- Sutter Health (San Francisco, CA)
- …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's ... under-utilization of resources, medical necessity, documentation best practices, level of care progression , denial management and compliance with governmental… more
- Catholic Health Services (Melville, NY)
- …and standardize the implementation of CM processes and policies, as well as the Physician Advisor role, activities and expectations. Collaborates with CM and CDI ... to Physician Advisors through annual performance evaluation. Monitors Physician Advisor performance dashboard with Key Performance Indicators (KPIs).… more
- Catholic Health Initiatives (Omaha, NE)
- …the organization's goals and objectives for assuring the effective, efficient utilization of health care services. The Physician Advisor is a physician ... **Responsibilities** ** Physician Advisor ** **Location: Lakeside and Midlands...over and under-utilization of resources, medical necessity, levels of care , care progression , denial management,… more
- Mohawk Valley Health System (Utica, NY)
- PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on ... billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of...(RAC's). + Assist with mitigating barriers to discharge and care progression . + Perform concurrent review of… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits, Free ... distance from Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization/level of… more
- Sutter Health (Modesto, CA)
- …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the ... under-utilization of resources, medical necessity, documentation best practices, level of care progression , denial management and compliance with governmental… more
- Hackensack Meridian Health (Brick, NJ)
- **Hackensack Meridian Health** is seeking a dedicated Physician Advisor to join our team at Ocean University Medical Center. This role offers the opportunity to ... over and under-utilization of resources, medical necessity, levels of care , care progression , denial management,...Medical License + 1-2+ years of experience as a Physician Advisor or similar role + Ability… more
- Catholic Health Services (Roslyn, NY)
- …Details Duties and Responsibilities: Inpatient Clinical Optimization: Care Coordination, Progression , and Variation Serves as physician expert and provides ... Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service,...and advise on continued stay reviews that require additional Physician Advisor input. Knowledge of appeals process… more
- UCLA Health (Los Angeles, CA)
- …clinical cases to provide a physician perspective towards decisions on care coordination, patient status, care progression , patient access ... Description The Physician Advisor provides physician ...leadership and clinical expertise related to coordination of patient care , length of stay and level of care… more
- Beth Israel Lahey Health (Boston, MA)
- …plan of care . Escalate deviations from the plan to the Physician Advisor as appropriate. Possesses effective verbal and written communication, ... business day of admission/bed placement and each day throughout the stay to facilitate care progression to establish an anticipated length of stay and transition… more
- Children's Mercy Kansas City (Kansas City, MO)
- …denials for patient status and continued patient stays with Attending Physician , Physician Advisor , Inpatient Nurse Care Manager, and insurance/payer. + ... evaluate the medical plan, length of stay, avoidable days/delays and progression of care . Works collaboratively with Revenue Cycle to ensure authorizations and… more
- UNC Health Care (Chapel Hill, NC)
- … care and reimbursement + Interacts with the Interdisciplinary Team for patient care progression + Protects hospital revenue by working with payors for ... care providers, and payors), and assesses the patient care progression from acute care ...correct computer system in a timely manner. Consults with Physician Advisor as necessary to resolve barriers… more
- Swedish Health Services (Seattle, WA)
- …review to Case Management Department leadership, the Medical Director, or Physician Advisor . **Resource Management;** Assures prudent utilization of all ... clear and thorough documentation based on established department standards **Facilitation:** Facilitates the progression of care by advancing the care plan… more
- Catholic Health Initiatives (Bismarck, ND)
- …and collaborate with interdisciplinary teams, patients, and family to facilitate care progression . + Ensure post-acute follow-up appointments for identified ... **Responsibilities** The Care Coordination Assistant role is responsible for supporting...document communications relating to insurance requests, authorizations, denials and Physician Advisor status recommendations to the appropriate… more
- UNC Health Care (Raleigh, NC)
- …(including physicians, other care providers, and payors), and assesses the patient care progression from acute care episode through post discharge for ... data into the correct computer system in a timely manner. Consults with Physician Advisor as necessary to resolve barriers through appropriate administrative and… more
- CommonSpirit Health (Rancho Cordova, CA)
- …the facilities in the multiple assigned markets including but not limited to progression of care , social services, and discharge planning. + **Collaborative ... and departments such as Revenue Cycle, Payer Strategy, Community Health, Physician Enterprise Continuing Care , Quality, Performance Improvement, Ethics, and… more
- Virginia Mason Franciscan Health (Burien, WA)
- …and collaborate with interdisciplinary team, patients, and family to facilitate care progression . Ensure post-acute follow-up appointments for identified ... **Responsibilities** Job Summary: The Care Coordination Assistant role is responsible for supporting...and manage communications relating to insurance requests, denials and Physician Advisor status recommendations to the appropriate… more
- UNC Health Care (Chapel Hill, NC)
- …situations of questionable clinical or administrative appropriateness per established guidelines to the Care Management Physician Advisor and/or Care ... Management Leadership. Identify potential and actual care progression concerns for incoming patients, and route concerns to the appropriate care team… more
- Houston Methodist (The Woodlands, TX)
- …peer-peer discussions, and payer denial- appeal needs. Consults with physician advisor as necessary to resolve progression -of- care barriers through ... analyzing clinical protocols. + Escalates appropriate cases to the Physician Advisor (or services) for appropriate second...delays or avoidable days due to failure of the progression of the care process **FINANCE ESSENTIAL… more
- Tenet Healthcare (Detroit, MI)
- …include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition ... on Medical Necessity process and submits case for Secondary Physician review per Tenet policy. Ensures timely communication of...Coordination: Screens patients for factors that may affect the progression of care and intervenes as needed… more