• Utilization Management

    Intermountain Health (Trenton, NJ)
    **Job Description:** Physician will provide Physician Advisor Utilization Reviewer and Central Appeals Work services. Physician shall engage, ... as an expert and local resource to hospital Case Management Department and Medical Staff on issues relating to... Utilization Review ("UR") Committee and provide Regional Physician Advisor Educators information to be shared… more
    Intermountain Health (01/06/26)
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  • Penn Medicine Physician Advisor

    Penn Medicine (Philadelphia, PA)
    …for assuring the effective and efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, ... and utilization review departments and the hospital leadership. The Physician Advisor shall possess and/or develop expertise on matters regarding … more
    Penn Medicine (12/06/25)
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  • CDI Physician Advisor

    Penn Medicine (Philadelphia, PA)
    …Monument Road, Bala Cynwyd, PA Hours: M-F, 8hr days, hybrid Summary: + The CDI Physician Advisor is a key member of the healthcare organization's leadership team ... (approximately 80%) with a clinical component (approximately 20%).The CDI Physician Advisor will act as a resource...and all areas of clinical documentation improvement, CEQI, denials management , coding, utilization management to… more
    Penn Medicine (10/17/25)
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  • Physician Advisor

    R1 RCM (Jenkintown, PA)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues:...Serve as a clinical resource to medical and case management staff by providing identification, facilitation, and resolution of… more
    R1 RCM (01/01/26)
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  • Customer Success Manager - Engagement Manager

    Wolters Kluwer (Philadelphia, PA)
    …efforts, prioritizing efforts and resources for assigned customer portfolio. + **Ongoing Utilization Management ** + Oversee and analyze customer utilization ... Engagement Manager plays a high-impact role in managing strategy and product utilization across the Wolters Kluwer Health's Clinical Decision Support & Provider… more
    Wolters Kluwer (12/10/25)
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  • PRN Discharge Planning RN Case Manager - Penn…

    Penn Medicine (Philadelphia, PA)
    …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management more
    Penn Medicine (12/17/25)
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  • Director Operations CPUP

    Penn Medicine (Philadelphia, PA)
    …and managing physician productivity. + Facilitates open sharing of practice management and physician productivity data. + Develops and provides access to ... as appropriate record documentation needs and techniques. + Develops practice management profiles measuring physician productivity, compensation and incentive… more
    Penn Medicine (12/12/25)
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  • PRN Clin Resource Coord in HUP ED

    Penn Medicine (Philadelphia, PA)
    …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management more
    Penn Medicine (12/20/25)
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