- Sutter Health (Sacramento, 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
- 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 (Chattanooga, TN)
- …the organization's goals and objectives for assuring the effective, efficient utilization of health care services. The Physician Advisor is a physician ... of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty Certification by the American Board of… more
- Trinity Health (Silver Spring, MD)
- …and CDI. Provides oversight for other Physician Advisors. Engages physicians in care coordination, care progression , care consistency and CDI ... **Employment Type:** Full time **Shift:** **Description:** **Position Title: Lead Physician Advisor ** **Employment Type: Exempt** **What We Offer:** Competitive… 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 (Burlingame, 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
- 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 (West Islip, 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
- Munson Healthcare (Traverse City, MI)
- …to readmission or psychosocial risk factors. + Consults with physician advisor as necessary to resolve progression -of- care barriers through appropriate ... The Patient Care Manager facilitates progression -of- care ;...placement. + Utilizes the Program Manager, Director and Medical Advisor as expert advisors to gain insights in dealing… more
- Hackensack Meridian Health (North Bergen, NJ)
- …present. + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + Performs ... and serve as a leader of positive change. The ** Care Coordinator, Utilization Management** is a member of the...day. + Refers cases not meeting criteria to the physician advisor or designated vendor for determination… 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
- 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 (Houston, 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
- Nuvance Health (Poughkeepsie, NY)
- …Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider ... the case manager reviews observation cases daily. 3. Utilizes physician advisor to interface with physicians as...outcomes. Communicates and coordinates with the patient/family and health care team to Intervene when progression is… more