- 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 (Burlington, MA)
- …amounts at any time. **Job Description:** In conjunction with the admitting/attending physician , the Utilization Review RN assists in determining the appropriate ... Center is now offering up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing Bonuses are paid out in three payments.… 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
- 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
- Hackensack Meridian Health (Neptune, NJ)
- …physicians, physician extenders, and clinicians in the navigation and utilization of multiple clinical information systems that impact their daily work ... initiatives. + Serves as an IT liaison to the physician community regarding their utilization of the...liaison to the physician community regarding their utilization of the applications: Provides functional support for both… more
- 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
- 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
- AdventHealth (Tarpon Springs, FL)
- …strategies for tactical implementation of assigned goals. + Obtain, interpret and analyze physician information, eg utilization by physician of hospital ... on the Gulf of Mexico **The role you'll contribute:** **Job Summary:** The Physician Relations Representative is responsible for increasing revenue and volume for an… more
- 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
- 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
- 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 (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
- 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
- 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
- HCA Healthcare (Sarasota, 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
- 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
- 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
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