- Highmark Health (Jefferson Hills, PA)
- **Company :** Allegheny Health Network **Job Description :** ESSENTIAL RESPONSIBILITIES: ** Physician Advisor - AHN** + Works in concert with the admitting ... + Interacts regularly with coding and clinical documentation specialists. + The Physician Advisor would be an active member of the Clinical Resource Management… more
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? **Summary:** + The Physician Advisor is a key member of the healthcare organization's leadership team ... assuring the effective and efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching,… more
- WellSpan Health (York, PA)
- Physician Advisor Location: WellSpan Medical Group, York, PA Schedule: PRN/Per Diem General Summary Provides direct supervision of case management and ... Assist with Bridges to Health referrals and cases as needed. + Provides Physician Advisor support to all WellSpan entities as needed and at the direction of… more
- R1 RCM (Jenkintown, PA)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... this remote position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues: authorization requested,… more
- UPMC (Pittsburgh, PA)
- …requirements and that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
- UPMC (Harrisburg, PA)
- …LOC requirements and that chart documentation supports LOC determination. Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
- UPMC (Harrisburg, PA)
- …LOC requirements and that chart documentation supports LOC determination. Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
- UPMC (Mechanicsburg, PA)
- …LOC requirements and that chart documentation supports LOC determination. Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
- UPMC (Harrisburg, PA)
- …LOC requirements and that chart documentation supports LOC determination. Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
- UPMC (Carlisle, PA)
- …LOC requirements and that chart documentation supports LOC determination. Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
- Penn Medicine (Philadelphia, PA)
- …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician Advisor + Discharge planning activities: timely coordination of… more
- Penn Medicine (Philadelphia, PA)
- …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician AdvisorDischarge planning activities: timely coordination of home care, DME,… more
- St. Luke's University Health Network (Allentown, PA)
- …registrations and/or physician queries + Serves as liaison between Physician Advisor /Medical Director, Finance, Utilization Review Department and CDCI. ... PHYSICAL AND SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time. Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Extended periods of vision use for reviewing… more
- Highmark Health (Harrisburg, PA)
- …for denial trends with the care coordination teams, performance improvement teams, physicians/ physician advisor and third party payers. + Maintains a working ... knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as an educational resource to all AHN staff regarding utilization review practice and… more
- Travelers Insurance Company (Wyomissing, PA)
- …+ Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor , peer reviews, MCU). + Partner with Claim Professional ... to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome. + Utilize internal Claim Platform Systems to manage all claim activities on a timely basis. + Utilize Preferred Provider Network per… more
- St. Luke's University Health Network (Stroudsburg, PA)
- …and other related issues. + Initiates appropriate referrals to the Ethics Committee, Physician Advisor , Risk Management or Legal Services, as appropriate. + ... Facilitates resolution of issues surrounding patient care in a compassionate manner, functioning as a patient advocate. + Coordinates and ensures reporting of mandated child and elder abuse/neglect as required by law. + Ensures advance directives are in place… more
- Geisinger (Pittsburgh, PA)
- …electronic system by the close of business each day. + Consults with Attending physician and physician representative or Advisor and Medical Director and ... leadership as necessary to resolve barriers through appropriate administrative and medical channels. + Works with Addiction Services Leadership to continuously evaluate process, identify problems, and propose process improvement strategies to enhance the care… more
- Geisinger (Philadelphia, PA)
- …electronic system by the close of business each day. + Consults with Attending physician and physician representative or Advisor and Medical Director and ... leadership as necessary to resolve barriers through appropriate administrative and medical channels. + Works with Addiction Services Leadership to continuously evaluate process, identify problems, and propose process improvement strategies to enhance the care… more
- L'Oreal USA (Pittsburgh, PA)
- …/ Job Search (https://careers.loreal.com/en\_US/jobs/SearchJobs) / 184499 Skin Health Advisor (Western & Central PA) L'Oreal Derm Team Pittsburgh, ... Medical Full - Time 12-Aug-2024 Job Title: Skin Health Advisor , L'Oreal Derm Team (CeraVe, La Roche-Posay, Vichy) -...dermatology health care professional calls per week (average 9 physician , physician assistant, and nurse practitioner calls)… more
- ProMedica Health System (Monroeville, PA)
- Arden Courts of Monroeville is hiring a Memory Care Advisor - Sales and Marketing Director! The Memory Care Advisor or Sales and Marketing Director is ... the buildings products and services, resident care related capabilities and physician relations. Effectively uses customer relationship management (CRM) systems and… more