• Medical Director of Utilization

    Henry Ford Health System (Detroit, MI)
    …a physician . + Previous experience as Director of Utilization Review or Physician Advisor preferred. CERTIFICATIONS/LICENSURES REQUIRED: + Michigan ... The Medical Director of Utilization Review is responsible for the...a timely manner 9. Code 44s - UM committee physician concurrent statement. CMS Conditions of Participation 10. Lead… more
    Henry Ford Health System (11/06/24)
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  • Physician Advisor

    Catholic Health Initiatives (Chattanooga, TN)
    …for assuring the effective, efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, ... American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician ... Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty Certification by the American… more
    Catholic Health Initiatives (11/03/24)
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  • Physician Advisor (MD/DO)

    Munson Healthcare (Traverse City, MI)
    … Advisors ( ACPA), American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP), or American Physician Leaders in Case Management ( ... Lead your peers to success as a Munson Physician Advisor GENERAL SUMMARY The Munson...Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. ORGANIZATION… more
    Munson Healthcare (10/16/24)
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  • Physician Advisor Clin Res Mgm…

    Hartford HealthCare (Wethersfield, CT)
    … colleagues on utilization standards and trends. . Adhere to minimum Physician Advisor shift coverage requirements. . Communicate directly with the attending ... Review cases identified in need of second level physician review for level of care determinations...Experience: At least five years of acute care clinical experience. Physician advisor experience ( Utilization Management… more
    Hartford HealthCare (10/22/24)
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  • Physician Advisor

    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 advising the care management and utilization review departments and the hospital leadership. The Physician... review departments and the hospital leadership. The Physician Advisor shall possess and/or develop expertise… more
    Penn Medicine (10/01/24)
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  • Physician Advisor

    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
    Houston Methodist (09/17/24)
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  • Physician Advisor

    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
    WMCHealth (10/08/24)
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  • Physician Advisor

    Dignity Health (Prescott, AZ)
    …with facility utilization initiatives (ie leverage the leadership influence of Physician Advisor by mobilizing other physicians and staff). Provide education ... www.yrmc.org #hellohumankindness **Responsibilities** **Position Summary:** Reporting to our CMO, the Physician Advisor plays a critical role in promoting… more
    Dignity Health (10/13/24)
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  • Physician Advisor

    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...to Health referrals and cases as needed. + Provides Physician Advisor support to all WellSpan entities… more
    WellSpan Health (10/18/24)
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  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure ... hospitals objectives, and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides the… more
    Mohawk Valley Health System (09/18/24)
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  • Physician Advisor

    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 more
    Premier Health (11/07/24)
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  • Physician Advisor Denials Management

    CommonSpirit Health (Sacramento, CA)
    …out in the community. **Responsibilities** **This is a remote position.** **Summary** The Utilization Management Physician Advisor II conducts clinical case ... and understanding of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters and other… more
    CommonSpirit Health (09/20/24)
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  • Physician Advisor

    AdventHealth (Orlando, FL)
    …of clinical documentation, patient safety, and quality outcomes. The Physician Advisor is responsible for providing clinical review of utilization , ... **FT** **Shift** : **Days** **The role you'll contribute:** The Onsite Physician Advisor provides primary support for Care Management (CM) and Clinical… more
    AdventHealth (10/31/24)
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  • Physician Advisor Coordinator

    HCA Healthcare (Nashville, TN)
    …opportunity compelling, we encourage you to apply for our Physician Advisor Coordinator opening. We promptly review all applications. Highly qualified ... work environment where diversity and inclusion thrive? Submit your application for our Physician Advisor Coordinator opening with Parallon today and find out… more
    HCA Healthcare (11/09/24)
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  • Utilization Review RN

    Billings Clinic (Billings, MT)
    …from Medicare (IMM). Follows department procedures and policies for Condition Code44, Physician Advisor review , and HINN processes Documents Avoidable ... to provide additional clinical information supporting status or LOC, escalate case to the physician advisor for second level review as early as possible… more
    Billings Clinic (11/05/24)
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  • Physician Advisor -Pediatrics

    Ascension Health (Austin, TX)
    **Details** + **Postition:** Physician Advisor -Pediatrics + **Schedule:** Full-time + **Hospital:** Ascension Seton + **Location:** Austin, TX **Benefits** Paid ... Ascension Texas seeks a Board-certified Pediatrician to serve as a full-time Physician Advisor . In this role, the candidate will provide medical… more
    Ascension Health (10/29/24)
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  • Physician Advisor

    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
    Trinity Health (08/16/24)
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  • Utilization Review Specialist - PRN

    Munson Healthcare (Traverse City, MI)
    …not support hospital level of care to offer alternatives. + Refers cases to the Physician Advisor when documentation is inadequate to support acute level of care ... progression of care. + Consults with case manager and/or physician advisor as necessary to resolve progression-of-care...payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? +… more
    Munson Healthcare (11/09/24)
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  • Physician Advisor

    Ascension Health (Chicago, IL)
    **Details** + **Department:** Physician Advisor , Administration + **Schedule:** Full-time + **Hospital:** Ascension St. Joseph's Chicago (Lakeshore Drive) + ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Provide medical direction in… more
    Ascension Health (11/06/24)
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  • Utilization Review Nurse Supervisor…

    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
    The County of Los Angeles (09/30/24)
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