• 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 ( 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 ... management experience as a member of the UM oversight committee or past Physician Advisor experience preferred. Ability to travel to the various Catholic… more
    Catholic Health Services (11/13/24)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …prior to implementation of discharge plan + Collaborates and makes referrals to physician advisor when unable to resolve issues with attending physician ... physician , nurse or ancillary staff member. Make appropriate referral to physician advisor regarding trends/areas of concern + Proactively monitors patient… more
    Ellis Medicine (12/13/24)
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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, ... to reduce readmission rate. * Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum… more
    Mount Sinai Health System (10/16/24)
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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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  • Utilization Management RN

    Ellis Medicine (Schenectady, NY)
    …to determine appropriate reimbursement and appropriate status. * Escalates reviews timely to physician advisor timely for lack of medical necessity and/or status ... that fosters teamwork and collaboration with all hospital staff, post-acute care facilities and providers. * Effectively communicates with the patient, family, … more
    Ellis Medicine (01/02/25)
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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 ... coding issues and knowledge gaps. Job Responsibility Serves as liaison between the patient and facility / physician and the third party payer. Prepares and… more
    Northwell Health (01/05/25)
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  • Nurse Case Manager

    Nuvance Health (Poughkeepsie, NY)
    …and at a minimum the case manager reviews observation cases daily. 3. Utilizes physician advisor to interface with physicians as needed. 4. Collaborates with the ... 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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  • Nurse Medical Case Manager - Workers Compensation…

    Travelers Insurance Company (Albany, NY)
    …+ Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor , peer reviews, MCU). + Partner with Claim Professional ... with injured employees face to face following office visits at a provider's medical facility . + In order to perform the essential functions of this job, acquisition… more
    Travelers Insurance Company (01/07/25)
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  • Director Clinical and DRG Denials

    Kaleida Health (Buffalo, NY)
    …as facilitating strong working relationships between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting, and hospital departments ... others to develop, implement and maintain strategies that capitalize on facility and industry best practices to achieve targeted outcomes.Identifies, communicates… more
    Kaleida Health (12/19/24)
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  • Hourly Physician Assistant (Blaisdell ATC)

    New York State Civil Service (Orangeburg, NY)
    …health adviser at Treatment Team meetings, as well as assist in patient care and facility operations. * Serve as a health advisor to a multi-disciplinary team.* ... No Agency Addiction Services and Supports, Office of Title Hourly Physician Assistant (Blaisdell ATC) Occupational Category Health Care, Human/Social Services Salary… more
    New York State Civil Service (12/11/24)
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  • Hourly Physician Assistant (Norris ATC)

    New York State Civil Service (Rochester, NY)
    …health adviser at Treatment Team meetings, as well as assist in patient care and facility operations. * Serve as a health advisor to a multi-disciplinary team.* ... No Agency Addiction Services and Supports, Office of Title Hourly Physician Assistant (Norris ATC) Occupational Category Health Care, Human/Social Services Salary… more
    New York State Civil Service (10/29/24)
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  • Hourly Clinical Physician 1 or 2 (Blaisdell…

    New York State Civil Service (Orangeburg, NY)
    …patient record systemOASAS Addiction Treatment Centers (ATCs) are Tobacco Free Facilities . Minimum Qualifications Clinical Physician 1: Possession of a ... No Agency Addiction Services and Supports, Office of Title Hourly Clinical Physician 1 or 2 (Blaisdell ATC) Occupational Category Health Care, Human/Social Services… more
    New York State Civil Service (10/12/24)
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  • Hourly Clinical Physician 1 or 2 (Dick Van…

    New York State Civil Service (Ovid, NY)
    …uses a computerized patient record system. Van Dyke ATC is a Tobacco-Free facility . Minimum Qualifications Clinical Physician 1: Requires a license to practice ... HELP No Agency Addiction Services and Supports, Office of Title Hourly Clinical Physician 1 or 2 (Dick Van Dyke Addiction Treatment Center) Occupational Category… more
    New York State Civil Service (12/07/24)
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  • Physician Faculty (full or part time)

    Lake Erie College of Osteopathic Medicine (Elmira, NY)
    Physician Faculty (full or part time) Overview Date...(COM); + Serve on Committees, as assigned and as Advisor to assigned students and at least one club; ... States of America Category: Education Employment Status: Full-time Description JOB SUMMARY: Physician Faculty members are well versed and experienced in all phases… more
    Lake Erie College of Osteopathic Medicine (12/10/24)
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