- Sutter Health (Modesto, CA)
- …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the ... under-utilization of resources, medical necessity, documentation best practices, level of care progression , denial management and compliance with governmental… more
- Virginia Mason Franciscan Health (Burien, WA)
- …while ensuring high levels of healthcare quality and acceptable levels for the cost of care . 3. The Physician Advisor will conduct clinical reviews on cases ... We are seeking a physician with leadership experience interested in our new Physician Advisor position. This position will work with our St. Anne Hospital in… more
- Penn Medicine (Philadelphia, PA)
- …Monument Road, Bala Cynwyd, PA Hours: M-F, 8hr days, hybrid Summary: + The CDI Physician Advisor is a key member of the healthcare organization's leadership team ... (approximately 80%) with a clinical component (approximately 20%).The CDI Physician Advisor will act as a resource... practice patterns, CDI, Coding, medical necessity, levels of care , care progression , denial management,… 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 ... each day. Are you living your life's work? The Physician Advisor is a key member of...over and under-utilization of resources, medical necessity, levels of care , care progression , denial management,… 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 ... billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of...(RAC's). + Assist with mitigating barriers to discharge and care progression . + Perform concurrent review of… more
- UCLA Health (Los Angeles, CA)
- …clinical cases to provide a physician perspective towards decisions on care coordination, patient status, care progression , patient access ... Description The Physician Advisor provides physician ...leadership and clinical expertise related to coordination of patient care , length of stay and level of care… more
- UNC Health Care (Smithfield, NC)
- …(including physicians, other care providers, and payors), and assesses the patient care progression from acute care episode through post discharge for ... data into the correct computer system in a timely manner. Consults with Physician Advisor as necessary to resolve barriers through appropriate administrative and… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …Fosters integration and strong collaborative partnerships with nursing, quality, hospitalist, physician advisor , other physician leadership in supporting ... interventions, denial prevention related to medical necessity through proactive progression of care and addressing barriers to...post-acute providers and staff to ensure seamless transitions of care . + Partners with physician leader to… more
- University of Southern California (Arcadia, CA)
- …social work intervention based on department criteria. + Refers cases and issues to physician advisor in compliance with department procedures and follows up as ... care team and are documented as necessary to ensure continuity of care . + Ensures/maintains plan consensus from patient/family, physician , and payer. +… more
- Beth Israel Lahey Health (Boston, MA)
- …plan of care . Escalate deviations from the plan to the Physician Advisor as appropriate. Possesses effective verbal and written communication, ... business day of admission/bed placement and each day throughout the stay to facilitate care progression to establish an anticipated length of stay and transition… 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 Leadership. Identify potential and actual care progression concerns for incoming patients, and route concerns to the appropriate care team… more
- CommonSpirit Health (Phoenix, AZ)
- …of federal, state and payer regulatory and contract requirements. + Previous Physician Advisor / Care Management or equivalent experience. Excellent ... practice patterns, over and under-utilization of resources, medical necessity, levels of care , care progression , compliance with governmental and private… more
- Hartford HealthCare (Manchester, CT)
- …and documents findings based on department policy/procedure; refers appropriate cases to Physician Advisor for recommendation(s). * Ensures order in chart/EMR ... 3 years' experience in case management, discharge planning, and/or progression of care in the acute- care...regulations for continued stay. * Escalates review timely to physician advisor timely for lack of medical… more
- Nuvance Health (Danbury, CT)
- …discharge plan of care . Escalate deviations from the plan to the Physician Advisor as appropriate.15.Completes clear and concise documentation of the care ... to have post-acute needs and every 1-2 days throughout their stay to facilitate care progression to establish an anticipated length of stay and transition… more
- Nuvance Health (Carmel, NY)
- …discharge plan of care . Escalate deviations from the plan to the Physician Advisor as appropriate. 15. Completes clear and concise documentation of the ... and every 1-2 days throughout their stay to facilitate care progression to establish an anticipated length...resources needed to facilitate successful transitions. 4. Navigates the care delivery system while collaborating with the physician… more
- Mount Sinai Health System (New York, NY)
- …and refers cases to the physician advisor to support timely progression of patients along the continuum of care and (appropriate) discharge planning. i. ... patients to determine the appropriateness of the Level of Care , assist in the development of the plan of...criteria to justify continued inpatient stay. c. Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment… more
- Tenet Healthcare (Detroit, MI)
- …level of care per Tenet policy. Oversees submission of cases to Physician Advisor review to ensure timely referral, follow up and documentation. Implements ... processes to prevent payer disputes, f) develops and provides physician education and feedback on hospital utilization, g) ensures...and the healthcare team relevant to the o Effective progression of care , o Appropriate level of… more
- East Boston Neighborhood Health Center (Revere, MA)
- …health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or part of ... NeighborHealth is vital. Together, we're advancing medicine and delivering the best care experience for our patients and community! Interested in this position?… more
- Houston Methodist (Houston, TX)
- …review teams to facilitate efficient use of resources and seeks assistance from the Physician Advisor when necessary. Informs management of the possible need for ... of utilization review functions through point of entry, observation progression of care management, concurrent review and...physician and all members of the interprofessional health care team to facilitate care and communication… more
- Nuvance Health (Poughkeepsie, NY)
- …Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider ... the case manager reviews observation cases daily. 3. Utilizes physician advisor to interface with physicians as...outcomes. Communicates and coordinates with the patient/family and health care team to Intervene when progression is… more