- WMCHealth (Valhalla, NY)
- …duties as assigned. Qualifications/Requirements: Experience: Experience as a CDI champion and/or Case management Physician Advisor or having 3-5 years as a ... Physician Advisor Company: WMC Advanced ...objectives. This position plays an important role in ensuring physician support and execution of for Utilization Management… more
- Catholic Health Services (Melville, NY)
- …stay decisions, clinical review of patients, utilization review activities, resource utilization/ management , denial management issues, discharge planning ... peer-to-peer calls and advise on continued stay reviews that require additional Physician Advisor input. Knowledge of appeals process and necessary documentation… more
- Nuvance Health (Danbury, CT)
- …prioritize improvement efforts, and negotiate with payers for fair reimbursement. * * Physician Advisor Collaboration:* Collaborate with the physician ... handle multiple demands * Knowledge of third-party payer reimbursement and denial management * Experience in applying and utilizing InterQual and/or Milliman… more
- Mount Sinai Health System (New York, NY)
- …open and responsive to the diverse backgrounds and experience of others. * Liaison with Physician Advisor . 2. Case Management : * Assessment of the patient's ... Case Manager is responsible for all aspects of case management / utilization review for an assigned group of inpatients,...rate. * Appropriately identifies and refers cases to the physician advisor to support timely progression of… more
- Mount Sinai Health System (New York, NY)
- …to reduce readmission rate. + Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will...criteria to justify continued inpatient stay. + Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment… more
- Mount Sinai Health System (New York, NY)
- …to reduce readmission rate. 8. Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum ... The Case Manager (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine the appropriateness of the… more