- CHRISTUS Health (Wake Village, TX)
- …on levels 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...Works closely to coordinate and collaborate with the ED Case Manager regarding patient class, discharge planning from ED,… more
- Munson Healthcare (Traverse City, MI)
- … Physician Leaders in Case Management ( APLCOM) preferred. + Physician Advisor Sub-Specialty Certification by the American Board of Quality Assurance and ... Lead your peers to success as a Munson Physician Advisor GENERAL SUMMARY The Munson...physician practice and ultimately the practice of the hospital and healthcare system. ABOUT MUNSON HEALTHCARE Munson Healthcare… more
- Catholic Health Initiatives (Chattanooga, TN)
- …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 members, and the hospital leadership. The Physician Advisor ..., the categories of responsibility include: + Acute Inpatient Case Management Functions + Physician Support, Education… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Physician Advisor is responsible for teaching, consulting, and advising the case management department, clinical documentation ... of ensuring high levels of healthcare quality and acceptable levels of cost. The Physician Advisor will conduct clinical reviews on cases referred by case… more
- Penn Medicine (Philadelphia, PA)
- …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 and the hospital leadership. The Physician Advisor ...leadership, medical staff, and all areas of resource management, case management, social services, discharge planning, and utilization management… 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 ... utilization review activities performed by the WellSpan Case Management staff. Duties and Responsibilities Essential Functions: +...to Health referrals and cases as needed. + Provides Physician Advisor support to all WellSpan entities… 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 ... of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance… more
- WMCHealth (Valhalla, NY)
- …other duties as assigned. Qualifications/Requirements: Experience: Experience as a CDI champion and/or Case management Physician Advisor or having 3-5 years ... Physician Advisor Company: WMC Advanced ...to the utilization and resource management areas of Integrated Case Management including mentoring/coaching care coordinators, utilization review staff… more
- CommonSpirit Health (Sacramento, CA)
- …community. **Responsibilities** **This is a remote position.** **Summary** The Utilization Management Physician Advisor II conducts clinical case reviews ... the specialized Denials Management team. This individual meets with case management and health care team members to discuss...of documentation importance + Assists in communications of internal physician advisor services in the hospital… 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 ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Physician Advisor Coordinator for our team to ensure that we continue… more
- Mount Sinai Health System (New York, NY)
- …Managers, as warranted, to review medically complex and long stay cases; refer to physician advisor as indicated. 3. Collaborates with Social Work Supervisors to ... Case Management in providing ongoing education to Case Managers and other hospital personnel as...review medically complex and long stay cases: refer to physician advisor as required. 12. Collaborates with… more
- Alameda Health System (San Leandro, CA)
- San Leandro Hospital Case Manager RN, Full Time,...with the attending physician , and the UR physician advisor . Prepares case reports; ... and Util. Review. highly preferred and must have acute care hospital case management nurse experience. **Qualifications:** Education: Associates's degree… more
- University of Michigan (Ann Arbor, MI)
- …appropriate utilization management venues + Conducts referrals and consultation with Physician Advisor **Professional Development** + Actively participates in ... RN CASE MANAGER: University Hospital (Care Management)...of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary… more
- Brockton Hospital (Brockton, MA)
- …record review, denials, appeals and reconsideration hearings. Works closely with the physician advisor to proactively intervene in cases where utilization of ... as required or assigned. SUPERVISORY RESPONSIBILITY: Directly manages the case management team at Brockton Hospital and...manages the case management team at Brockton Hospital and Signature Medical Group QUALIFICATION REQUIREMENTS: + Must… more
- Sharp HealthCare (La Mesa, CA)
- …utilization management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee preparation, ... **Facility:** Grossmont Hospital **City** La Mesa **Department** **Job Status** Regular...Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case … more
- Hackensack Meridian Health (Hackensack, NJ)
- …to achieve continuous improvement in both areas. + Refers cases and issues to physician advisor in compliance with department procedures and follows up as ... including orders for CT and MRI. Refers variances to Physician Advisor . + Knowledgeable about Indigent Medication...on whiteboard in patient room. + Confirms with attending physician consultants have signed off case . +… more
- Ellis Medicine (Schenectady, NY)
- …prior to implementation of discharge plan + Collaborates and makes referrals to physician advisor when unable to resolve issues with attending physician ... preferred + Two years of inpatient experience in a hospital environment preferred. + Previous case management,...nurse or ancillary staff member. Make appropriate referral to physician advisor regarding trends/areas of concern +… more
- Stanford Health Care (Palo Alto, CA)
- …with physician advisors to ensure clinically sound and persuasive appeals. 5. Physician Advisor Collaboration: Engage with physician advisors on a ... with regulatory standards and achieve organizational goals. + Consult with the Physician Advisor to discuss complex cases, medical necessity, and strategies… more
- Mount Sinai Health System (New York, NY)
- …open and responsive to the diverse backgrounds and experience of others. * Liaison with Physician Advisor . 2. Case Management: * Assessment of the patient's ... **Job Description** The Case Manager is responsible for all aspects of...rate. * Appropriately identifies and refers cases to the physician advisor to support timely progression of… more
- Sutter Health (Berkeley, CA)
- …that chart documentation supports LOC determination and assignment. * Works with Physician Advisor and Attending Physicians to obtain necessary documentation to ... screening upon admission for all patients placed in a hospital bed and documents, either inpatient or Observation (OBS)...level of care. * Follows policies and procedures for Physician Advisor referrals. * Facilitates and expedites… more
