- Ochsner Health (New Orleans, LA)
- …matters. Come make a difference at Ochsner Health and discover your future today!** The Physician Advisor (PA- Utilization Management ) serves as the ... and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty Certification by the American...Advisor role and responsibilities including topics related to Utilization Management , Care Management and… more
- 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 ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management… more
- Trinity Health (Silver Spring, MD)
- …Works to lead standardization of policy, procedure and approach to physician advisor roles in utilization management , length of stay, denials/downgrades. ... advisors and physicians throughout the organization. Manages processes, policies, workflows and overall management of the physician advisor role within the… more
- Catholic Health Services (Melville, NY)
- …and presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. Supervises ... an educational program. Collaborates with management in recruiting new Catholic Health Physician Advisor hires. Trains new Physician Advisor hires.… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or ... of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters...such as Joint Operating Committee (JOC), as requested by Utilization Management or Care Management .… more
- CommonSpirit Health (Houston, TX)
- …is a remote position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case ... care services. The PA communicates remotely with case and utilization management to discuss selected cases and...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …Office (HRO), performs psychiatry Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure ... of mental health. Incumbent collaborates and participates with facility leadership and Utilization Management to ensure practices follow JC, CARF, and CO… more
- Community Health Systems (Carlsbad, NM)
- …discharge planning. + Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. + ... clinical nursing experience required + 3-5 years of experience in care management or utilization review required + 1-3 years of leadership experience in a… more
- Highmark Health (Pittsburgh, PA)
- …Physicians, Case Managers, UM nurses, and the hospital leadership team. The Physician Advisor is an integral part of the Utilization Management Committee ... Advisor works in concert with the admitting physician , Case Management , and other hospital personnel,...appeal letters and participates in data collection activities for utilization management . + Receives daily report from… more
- Catholic Health Initiatives (Chattanooga, TN)
- …Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty Certification by the American Board of Quality ... solid foundation, knowledge, and/or experience in the areas of utilization management , quality improvement, and patient safety....efficient utilization of health care services. The Physician Advisor is a physician … more
- Catholic Health Initiatives (Omaha, NE)
- …for assuring the effective, efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, ... consulting, and advising the care management and utilization review departments, medical staff... Advisor shall develop expertise on matters regarding physician practice patterns, over and under- utilization of… more
- Catholic Health Initiatives (Bismarck, ND)
- …St. Alexius is looking for a Physcian Advisor to join the team! The Onsite Physician Advisor (PA) will serve as a physician leader and advocate for the ... improvement of a hospital's utilization management , regulatory compliance, quality assurance, revenue...and process improvement metrics for facility, UM/Medical Staff, and Physician Advisor program. + Communicate facility feedback… more
- WMCHealth (Valhalla, NY)
- …duties as assigned. Qualifications/Requirements: Experience: Experience as a CDI champion and/or Case management Physician Advisor or having 3-5 years as a ... Physician Advisor Company: WMC Advanced ...ensuring physician support and execution of for Utilization Management and Documentation strategies and processes.… more
- Trinity Health (Silver Spring, MD)
- …Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization /level of care (LOC), ... **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits, Free… 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 ... hospitals objectives, and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides the… 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 ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management… more
- WellSpan Health (York, PA)
- …Management staff. **Duties and Responsibilities** **Essential Functions:** + Renders utilization management determination in accordance with State and Federal ... external appeal-and funnel those cases to the Supervisor of Utilization Management for expedition. + Reviews cases...to Health referrals and cases as needed. + Provides Physician Advisor support to all WellSpan entities… more
- Catholic Health Services (West Islip, NY)
- …peer-to-peer calls and advise on continued stay reviews that require additional Physician Advisor input. Knowledge of appeals process and necessary documentation ... Prepares for and participates in (or ideally, leads) monthly Utilization Management (UM) Committee. Documents patient care...a member of the UM oversight committee or past Physician Advisor experience preferred. Ability to travel… 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 ... a difference. We are looking for a dedicated Manager Physician Advisor Coordination like you to be...will partner with multiple enterprise teams such as Case Management , Corporate Utilization Review Services (URS) team,… 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 ... in the teaching, consulting and advising of the care management and utilization review departments and hospital...Medical License + 1-2+ years of experience as a Physician Advisor or similar role + Ability… more