- 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
- 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
- Houston Methodist (The Woodlands, TX)
- …send a copy of your CV to Rob Henges - ###@houstonmethodist.org and reference " Physician Advisor - The Woodlands" in the subject line._** At Houston Methodist, ... the Physician Advisor is responsible for teaching, consulting,...is a key member and leader of the hospital's utilization review /management committee, which is charged with… more
- Catholic Health Services (Melville, NY)
- …UR department, and presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. ... Initiatives Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical… more
- 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
- 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
- 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
- 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
- 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
- Catholic Health Services (Melville, NY)
- …of hospitalization, LOC status, LOS management, continued stay decisions, clinical review of patients, utilization review activities, resource ... advice, and quality issues. Maintains knowledge of government regulations related to utilization review , transition planning, billing, and managing patients and… more
- 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
- 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
- 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
- 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
- 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
- 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
- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues:...supported by documentation. + Make phone contact with the utilization review team and/or case managers at… 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 ... by reviewing payor peer-to-peer cases. Every day you will review cases for which authorization has been denied evaluating...position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues:… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …in inpatient level of care. Referral of cases with questionable medical necessity to Physician Advisor for determination. + Review clinical and diagnostic ... benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting optimal… 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