• Physician Advisor Denials

    CommonSpirit Health (Phoenix, AZ)
    …both inside our hospitals and out in the community. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews ... patients and alternative levels of care. **The PA performs denials management and prevention in accordance with...required + **Minimum 3 years of experience as a Physician Advisor ** **managing denials required**… more
    CommonSpirit Health (01/12/25)
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  • RN Utilization Review Specialist

    HonorHealth (Scottsdale, AZ)
    …Initiates chart reviews, conducts follow-up reviews, and escalates secondary reviews to Physician Advisor as necessary. Maintains a system to identify admissions ... Performs medical record reviews, as required by payer. Interfaces with Care Management team to provide information regarding quality outcome measurements (such as… more
    HonorHealth (12/03/24)
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