- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Utilization Review Physician collaborates with the healthcare team in the** **management and resolution of activities that assure the ... and Hackensack UMC. These include but are not limited to utilization review,** **hospital reimbursement, clinical compliance, case management, and transitions of… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity ... and Hackensack UMC. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of… more
- Beth Israel Lahey Health (Boston, MA)
- …difference in people's lives.** Position Summary: In conjunction with the admitting/attending physician , the Utilization Review RN assists in determining the ... of care being billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records to ensure criteria for… more
- Methodist Health System (Southlake, TX)
- …visits for employees to physicians/offices per month. Create reports to monitor physician utilization trends and communicate that information to directors and ... behalf of the hospitals for the purpose of increasing utilization of outpatient services and building physician ...increasing utilization of outpatient services and building physician loyalty. Methodist Southlake Medical Center is a 54-bed,… more
- Ascension Health (Baltimore, MD)
- …+ Identify and coordinate resolution of problems to improve physician utilization and patientsatisfaction. **Requirements** Licensure / Certification ... the hospital or healthcare facility. Responsibilities: + Develop a strong physician presence across the organization's campuses and community using sales strategies… more
- Community Health and Counseling Services (Bangor, ME)
- …collaborating with Agency staff, patients, family members, facilities and physician . Responsible for utilization management of services, verifying ... Insurance Verification and Utilization Review Specialist - Health Services Job Type(s):Full-Time Location(s):Bangor, Maine Education:Associates Degree - Business or… more
- The County of Los Angeles (Los Angeles, CA)
- …of Hospitals' utilization review standard. Under the direction of a physician member of the Utilization Review Committee, the incumbent is responsible ... UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply...by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician … more
- Sutter Health (Berkeley, CA)
- …to justify acute hospital admission, need for continued stay, and proper utilization of physician , nursing, and ancillary services. Responsible for concurrent ... for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with hospital… more
- CommonSpirit Health (Phoenix, AZ)
- …both inside our hospitals and out in the community. **Responsibilities** As the Utilization Management Physician Advisor (PA), the PA conducts clinical case ... providing quality patient care, to assure effective and efficient utilization of health care services. The PA communicates remotely...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5 years of… more
- CommonSpirit Health (Englewood, CO)
- …both inside our hospitals and out in the community. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews ... hospital's objectives for assuring quality patient care and effective and efficient utilization of health care services. This individual meets with case management… more
- HCA Healthcare (Idaho Falls, ID)
- …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... 156,000 hours impacting our communities. As a Director of Physician Services I with East Falls Primary Care, you...medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services… more
- Lawrence General Hospital (Lawrence, MA)
- …under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all ... administrative tasks/responsibilities for utilization management and revenue integrity cycle processes. Interacts directly...internal and external providers to review and monitor members' utilization of health care services with the goal of… more
- University of Miami (Miami, FL)
- …data to analyze and monitor level of care and length of stay management, physician utilization relative to national and individual hospital standards, and care ... leadership and oversight of care coordination, case management, social services, and utilization management across all services lines within the University of Miami… more
- HCA Healthcare (Jacksonville, FL)
- …+ You will serve as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization , and quality profiling. Serves as a member of ... quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care...leadership in the facility + You will assemble regional physician advisory panels to provide ongoing feedback to HCA… more
- Dignity Health (Prescott, AZ)
- …facility utilization initiatives (ie leverage the leadership influence of Physician Advisor by mobilizing other physicians and staff). Provide education to ... physician staff in discussions concerning transitions of care. + Engage physician staff in discussions concerning utilization of resources. Facilitate the… more
- Catholic Health Services (Melville, NY)
- …department, and presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. ... hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …members such as fellows, residents, medical students, social work interns/staff, physician assistant and nursing students, Utilization management personnel, and ... record. Responsibilities VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): For highly qualified… more
- Community Health Systems (Franklin, TN)
- …admission, and better be able to request appropriate additional documentation from the physician (s). + Escalates cases to the Utilization Review Manager and/or ... hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine… more
- Praxis Health (Eugene, OR)
- … will prioritizepatient satisfaction,champion creativity particularly as it relates to utilization of AIallowing Physician to prioritize patient care. Embrace ... Job Description Transform Healthcare: Family Practice or Internal Medicine Physician Are you ready to break free from the traditional fee-for-service grind and lead… more
- Community Health Systems (Franklin, TN)
- …admission, and better be able to request appropriate additional documentation from the physician (s). + Escalates cases to the Utilization Review Manager and/or ... hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine… more
Related Job Searches:
Medical Director Utilization Physician,
Medical Utilization Physician,
Physician,
Physician Utilization Manager,
Physician Utilization Review Specialist,
Utilization,
Utilization Management Physician,
Utilization Review Physician