- UNC Health (Chapel Hill, NC)
- …data into the correct computer system in a timely manner. Consults with Physician Advisor as necessary to resolve barriers through appropriate administrative and ... improve the health and well-being of the unique communities we serve.RN Utilization Manager position specifically for a Utilization Manager/Clinical Appeals… more
- Beth Israel Lahey Health (Burlington, MA)
- …resource allocation - Serves as physician expert and provide support to utilization review team regarding utilization decisions pertaining to commercial ... lives.** Position Summary: Reporting directly to the Chief Medical Officer (CMO), the Physician Advisor will play an active role in optimizing healthcare… more
- St. Luke's University Health Network (Allentown, PA)
- …and/or physician queries + Serves as liaison between Physician Advisor /Medical Director, Finance, Utilization Review Department and CDCI. PHYSICAL ... of cases lost with feedback to respective departments + Conduct concurrent review with utilization review department for post op surgical cases with… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Physician Advisor is responsible for teaching, consulting, and advising the case management department, clinical documentation ... is a key member and leader of the hospital's utilization review /management committee, which is charged with...of healthcare quality and acceptable levels of cost. The Physician Advisor will conduct clinical reviews on… more
- WMCHealth (Valhalla, NY)
- Physician Advisor Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Allied Health Prof/Technical Department: Clinical Care Mgmt- ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26206) Internal Applicant link Job Details: Job Summary: The Physician Advisor is responsible for developing positive… more
- Hackensack Meridian Health (Holmdel, NJ)
- …Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty ... **Overview** ** Physician Advisor ** **Bayshore Medical Center** **Holmdel,...teaching, consulting and advising of the care management and utilization review departments and hospital leadership. +… more
- Nuvance Health (Danbury, CT)
- … advisor experience strongly preferred. Prior experience in hospital Utilization review , and/or MCG-Milliman and InterQual criteria, preferred. **Required ... Physician Advisor - Denial Management Location:...develop and maintain expertise in assessing inpatient medical necessity, utilization review and assignment of appropriate admission… more
- Sutter Health (San Francisco, CA)
- **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's leadership team ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- AdventHealth (Altamonte Springs, FL)
- …of clinical documentation, patient safety, and quality outcomes. The Physician Advisor is responsible for providing clinical review of utilization , ... **Schedule:** **FT** **Shift** : **Days** **The role you'll contribute:** The Onsite Physician Advisor provides primary support for Care Management (CM) and… more
- Ascension Health (Austin, TX)
- **Details** + **Postition:** Physician Advisor -Pediatrics + **Schedule:** Full-time + **Hospital:** Ascension Seton + **Location:** Austin, TX **Benefits** Paid ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension Texas seeks a… more
- Ascension Health (Birmingham, AL)
- **Details** ** Physician Advisor needed for Ascension St. Vincent's in Birmingham, AL** + **Schedule:** Full-time + **Hospital:** Ascension St. Vincent's + ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Provide medical direction in… more
- Trinity Health (Des Moines, IA)
- … with Inpatient experience for a newly opened but established role as a Physician Advisor . The ideal candidate will have served on Hospital committees or ... in other leadership capacities. The Physician Advisor must possess a team-building mindset...and a 403B match. Essential Job Details: . Lead physician -driven clinical resource utilization program, and work… more
- The County of Los Angeles (Los Angeles, CA)
- …Organization guidelines and the Joint Commission on Accreditation of Hospitals' utilization review standard. Under the direction of a physician member of the ... UTILIZATION REVIEW NURSE SUPERVISOR II Print...by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of … more
- Sharp HealthCare (San Diego, CA)
- …refers situations needing immediate intervention to UR Manager, Physician Advisor , as appropriate.Participate in system or site-level utilization review ... and internal transfer requests and direct admission requests. This position supports utilization review functions to ensure appropriate patient status and… more
- Sharp HealthCare (San Diego, CA)
- … Physician Advisor , as appropriate. Participate in system or site-level utilization review activities and projects as needed. Maintain a log and report ... the Utilization Manager (UM) II position supports utilization review functions to ensure appropriate patient...position ensures timely and proactive interaction with the admitting/attending physician , payer, physician advisor and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …tool to aid physicians/hospitalist in appropriate placement of patients. Consults with Physician Advisor as appropriate. + Provides training for staff along ... standards, and regulatory/payor requirements. The role integrates and coordinates utilization management, care coordination, discharge planning functions and performance… more
- Trinity Health (Boise, ID)
- … Excellence (MDDUE) is the lead provider for coordination and oversight of our Physician Advisor team and Clinical Documentation Improvement team. The MDDUE will ... will have at least 2 years experience as a Physician Advisor , and will have experience building...patients not meeting inpatient criteria. C. Participates in local Utilization Review Committee and be a member… more
- LA Care Health Plan (Los Angeles, CA)
- …determinations within required turnaround times specific to the case type. Identifies cases needing Physician Advisor (PA) review or input and presents for ... successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service,...physician review if indicated. Perform telephonic and/or on site admission… more
- Hackensack Meridian Health (Brick, NJ)
- …is present. + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + ... at Hackensack Meridian _Health_ includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …is present. + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + ... Hackensack Meridian Health may include: + Follows departmental workflows for utilization review activities including admission reviews, admission denials,… more
