- Intermountain Health (Trenton, NJ)
- **Job Description:** Physician will provide Physician Advisor Utilization Reviewer and Central Appeals Work services. Physician shall engage, ... as an expert and local resource to hospital Case Management Department and Medical Staff on issues relating to... Utilization Review ("UR") Committee and provide Regional Physician Advisor Educators information to be shared… more
- CommonSpirit Health (Englewood, CO)
- **Job Summary and Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case ... of necessary documentation. + 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 (Englewood, CO)
- **Job Summary and Responsibilities** **This is a remote position** 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
- Virginia Mason Franciscan Health (Tacoma, WA)
- …regulatory compliance, and utilization management (including LOS). 4. The Physician Advisor should discuss his/her role with the Hospital CMO, or similar ... over and under- utilization of resources. 2. The Physician Advisor should be a key member...* Act as physician liaison between case management / utilization management and providers to… more
- CareFirst (Baltimore, MD)
- …years clinical practice experience. **Preferred Qualifications:** + Experience in utilization management or served as physician advisor for ... **Resp & Qualifications** **PURPOSE:** The Medical Director oversees all activities of utilization review, care management and quality to determine the medical… more
- Carle Health (Champaign, IL)
- …Officer and works with our Utilization Management RN team, Clinical Denials Management team and the Physician Advisor Team which is comprised of five ... responsible for conducting clinical case reviews referred by the Utilization Management Team, the Case Management...clinical denials management . + The Behavioral Health Physician Advisor is also expected to onboard… more
- Penn Medicine (Philadelphia, PA)
- …for assuring the effective and efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, ... and utilization review departments and the hospital leadership. The Physician Advisor shall possess and/or develop expertise on matters regarding … more
- Nuvance Health (Danbury, CT)
- …to lead standardization of policy, procedure and approach to physician advisor roles in utilization management , , documentation and denials/downgrades. ... and physicians throughout the organization. * Manages processes, policies, workflows and overall management of the physician advisor role within the… more
- Catholic Health Initiatives (Lexington, KY)
- **Job Summary and Responsibilities** As a Physician Advisor , you will promote evidence-based medical care and appropriate hospital resource utilization , ... designated Quality Review Organization and external Medical Directors. The Physician Advisor in addition to assisting in...utilization and communicates patterns and trends to the Utilization Management Committee and other Medical Staff… more
- Sutter Health (Oakland, 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
- Mohawk Valley Health System (Utica, NY)
- …hospitals objectives, and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides the ... PHYSICIAN ADVISOR Department: CASE MGMT Job...medical/clinical knowledge. + Expertise in, or willing to learn utilization management , state/federal regulations, private payer contracts.… more
- Atlantic Health System (Summit, NJ)
- …Program in Utilization Review), Institute for Healthcare Improvement courses, or physician advisor training from the American College of Physician ... Atlantic Health is Seeking a Physician Advisor in Summit, New Jersey... Utilization Review Physicians), AAPL (American Association for Physician Leadership's Physician in Management … more
- Penn Medicine (Philadelphia, PA)
- …Monument Road, Bala Cynwyd, PA Hours: M-F, 8hr days, hybrid Summary: + The CDI Physician Advisor is a key member of the healthcare organization's leadership team ... (approximately 80%) with a clinical component (approximately 20%).The CDI Physician Advisor will act as a resource...and all areas of clinical documentation improvement, CEQI, denials management , coding, utilization management to… more
- Hackensack Meridian Health (Neptune City, NJ)
- ** Physician Advisor at Jersey Shore University Medical Center** NEPTUNE CITY, NJ - Jersey Shore University Medical Center, a leading academic medical center and ... to join our team in the vital role of Physician Advisor . This unique opportunity allows you...your growth. **Responsibilities:** + Lead and mentor the Care Management team to optimize resource utilization and… more
- Ascension Health (Austin, 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… more
- CommonSpirit Health (Salt Lake City, UT)
- …must be located in or willing to relocate to the Salt Lake City Area._ The Physician Advisor reports directly to the Medical Director Physician Advisor ... assigned sites. This position provides support to the facility Utilization Management Committees, medical staff, UM Hub,...Committees or administrative roles, preferred. + Experience as a Physician Advisor in the acute care setting… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Hybrid (frequently on site) + **Call ... **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We...work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work… more
- MaineGeneral Health (Augusta, ME)
- Job Summary:Provides clinical leadership and strategic support in utilization management (UM) and clinical documentation improvement (CDI), ensuring regulatory ... physician , (MD or DO) for the role of Physician Advisor . In this role, the individual...will: + Provide clinical leadership and strategic support in utilization management (UM) and clinical documentation improvement… more
- UCLA Health (Los Angeles, CA)
- …management , ancillary services utilization and clinical documentation improvement. The Physician Advisor reviews clinical cases to provide a physician ... Description The Physician Advisor provides physician ...Experience, Skills and Abilities: * Five years of hospital utilization management experience, with demonstrated success in… more
- Provider Solutions & Development (Mission Hills, CA)
- Providence Holy Cross Medical Center is seeking a Physician Advisor /UM Medical Director to join a strong leadership team promoting high-value care in Mission ... improving mission outcomes. You will work closely with the physician leadership, the Director of Care Management ,... experience required + Must have working knowledge of utilization management and review essential to operations… more