- AdventHealth (Orlando, FL)
- …contribute:** The Onsite Physician Advisor provides primary support for Care Management (CM) and Clinical Documentation Integrity (CDI) and serves as a ... responsible for educating, informing and advising members of the, Care Management , Clinical Documentation, Managed Care...outpatient care /observation stays and referral services. The Physician Advisor is an important contact for… 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 and satisfaction and to promote continuity of care and cost effectiveness through the integrating and functions...meetings to develop and implement a hospital wide capacity management strategy. Alert hospital leaders and care … more
- Catholic Health Services (Melville, NY)
- …standard system-wide implementation plans and policies. Works with system Care Management (CM) leadership and Catholic Health Physician Advisors (as needed) ... presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. Supervises the… more
- CommonSpirit Health (Sacramento, CA)
- …the community. **Responsibilities** **This is a remote position.** **Summary** The Utilization Management Physician Advisor II conducts clinical case reviews ... need for continued hospital stay, adequacy of discharge planning and quality care management . + Understands the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS-DRG,… 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 ... **Overview** The Physician Advisor is a key member...serving the hospital through teaching, consulting, and advising the care management and utilization review departments, medical… more
- Alameda Health System (San Leandro, CA)
- …do not meet criteria; coordinates denials with the attending physician and the Care Management physician advisor ; prepares case reports; documents ... Care Management Clinical Appeals Specialist +... Care Management Clinical Appeals Specialist + San Leandro, CA...guidelines; refers questionable cases to the CM Manager or physician advisor for determination. 3. Collaborates and… more
- Houston Methodist (The Woodlands, TX)
- …positive outcomes and ensures physician accountability for efficient patient care management . Communicates to medical staff leaders (eg, department chairs, ... your CV to Rob Henges - ###@houstonmethodist.org and reference " Physician Advisor - The Woodlands" in the...to discuss needs of patients and alternative levels of care . Provide consultation to case management staff… 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 ... billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of...days or the assigned/estimated GMLOS + Partner with the care management team with the management… more
- Premier Health (Dayton, OH)
- Position: Physician Advisor Dept: Physician Advisors Shift: Full Time 8am - 5pm / 40 hours per week with option to maintain support clinical skills Premier ... us and be part of a team committed to inspiring better health. The Physician Advisor provides leadership for efficiently managing resource and utilization to… more
- WellSpan Health (York, PA)
- Physician Advisor Location: WellSpan Medical Group, York, PA Schedule: PRN/Per Diem General Summary Provides direct supervision of case management and ... opportunities for process and content improvement within the Case Management workflow, patient care and discharge planning....to Health referrals and cases as needed. + Provides Physician Advisor support to all WellSpan entities… more
- Dignity Health (Prescott, AZ)
- …www.yrmc.org #hellohumankindness **Responsibilities** **Position Summary:** Reporting to our CMO, the Physician Advisor plays a critical role in promoting ... align with facility utilization initiatives (ie leverage the leadership influence of Physician Advisor by mobilizing other physicians and staff). Provide… more
- Novant Health (Winston Salem, NC)
- …organization's goals and objectives for assuring the effective, efficient utilization of health care services. The Physician Advisor will have the ... Job Summary Novant Health is looking for a System Physician Advisor to join their Safety &...necessity, appropriate levels of care post discharge, care progression, denial management pertaining to post-acute… more
- Catholic Health Services (Melville, NY)
- …peer-to-peer calls and advise on continued stay reviews that require additional Physician Advisor input. Knowledge of appeals process and necessary documentation ... for and participates in (or ideally, leads) monthly Utilization Management (UM) Committee. Documents patient care reviews,...a member of the UM oversight committee or past Physician Advisor experience preferred. Ability to travel… more
- Prime Healthcare (Joliet, IL)
- …Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Physician Advisor (PA) ... clinical reviews on cases referred by data quality staff, care management staff, and/or other health ... physician in California Preferred qualifications: 1. Prior Physician Advisor Experience desired 2. Additional education/training… more
- Ascension Health (Austin, TX)
- **Details** + **Postition:** Physician Advisor -Pediatrics + **Schedule:** Full-time + **Hospital:** Ascension Seton + **Location:** Austin, TX **Benefits** Paid ... seeks a Board-certified Pediatrician to serve as a full-time Physician Advisor . In this role, the candidate...role, the candidate will provide medical direction in the care management , clinical documentation improvement, coding, quality… 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...necessary . Review cases to determine appropriate level of care based on medical necessity, and apply regulatory, health… more
- Alameda Health System (Oakland, CA)
- …cases do not meet criteria. Escalates to the attending physician , and the Care Management physician advisor of any concurrent denials.Prepares case ... Nurse, Care Management + Oakland, CA +...Nurse, Care Management + Oakland, CA + Highland General Hospital...guidelines; refers questionable cases to the CM Manager or physician advisor for determination. 3. Takes appropriate… more
- Ascension Health (Chicago, IL)
- **Details** + **Department:** Physician Advisor , Administration + **Schedule:** Full-time + **Hospital:** Ascension St. Joseph's Chicago (Lakeshore Drive) + ... for additional specifics._ **Responsibilities** Provide medical direction in the care management , clinical documentation improvement, coding, quality and/or… more
- R1 RCM (Salt Lake City, UT)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... documentation was available for the admission status, procedure, and care setting that was requested. You will also advise...position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues:… more
- Baylor Scott & White Health (Temple, TX)
- …financial plans of the organization, working autonomously. + This particular financial advisor will work solely on physician and advanced practice provider ... + Knowledge or working with physician compensation is a plus As a health care system committed to improving the health of those we serve, we are asking our… more