• Physician Advisor - Director…

    Catholic Health Services (Melville, NY)
    …and standardize the implementation of CM processes and policies, as well as the Physician Advisor role, activities and expectations. Collaborates with CM and CDI ... to Physician Advisors through annual performance evaluation. Monitors Physician Advisor performance dashboard with Key Performance Indicators (KPIs).… more
    Catholic Health Services (11/14/24)
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  • Physician Advisor

    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
    WMCHealth (12/13/24)
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  • Physician Advisor - Morristown…

    Atlantic Health System (Morristown, NJ)
    Atlantic Health is Seeking a Per-Diem Physician Advisor The Physician Advisor provides clinical direction and leadership to the organization, increasing ... (Certification Program in Utilization Review), Institute for Healthcare Improvement courses, or physician advisor training from the American College of … more
    Atlantic Health System (12/16/24)
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  • Physician Advisor , Case Management

    Hackensack Meridian Health (Neptune, NJ)
    **Overview** Hackensack Meridian _Health_ is seeking a collaborative Physician Advisor to join our growing health network. The successful candidate will lead ... obtain a New Jersey Medical License + 1-2+ years of experience as a Physician Advisor or similar role + Ability to build rapport with medical staff and hospital… more
    Hackensack Meridian Health (12/06/24)
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  • Physician Advisor (Facility)

    Catholic Health Services (Melville, NY)
    …peer-to-peer calls and advise on continued stay reviews that require additional Physician Advisor input. Knowledge of appeals process and necessary documentation ... experience as a member of the UM oversight committee or past Physician Advisor experience preferred. Ability to travel to the various Catholic Health locations.… more
    Catholic Health Services (11/13/24)
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  • Staff Nurse- Case Manager- Mount Sinai West- Part…

    Mount Sinai Health System (New York, NY)
    …and responsive to the diverse backgrounds and experience of others. * Liaison with Physician Advisor . 2. Case Management: * Assessment of the patient's clinical, ... reduce readmission rate. * Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum of… more
    Mount Sinai Health System (10/16/24)
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  • CHS Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …or regulatory timeframes. | Collaborates in clinical discussions with the Catholic Health Physician Advisor when appropriate. | Reviews results from managed care ... a home health service, hospice and a network of physician practices across the island. At Catholic Health, our...between the Utilization and Appeals Management Department and the physician of record, as required. | Communicates changes to… more
    Catholic Health Services (12/19/24)
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  • Manager, RN - In-Patient Hospital Case Management…

    Mount Sinai Health System (New York, NY)
    …Managers, as warranted, to review medically complex and long stay cases; refer to physician advisor as indicated. 3. Collaborates with Social Work Supervisors to ... Managers to review medically complex and long stay cases: refer to physician advisor as required. 12. Collaborates with Social Work Supervisors to resolve… more
    Mount Sinai Health System (11/19/24)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Holmdel, NJ)
    …present. + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + Performs ... first business day. + Refers cases not meeting criteria to the physician advisor or designated vendor for determination and action. + Participates actively on… more
    Hackensack Meridian Health (11/14/24)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Neptune, NJ)
    …present. + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + Performs ... first business day. + Refers cases not meeting criteria to the physician advisor or designated vendor for determination and action. + Participates actively on… more
    Hackensack Meridian Health (11/15/24)
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  • Case Manager RN-Mount Sinai Morningside- Per Diem-…

    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 ... standardized criteria to justify continued inpatient stay. 3. Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment and… more
    Mount Sinai Health System (01/08/25)
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  • RN/Case Manager-MSH-Case Management-FT-Days

    Mount Sinai Health System (New York, NY)
    …to reduce readmission rate. h. Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum ... standardized criteria to justify continued inpatient stay. c. Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment and… more
    Mount Sinai Health System (01/01/25)
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  • Clinical Denials & Appeals Specialist (Registered…

    Northwell Health (Melville, NY)
    …defends level of care and medical necessity for assigned case. Collaborates with physician advisor , payor representative and site case managers to facilitate ... appropriate level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical… more
    Northwell Health (01/05/25)
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  • RN Case Manager - ED- $25,000 Sign on Bonus

    Nuvance Health (Norwalk, CT)
    …and use of evidence based screening criteria. 3. Refers cases appropriately to Physician Advisor review. 4. Collaborates with SW Care Coordinators to assure ... Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology… more
    Nuvance Health (12/11/24)
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  • Social Worker MSW, Case Management

    RWJBarnabas Health (Elizabeth, NJ)
    …in utilization management and insurance communication + Collaborate closely with physician advisor + Participate in interdisciplinary rounds and facilitate ... communication with the interdisciplinary care team + Complete psychosocial assessments and implement patient-centered care plans that meet needs identified in assessments + Discharge planning activities: seamless and timely coordination of care including:… more
    RWJBarnabas Health (12/26/24)
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  • Learning Community Facilitator - Medical Student…

    CUNY (New York, NY)
    Learning Community Facilitator - Medical Student Advisor (Clin. Prof.- Medical Series) **FACULTY VACANCY ANNOUNCEMENT** The CUNY School of Medicine (CSOM) at The ... CSOM also has a Master of Science degree in Physician Assistant Studies (PA). Our mission is to provide...serve in a non-tenure track position as Medical Student Advisor and Learning Community Facilitator. We will be filling… more
    CUNY (12/11/24)
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  • Care Advisor , MSK Kids

    Memorial Sloan-Kettering Cancer Center (New York, NY)
    …employees. Job Description Exciting Opportunity at MSK: We are seeking a Care Advisor to join the MSK Kids team.MSK Kids, Memorial Sloan Kettering's pediatric ... Collect detailed clinical information from the patient, their relatives, and/or physician to establish the current clinical situation (diagnosis, testing, and… more
    Memorial Sloan-Kettering Cancer Center (01/10/25)
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  • Physician Assistant Trauma

    Hackensack Meridian Health (Hackensack, NJ)
    …and supervision of the Surgical Intensivist, the Hackensack University Medical Center Physician Assistant Trauma Service manages a variety of patients in the ... critical care and intermediate care setting. This position serves as an advisor , resource, preceptor and leader for other members of the patient care team. The… more
    Hackensack Meridian Health (11/07/24)
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  • Hourly Clinical Physician 1 or 2 (South…

    New York State Civil Service (Staten Island, NY)
    …HELP No Agency Addiction Services and Supports, Office of Title Hourly Clinical Physician 1 or 2 (South Beach ATC) Occupational Category Health Care, Human/Social ... on evenings, weekends, and during off hours.*Serve as health advisor to multi-disciplinary team; provide consultation/peer review to other physicians/clinicians;… more
    New York State Civil Service (12/28/24)
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  • Director, Preventive Medicine Residency Program,…

    City of New York (New York, NY)
    …to recruit a Preventive Medicine Residency Director and Senior Population Health Physician . This role demands a combination of roles, including public-facing public ... health practice, senior clinical advisor on high priority projects, administrative and programmatic leadership...roles [10-50% of time] - Serve as a primary physician in On-Call' program for the DOHMH, for a… more
    City of New York (11/13/24)
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