• CHRISTUS Health (Irving, TX)
    …effective strategies for service line initiatives, education and competency, physician collaboration, integration, outcomes, and resource utilization with ... best practice and are fully implemented in all ministries. Guides appropriate utilization of education resources throughout the system. Provide support and direction… more
    JobGet (11/08/24)
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  • Utilization Review Physician Full…

    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 (11/02/24)
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  • Physician Utilization Review…

    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
    Hackensack Meridian Health (08/19/24)
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  • Physician Advisor Clin Res Mgm / Clinical…

    Hartford HealthCare (Wethersfield, CT)
    …review activities and utilization standards and trends. . Provide education to physician colleagues on utilization standards and trends. . Adhere to minimum ... * Experience: At least five years of acute care clinical experience. Physician advisor experience ( Utilization Management and Clinical Resource Management)… more
    Hartford HealthCare (10/22/24)
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  • Utilization Review Nurse Supervisor II

    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
    The County of Los Angeles (09/30/24)
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  • Medical Director of Utilization Review…

    Henry Ford Health System (Detroit, MI)
    …certified in his/her specialty. + Minimum of five (5) years practicing as a physician . + Previous experience as Director of Utilization Review or Physician ... The Medical Director of Utilization Review is responsible for the medical oversight...a timely manner 9. Code 44s - UM committee physician concurrent statement. CMS Conditions of Participation 10. Lead… more
    Henry Ford Health System (11/06/24)
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  • Utilization Review Specialist

    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
    Sutter Health (10/24/24)
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  • Physician Relations Specialist Carrollwood

    AdventHealth (Tampa, FL)
    …strategies for tactical implementation of assigned goals. + Obtain, interpret and analyze physician information, eg utilization by physician of hospital ... strategy for matching their needs with organizational offerings that benefit physician . + Develop relationship sales funnel with identified organizational resources… more
    AdventHealth (08/16/24)
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  • Physician Relations Specialist Heart…

    AdventHealth (Davenport, FL)
    …strategies for tactical implementation of assigned goals. . Obtain, interpret, and analyze physician information, eg utilization by physician of hospital ... as a Primary Stroke Center. **The ro** **le you'll contribute:** The Physician Relations Specialist is responsible for growing hospital volumes, market share and… more
    AdventHealth (09/18/24)
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  • Physician Advisor Denials Management

    CommonSpirit Health (Sacramento, CA)
    …in the community. **Responsibilities** **This is a remote position.** **Summary** The Utilization Management Physician Advisor II conducts clinical case reviews ... with the hospital's objectives for assuring quality patient care and effective and efficient utilization of health care services. This position will be a part of the… more
    CommonSpirit Health (09/20/24)
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  • Director of Physician Resource Group

    HCA Healthcare (Brentwood, TN)
    …as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + Have strategic and ... integrity. We care like family! Jump-start your career as a **Director of Physician Resource Group** today with HCA Healthcare. **The position requires you to reside… more
    HCA Healthcare (11/07/24)
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  • Director of Physician Services I

    HCA Healthcare (Atlantis, FL)
    …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... United Kingdom. We are looking for a Director of Physician Services I for our HCA Healthcare team where...medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services… more
    HCA Healthcare (11/06/24)
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  • Physician Scheduling Coordinator

    Magellan Health Services (San Diego, CA)
    Schedules Physician Clinical Review (PCR) utilization management reviews (including peer to peer telephone discussions and provider outreach discussions) for ... and regulatory organizations. Documents all steps in the process. + Schedules Physician Clinical Reviewer (PCR) utilization management reviews (including peer to… more
    Magellan Health Services (10/31/24)
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  • Director of Physician Services I

    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
    HCA Healthcare (09/25/24)
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  • Director of Physician Services II

    HCA Healthcare (Independence, MO)
    …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... manage in a new era as a Director of Physician Services II where building a healthier tomorrow is...medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services… more
    HCA Healthcare (09/13/24)
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  • Physician Advisor

    Trinity Health (Des Moines, IA)
    …paid malpractice and a 403B match. Essential Job Details: . Lead physician -driven clinical resource utilization program, and work with MercyOne Leadership ... time **Shift:** **Description:** MercyOne is seeking a dynamic, board-certified Physician with Inpatient experience for a newly opened but...for a newly opened but established role as a Physician Advisor. The ideal candidate will have served on… more
    Trinity Health (08/16/24)
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  • Case Manager II, Registered Nurse

    Sutter Health (San Francisco, CA)
    …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager, Medical Social Worker and bedside RN to assure ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
    Sutter Health (10/24/24)
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  • Chief Medical Officer

    HCA Healthcare (Smyrna, TN)
    …+ 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
    HCA Healthcare (11/08/24)
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  • Executive Medical Director Revenue Cycle

    AdventHealth (Maitland, FL)
    …contracted managed care payers. The Medical Director is responsible for providing physician review of utilization , claims management, and quality assurance ... - This is On Site position** **The role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs, and advises… more
    AdventHealth (11/04/24)
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  • Physician Advisor

    Penn Medicine (Philadelphia, PA)
    …with meeting the organization's goals and objectives for assuring the effective and efficient utilization of health care services. The Physician Advisor is a ... and utilization review departments and the hospital leadership. The Physician Advisor shall possess and/or develop expertise on matters regarding physician more
    Penn Medicine (10/01/24)
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