• Utilization Review Specialist - PRN

    Munson Healthcare (Traverse City, MI)
    …interdisciplinary team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work ... State of Michigan. + Minimum of three years clinical experience required. Previous utilization review and/or case management in a hospital or insurance industry… more
    Munson Healthcare (11/09/24)
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  • Medical Director of Utilization

    Henry Ford Health System (Detroit, MI)
    …practicing as a physician . + Previous experience as Director of Utilization Review or Physician Advisor preferred. CERTIFICATIONS/LICENSURES REQUIRED: + ... The Medical Director of Utilization Review is responsible for the...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 RN…

    Providence (Mission Hills, CA)
    **Description** Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records ... strong clinical background combined with well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination. The … more
    Providence (11/25/24)
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  • Utilization Management Coordinator…

    Sanford Health (ND)
    …28.00 **Department Details** Opportunity to work remotely. **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in ... is not exceeded without due notice to the attending physician . May also need to notify physician ...to ascertain medical necessity and appropriateness. Assists with retrospective review of specified charts as required. Ability to interact… more
    Sanford Health (11/21/24)
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  • Physician Advisor

    WellSpan Health (York, PA)
    …PRN/Per Diem General Summary Provides direct supervision of case management and utilization review activities performed by the WellSpan Case Management staff. ... + Is a member of and attends the monthly Utilization Review committee, identifies cases for ...of care and verify need for peer to peer review -discuss with the CM nurse and/or attending physician more
    WellSpan Health (10/18/24)
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  • Physician Advisor (Facility)

    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
    Catholic Health Services (11/13/24)
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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 ... sites across the US from clinics and hospitals to home -based care and virtual care services CommonSpirit is accessible...for assuring quality patient care and effective and efficient utilization of health care services. This position will be… more
    CommonSpirit Health (09/20/24)
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  • Associate Chair of Oncology - Physician

    Mount Sinai Health System (NJ)
    …with their job descriptions and the VMG Compact + Participate in the annual physician performance review process in Oncology Services + **Engage in the ... for The Valley Hospital, The Valley Hospital Foundation, Valley Home Care, Valley Medical Group, ColigoCare, and Valley Research...Health System mean our doctors collaborate with the top physician leaders in medicine today. The Valley Hospital is… more
    Mount Sinai Health System (10/23/24)
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  • Physician Advisor - Director (Facility)

    Catholic Health Services (Melville, NY)
    …Initiatives Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical ... York, as applicable. Certification by American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) preferred. 4. Knowledge, Skills and… more
    Catholic Health Services (11/14/24)
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  • Physician (FT) - Associate Medical Director…

    Dartmouth Health (Keene, NH)
    physician leadership experience are preferred. Dartmouth-Hitchcock Keene is seeking a Physician Advisor (PA) with expertise in Utilization Management, Care ... Overview Associate Medical Director - Cheshire Hospital Medicine Physician Advisor The Cheshire Medical Center’s Department of Hospital Medicine is a collaborative… more
    Dartmouth Health (11/05/24)
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  • Nephrologist Physician (Facility Dialysis…

    Veterans Affairs, Veterans Health Administration (Little Rock, AR)
    …of participation in quality improvement projects History of working closely with utilization management and review Experience with managing fiscal aspects of ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
    Veterans Affairs, Veterans Health Administration (11/14/24)
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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 ... Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Physician Services I with East Falls Primary Care, you can be a manager… 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 ... **Introduction** Are you ready to manage in a new era as a Director of Physician Services II where building a healthier tomorrow is more than a job? Our Centerpoint… more
    HCA Healthcare (09/13/24)
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  • Nurse Practitioner (APRN) / Physician

    Hartford HealthCare (Norwich, CT)
    …APP providers, nurses, PT, OT, Imaging, cardiology, neurology, psychiatry, case management and utilization review . The APP will be the lead provider ensuring the ... *Nurse Practitioner / Physician Assistant (APP)- Observation Medicine* Work where every...caregivers and families, as well as case management and utilization review to determine the best care… more
    Hartford HealthCare (11/23/24)
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  • Physician - Infectious Disease (Part-time)

    Veterans Affairs, Veterans Health Administration (Amarillo, TX)
    …measures, and participation in the development of the new focus on the Medical Home and Patient Centric Care, Utilization , Quality, and Patient Safety oversight, ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
    Veterans Affairs, Veterans Health Administration (11/20/24)
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  • Physician (Vascular Surgery) EDRP Approved

    Veterans Affairs, Veterans Health Administration (San Antonio, TX)
    …and participates in the development of the new focus on the Medical Home and Patient Centric Care, Utilization Management, Patient Safety initiatives, and ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The South Texas Veterans Health Care… more
    Veterans Affairs, Veterans Health Administration (09/12/24)
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  • Physician Assistant (B), Surgical Services

    Corewell Health (Troy, MI)
    …+ Required AMA recognized PA program that is accredited by the Accreditation Review Commission on Education for Physician Assistants and meet requirements of ... you join our team at Corewell Health. Full-time, Midnight Shift. Job Summary Physician Assistants (PA) are graduates of an accredited educational program and are… more
    Corewell Health (11/21/24)
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  • Physician - Urology EDRP Authorized

    Veterans Affairs, Veterans Health Administration (San Antonio, TX)
    …and participates in the development of the new focus on the Medical Home and Patient Centric Care, Utilization Management, and Patient Safety initiatives, ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities A. Administrative Duties: 1. Leadership… more
    Veterans Affairs, Veterans Health Administration (11/02/24)
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  • Physician - Primary Care

    Veterans Affairs, Veterans Health Administration (Visalia, CA)
    …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... become available.** VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized Education Debt… more
    Veterans Affairs, Veterans Health Administration (11/14/24)
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  • Lead Physician Assistant - Cardiovascular…

    Cedars-Sinai (CA)
    …California! We would be happy to hear from you. The Smidt Heart Institute is home to a distinguished team of specialists who are setting the bar for cardiovascular ... valve disorders, arrhythmia and hypertension. **Summary of Essential Duties:** The Lead Physician Assistant (PA) in the Department of Cardiac Surgery is responsible… more
    Cedars-Sinai (11/07/24)
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