• Physician Advisor

    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
    Catholic Health Initiatives (11/03/24)
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  • Physician Advisor - Houston…

    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,...patient care reviews, decisions, and other pertinent information per hospital / case management and clinical documentation policies policy.… more
    Houston Methodist (11/21/24)
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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 Case Management staff. Duties and Responsibilities Essential Functions: +...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)
    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
    Mohawk Valley Health System (09/18/24)
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  • Physician Advisor

    Health First (Melbourne, FL)
    *POSITION SUMMARY:* The Physician Advisor is a key member of the Health First Hospital Division, responsible for ensuring high-quality patient care and ... to make a significant contribution to patient health and hospital success. *PRIMARY ACCOUNTABILITIES:* 1. Conduct Case ...+ One or more years of experience as a Physician Advisor . o Certification: Certified Physician more
    Health First (11/25/24)
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  • Physician Advisor Denials Management

    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
    CommonSpirit Health (09/20/24)
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  • Manager, RN - In-Patient Hospital

    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
    Mount Sinai Health System (11/19/24)
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  • San Leandro Hospital Case Manager…

    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
    Alameda Health System (09/06/24)
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  • RN Case Manager: University Hospital

    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
    University of Michigan (11/09/24)
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  • Director Case Management

    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
    Brockton Hospital (09/14/24)
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  • RN Case Manager I - Sharp Memorial…

    Sharp HealthCare (San Diego, CA)
    …utilization management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee preparation, ... **Facility:** Sharp Memorial Hospital **City** San Diego **Department** **Job Status** Regular...**FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management… more
    Sharp HealthCare (11/24/24)
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  • Jr-913269 Clinical Care Manager - RN Care…

    Evolent Health (Columbus, OH)
    …+ Based on this assessment, and in conjunction with the patient, the patient's physician and other members of the population health team, create and implement a care ... point, advocate and resource for the patient, their family and their physician , building effective relationships through trust, respect and communication. + In close… more
    Evolent Health (11/08/24)
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  • Case Manager (Inpatient Units)

    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
    Ellis Medicine (11/17/24)
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  • Utilization Mgmt ED RN - Case Management…

    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
    Stanford Health Care (09/21/24)
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  • Staff Nurse- Case Manager- Mount Sinai…

    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
    Mount Sinai Health System (10/16/24)
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  • RN/ Case Manager-MSH- Case

    Mount Sinai Health System (New York, NY)
    …to reduce readmission rate. + Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum ... AHA Collective bargaining unit: NYSNA-MSH NYSNA at Mount Sinai Hospital , 329 - Case Management -...criteria to justify continued inpatient stay. + Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment… more
    Mount Sinai Health System (08/30/24)
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  • System Float Pool - Case Manager - PRN (36…

    Houston Methodist (Houston, TX)
    …external case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need ... Case Manager-PRN + 18 shifts in a 6...patient satisfaction. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional healthcare team… more
    Houston Methodist (09/24/24)
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  • Registered Nurse Case Manager Adult…

    Tenet Healthcare (Detroit, MI)
    …the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning ... of care based on Medical Necessity process and submits case for Secondary Physician review per Tenet...of acute hospital patient care experience. Acute hospital case management experience preferred. 3. License… more
    Tenet Healthcare (11/26/24)
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  • Physician -Newborn Hospitalist

    Ascension Health (Carmel, IN)
    …CPN and Sunrise Clinical Manager (SCM) + **Facility:** Peyton Manning Children's Hospital + **Location:** Indianapolis, Indiana This job location is not currently ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension St. Vincent is… more
    Ascension Health (10/03/24)
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  • AHD Case Manager RN

    Alameda Health System (Alameda, CA)
    …criteria - coordinates denials with the attending physician , and the UR physician advisor . Prepares case reports; documents treatment plan, progress ... Case Manager RN + Alameda, CA + Alameda Hospital + AH Care Coordination + Full Time -...of Medi-Cal, self-pay, and out-of-plan patients, including working with physician to determine readiness for transfer, securing placement and… more
    Alameda Health System (11/08/24)
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