- Lawrence General Hospital (Lawrence, MA)
- …collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all ... The Utilization Review Specialist, under supervision and...as the integrated care team and supports the case management/ utilization review team on system-wide quality improvement/performance… more
- Community Health Systems (Franklin, TN)
- …documentation from the physician (s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if physicians are unable to provide ... appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for… more
- Catholic Health Initiatives (Chattanooga, TN)
- …for assuring the effective, efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, ... American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician ... Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty Certification by the American… more
- Hackensack Meridian Health (Neptune, NJ)
- …Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty ... **Overview** Hackensack Meridian _Health_ is seeking a collaborative Physician Advisor to join our growing...teaching, consulting and advising of the care management and utilization review departments and hospital leadership. +… more
- CVS Health (Sacramento, CA)
- …with managed care, as a provider and manager of care utilization review or physician advisor experience. *Child/Adolescent Board Cert **Education** * ... program/operational efficiency involving clinical issues * Provide leadership and day-to-day physician oversight for utilization management team, including the… more
- Atlantic Health System (Morristown, NJ)
- …from ABQAURP (The American Board of Quality Assurance and Utilization Review Physicians), AAPL (American Association for Physician Leadership's Physician ... in Management course), or CPUR (Certification Program in Utilization Review ), Institute for Healthcare Improvement courses, or physician advisor training… more
- 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,...is a key member and leader of the hospital's utilization review /management committee, which is charged with… more
- Catholic Health Services (Melville, NY)
- …UR department, and presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. ... Initiatives Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical… more
- WMCHealth (Valhalla, NY)
- Physician Advisor Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Allied Health Prof/Technical Department: Clinical Care Mgmt- ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26206) Internal Applicant link Job Details: Job Summary: The Physician Advisor is responsible for developing positive… more
- Dignity Health (Prescott, AZ)
- …with facility utilization initiatives (ie leverage the leadership influence of Physician Advisor by mobilizing other physicians and staff). Provide education ... www.yrmc.org #hellohumankindness **Responsibilities** **Position Summary:** Reporting to our CMO, the Physician Advisor plays a critical role in promoting… more
- 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...to Health referrals and cases as needed. + Provides Physician Advisor support to all WellSpan entities… more
- Mohawk Valley Health System (Utica, NY)
- …level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure ... hospitals objectives, and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides the… more
- Trinity Health (Silver Spring, MD)
- …Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization /level of care (LOC), ... **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits, Free… more
- Catholic Health Services (Melville, NY)
- …of hospitalization, LOC status, LOS management, continued stay decisions, clinical review of patients, utilization review activities, resource ... advice, and quality issues. Maintains knowledge of government regulations related to utilization review , transition planning, billing, and managing patients and… more
- CommonSpirit Health (Phoenix, AZ)
- …happen both inside our hospitals and out in the community. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case ... and understanding of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters and other… 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 ... 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… more
- Ascension Health (Austin, TX)
- **Details** + **Postition:** Physician Advisor -Pediatrics + **Schedule:** Full-time + **Hospital:** Ascension Seton + **Location:** Austin, TX **Benefits** Paid ... Ascension Texas seeks a Board-certified Pediatrician to serve as a full-time Physician Advisor . In this role, the candidate will provide medical… more
- Ascension Health (Chicago, IL)
- **Details** + **Department:** Physician Advisor , Administration + **Schedule:** Full-time + **Hospital:** Ascension St. Joseph's Chicago (Lakeshore Drive) + ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Provide medical direction in… more
- R1 RCM (Boise, ID)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... by reviewing payor peer-to-peer cases. Every day you will review cases for which authorization has been denied evaluating...position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues:… more
- Munson Healthcare (Traverse City, MI)
- …not support hospital level of care to offer alternatives. + Refers cases to the Physician Advisor when documentation is inadequate to support acute level of care ... progression of care. + Consults with case manager and/or physician advisor as necessary to resolve progression-of-care...payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? +… more
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