case management , demonstrating progressive developmental and management … more
- Sedgwick (Irving, TX)
- …external support and arranges referrals to vendors for services such as physician advisor reviews, surveillance, independent medical evaluations, and functional ... physician and employer.** **Escalates cases to the team lead or clinical case management for further review when appropriate.** **Builds and maintains… more
- Sedgwick (Irving, TX)
- …mental, physical, financial and professional needs. **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on medical ... and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability… more
- Wolters Kluwer (Houston, TX)
- …Support & Provider Solutions (CDSP) product portfolio. They serve as a trusted advisor for our largest and most strategic accounts and are responsible for optimizing ... mentors teammates in their growth and development. **RESPONSIBILITIES** + **Customer Relationship Management ** + Partner with Sales to build and maintain the health… more
- Adecco US, Inc. (Irving, TX)
- …benefit interpretation, and co-pay or patient assistance programs. Coordinate closely with case managers for resolution. + **Territory Management (10%)** - ... In this client-facing, remote-based role, you will work directly with physician offices and manufacturer partners to resolve reimbursement challenges and deliver… more