• Physician Advisor , Case

    Hackensack Meridian Health (Neptune, NJ)
    **Overview** Hackensack Meridian _Health_ is seeking a collaborative Physician Advisor to join our growing health network. The successful candidate will lead ... of the care management and utilization review departments and hospital leadership. + Collaborate with a multidisciplinary team to...Medical License + 1-2+ years of experience as a Physician Advisor or similar role + Ability… more
    Hackensack Meridian Health (12/06/24)
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  • 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 (01/01/25)
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  • Physician Advisor - Houston…

    Houston Methodist (The Woodlands, TX)
    …a copy of your CV to Aderonke Adeyeye - physician_###@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 (01/17/25)
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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 (12/18/24)
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  • Physician Advisor - Morristown…

    Atlantic Health System (Morristown, NJ)
    physician advisor training from the American College of Physician Advisors (ACPA) or American Case Management Association (ACMA) preferred. ... Atlantic Health is Seeking a Per-Diem Physician Advisor The Physician ...As a peer to physicians and a consultant to Case Management and administration, intervenes when practice patterns or… more
    Atlantic Health System (12/16/24)
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  • Physician Advisor

    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
    WMCHealth (12/13/24)
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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 (Phoenix, AZ)
    …and out in the community. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case ... utilization of health care services. 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 (01/12/25)
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  • System Physician Advisor

    CommonSpirit Health (Phoenix, AZ)
    …and out in the community. **Responsibilities** As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by ... to meet regulatory requirements and, in accordance with the hospital 's objectives for providing quality patient care, to assure...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5… more
    CommonSpirit Health (12/23/24)
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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; ... Utilization Review are highly preferred and must have acute care hospital case management nurse experience. **Qualifications:** Education: Associates's degree… more
    Alameda Health System (01/23/25)
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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 (01/14/25)
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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 (12/13/24)
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  • Case Manager II -Transition Planner-Sharp…

    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 (01/25/25)
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  • Case Manager I -Transition Planning - Sharp…

    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
    Sharp HealthCare (01/01/25)
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  • RN Case Manager (Part Time)- AHN Wexford…

    Highmark Health (Wexford, PA)
    …for denial trends with the care coordination teams, performance improvement teams, physicians/ physician advisor and third party payers. + Maintains a working ... Adheres to the policies, procedures, rules, regulations and laws of the hospital and all federal and state regulatory bodies. Communicates telephonically and… more
    Highmark Health (01/22/25)
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  • Registered Nurse Case Manager

    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
    Hackensack Meridian Health (01/24/25)
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  • Case Mgmt Specialist

    Parkview North Hospital (Fort Wayne, IN)
    …the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions ... Licensure/Certification: Valid Indiana Registered Nurse license required. Certification in Case Management highly desirable. Experience: Required at least 2 years… more
    Parkview North Hospital (12/03/24)
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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 (01/24/25)
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