- Houston Methodist (Houston, TX)
- At Houston Methodist, the Physician Advisor is responsible for teaching, consulting, and advising the case management department, clinical documentation ... is a key member and leader of the hospital's utilization review /management committee, which is charged with...of healthcare quality and acceptable levels of cost. The Physician Advisor will conduct clinical reviews on… 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
- Sutter Health (San Francisco, CA)
- **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's leadership team ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- AdventHealth (Altamonte Springs, FL)
- …of clinical documentation, patient safety, and quality outcomes. The Physician Advisor is responsible for providing clinical review of utilization , ... **Schedule:** **FT** **Shift** : **Days** **The role you'll contribute:** The Onsite Physician Advisor provides primary support for Care Management (CM) and… more
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Physician - Physician Advisor **Cost Center:** 301081296 Service Line ... **Job Description:** **Marshfield Clinic Health System** is seeking a Physician Advisor . The right physician ...of care and resource management. Other duties include enhanced utilization review , comprehensive management of denials and… more
- Billings Clinic (Billings, MT)
- …from Medicare (IMM). Follows department procedures and policies for Condition Code44, Physician Advisor review , and HINN processes Documents Avoidable ... to provide additional clinical information supporting status or LOC, escalate case to the physician advisor for second level review as early as possible… more
- Ascension Health (Austin, TX)
- **Details** + **Postition:** Physician Advisor -Pediatrics + **Schedule:** Full-time + **Hospital:** Ascension Seton + **Location:** Austin, TX **Benefits** Paid ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension Texas seeks a… more
- Trinity Health (Des Moines, IA)
- … with Inpatient experience for a newly opened but established role as a Physician Advisor . The ideal candidate will have served on Hospital committees or ... in other leadership capacities. The Physician Advisor must possess a team-building mindset...and a 403B match. Essential Job Details: . Lead physician -driven clinical resource utilization program, and work… more
- UCLA Health (Los Angeles, CA)
- …ancillary services utilization and clinical documentation improvement. You will review clinical cases to provide a physician perspective towards decisions ... Description As the Physician Advisor , you will provide ...Medical Staff, required + Five or more years hospital utilization management experience + Advanced analytical, critical thinking, organizational… more
- The County of Los Angeles (Los Angeles, CA)
- …Organization guidelines and the Joint Commission on Accreditation of Hospitals' utilization review standard. Under the direction of a physician member of the ... UTILIZATION REVIEW NURSE SUPERVISOR II Print...by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of … more
- R1 RCM (Detroit, MI)
- …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
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review Full Time Days - 2406003414 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves ... payors Performing accurate medical necessity screening and timely submission for Physician Advisor reviews Collaborating with payors, physicians, office staff… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …in inpatient level of care. Referral of cases with questionable medical necessity to Physician Advisor for determination. + Review clinical and diagnostic ... benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting optimal… more
- Sharp HealthCare (San Diego, CA)
- …refers situations needing immediate intervention to UR Manager, Physician Advisor , as appropriate.Participate in system or site-level utilization review ... and internal transfer requests and direct admission requests. This position supports utilization review functions to ensure appropriate patient status and… more
- Stanford Health Care (Palo Alto, CA)
- …records to ensure the necessity and appropriateness of care provided. 3. Utilization Review : Conduct thorough utilization reviews, applying evidence-based ... with physician advisors to ensure clinically sound and persuasive appeals. 5. Physician Advisor Collaboration: Engage with physician advisors on a… more
- Trinity Health (Silver Spring, MD)
- …for the team + Collaborates and maintains positive working relationships with physicians, physician advisor and external review organizations to ensure ... activities of RN Case Managers for in inpatient care coordination and utilization review . Oversees interactions of staff with outside activities and agencies on… more
- Trinity Health (Boise, ID)
- … Excellence (MDDUE) is the lead provider for coordination and oversight of our Physician Advisor team and Clinical Documentation Improvement team. The MDDUE will ... will have at least 2 years experience as a Physician Advisor , and will have experience building...patients not meeting inpatient criteria. C. Participates in local Utilization Review Committee and be a member… more
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