- Stanford Health Care (Palo Alto, CA)
- …with physician advisors to ensure clinically sound and persuasive appeals. 5. Physician Advisor Collaboration: Engage with physician advisors on a ... regulatory standards and achieve organizational goals. + Consult with the Physician Advisor to discuss complex cases, medical necessity, and strategies for… more
- Sutter Health (Berkeley, CA)
- …that chart documentation supports LOC determination and assignment. * Works with Physician Advisor and Attending Physicians to obtain necessary documentation to ... of the level of care. * Follows policies and procedures for Physician Advisor referrals. * Facilitates and expedites the discharge of patients from the… more
- Alameda Health System (Oakland, CA)
- …Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. 3. Takes appropriate action when cases ... Escalates to the attending physician , and the Care Management physician advisor of any concurrent denials.Prepares case reports;documents treatment plan,… more
- Sutter Health (San Francisco, CA)
- …team to assure timely transition. * Follows policies and procedures for Physician Advisor referrals. * Utilizes appropriate escalation process when discussing ... the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager, Medical Social Worker and bedside RN to assure the… more
- Alameda Health System (San Leandro, CA)
- …action when cases do not meet criteria - coordinates denials with the attending physician , and the UR physician advisor . Prepares case reports; documents ... disposition of Medi-Cal, self-pay, and out-of-plan patients, including working with physician to determine readiness for transfer, securing placement and completing… more
- Alameda Health System (Alameda, CA)
- …action when cases do not meet criteria - coordinates denials with the attending physician , and the UR physician advisor . Prepares case reports; documents ... disposition of Medi-Cal, self-pay, and out-of-plan patients, including working with physician to determine readiness for transfer, securing placement and completing… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …treat patients according to a treatment plan which is agreed upon by the physician , patient and/or caregiver. The Physical Therapist II is a senior therapist with ... the needs of the patient. The Therapist serves as a clinical care advisor /guide to less experienced Therapists by answering questions, reviewing treatment plans and… more