- CHRISTUS Health (Wake Village, TX)
- …of care , resource utilization, payor practices, and documentation. Escalates to Physician Advisor or CMO when discrepancies are present. * Performs the ... the best course of action for the patient, the physician , and the hospital by working closely with facility...and weekend support to the entire hospital from a Care Management standpoint to include facilitating discharges… 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
- Hartford HealthCare (Wethersfield, CT)
- …Medicine * Experience: At least five years of acute care clinical experience. Physician advisor experience (Utilization Management and Clinical Resource ... *Exciting Opportunity for Physician Advisor Clinical Resource Management...restrictive and least costly environment. The Physician Advisor ensures the highest quality patient care … more
- Munson Healthcare (Traverse City, MI)
- …governing medical necessity, continuing care , discharge planning, and documentation. The Physician Advisor functions as a peer to physicians and a consultant ... Munson Healthcare serving as a resource to the Patient Care Management (PCM)/Utilization Management (UM)/Clinical...in Case Management ( APLCOM) preferred. + Physician Advisor Sub-Specialty Certification by the American… 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
- Penn Medicine (Philadelphia, PA)
- …organization's goals and objectives for assuring the effective and efficient utilization of health care services. The Physician Advisor is a physician ... Are you living your life's work? **Summary:** + The Physician Advisor is a key member of...serving the hospital through teaching, consulting, and advising the care management and utilization review departments and… 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
- 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 ...and resource management areas of Integrated Case Management including mentoring/coaching care coordinators, utilization review… 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
- HCA Healthcare (Nashville, TN)
- …work environment where diversity and inclusion thrive? Submit your application for our Physician Advisor Coordinator opening with Parallon today and find out ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...benefits may vary by location._** We are seeking a Physician Advisor Coordinator for our team 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
- Houston Methodist (Houston, TX)
- …positive outcomes and ensures physician accountability for efficient patient care management . Communicates to medical staff leaders (eg, department chairs, ... At Houston Methodist, the Physician Advisor is responsible for teaching,...to discuss needs of patients and alternative levels of care . Provide consultation to case management staff… 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 ... **Overview** 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
- 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
