• Physician Advisor

    R1 RCM (Detroit, MI)
    …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
    R1 RCM (08/29/24)
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  • Registered Nurse - Utilization Management…

    McLaren Health Care (Detroit, MI)
    …team regarding continued stays review/LOS outliers, 3. Collaborate with providers/ physician advisor when medical necessity and/or appropriateness of ... of various commercial and government payers in collaboration with the admitting/attending physician . Partners with the health care team to ensure hospital admissions… more
    McLaren Health Care (07/16/24)
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  • Sr. Disability Representative

    Sedgwick (Southfield, MI)
    …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
    Sedgwick (09/14/24)
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  • Registered Nurse Case Manager Adult Services Full…

    Tenet Healthcare (Detroit, MI)
    …the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning ... of care based on Medical Necessity process and submits case for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers… more
    Tenet Healthcare (09/18/24)
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  • Manager Social Worker Full Time Days

    Tenet Healthcare (Detroit, MI)
    …appropriate patient status and level of care Oversees submission of cases to Physician Advisor to ensure timely referral, follow up and documentation Monitors ... Recognizes and responds to medical emergencies as appropriate. Provides physician -prescribed post care instructions to patients. Participates in process improvement… more
    Tenet Healthcare (08/30/24)
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  • RN Utilization Review Full Time Days

    Tenet Healthcare (Detroit, MI)
    …payors Performing accurate medical necessity screening and timely submission for Physician Advisor reviews Collaborating with payors, physicians, office staff ... level of care based on Medical Necessity and submits case for Secondary Physician review per Tenet policy Ensures timely communication and documentation of clinical… more
    Tenet Healthcare (08/30/24)
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  • Coding Liaison

    R1 RCM (Detroit, MI)
    …of documentation inconsistencies and DRG variances + Educating the CDI team and Physician Advisor on coding changes, DRGs, Official coding guidelines and ... for site customers including CDI, Quality/Risk, Case Management, Patient Advocate's, Physician Advisors, Clinical Departments and Administration. To Thrive in this… more
    R1 RCM (08/22/24)
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  • Utilization Management Coordinator (contingent)

    Trinity Health (Pontiac, MI)
    …Refers all cases lacking IS/SI criteria for acute care hospitalization to the Physician Advisor or designee according to the established department guidelines. 3 ... Collaborates with Case Management on identifying those patients not meeting the acute care criteria and works with case manager to gather additional clinical information for reimbursement. 4 Provides consultation and information to physicians, case management… more
    Trinity Health (07/10/24)
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  • Case Management Manager FT Days

    Tenet Healthcare (Detroit, MI)
    …responsibility. As directed, implements external and internal audit recommendations. Engages physician advisor to facilitate care decisions, as needed. Maintains ... current knowledge of health care techniques/practices, and case management strategies through educational programs/resources. Maintains a working knowledge of the requirements of payers, regulatory and compliance entities. Establishes and maintains effective… more
    Tenet Healthcare (09/17/24)
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  • Physician Assistant PA Trauma

    Ascension Health (Novi, MI)
    …experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Provide direct diagnostic, therapeutic, ... and preventive health care services under the supervision of a physician . + Obtain patient history and performs assessment. Order, perform and interpret diagnostic… more
    Ascension Health (09/10/24)
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  • Physician - Sleep Medicine

    Ascension Health (Novi, MI)
    …**Ascension Providence Hospital in Novi Michigan is seeking a BE/BC Sleep Medicine physician to join the Sleep Medicine Center.** + **EMR System:** Athena + ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** **Ascension Providence Hospital in… more
    Ascension Health (08/06/24)
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  • Physician - Family Medicine Faculty

    Ascension Health (St. Clair Shores, MI)
    …John Family Medicine Residency Program is seeking a full-time Family Medicine Faculty physician to join the team. + **EMR System:** Athena and Cerner + **Facility:** ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension St. John Hospital is… more
    Ascension Health (07/31/24)
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  • Physician - Family Medicine

    Ascension Health (Oxford, MI)
    …primary care practice consisting of four providers; two Physicians and two Physician Assistants. Support staff have been with the practice for 20+ years. ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension Medical Group -… more
    Ascension Health (08/05/24)
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  • Physician - Neurosurgery

    Ascension Health (Detroit, MI)
    …education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension Medical Group - ... issues. + This is an employment opportunity with St. John Providence - Physician Practice Network for 2 years, and then transition seamlessly into the private… more
    Ascension Health (07/15/24)
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  • Physician - OB Staff Call

    Ascension Health (Detroit, MI)
    …education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension St. John Hospital is ... looking for a Physician - PRN OB Staff Call for our Department...from other physicians. Acts as admitting, attending and/or consulting physician for patients who require hospitalization for primary medical… more
    Ascension Health (09/17/24)
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  • Physician - Developmental Behavioral…

    Ascension Health (Detroit, MI)
    …education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension St. John Hospital is ... looking for a Physician - Developmental Behavioral Pediatrics for our Department of...from other physicians. Acts as admitting, attending and/or consulting physician for patients who require hospitalization for primary medical… more
    Ascension Health (08/22/24)
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  • Physician - Maternal Fetal Medicine

    Ascension Health (Detroit, MI)
    …in Detroit, Michigan is looking for a full-time, Maternal Fetal Medicine physician to join their well-established and busy MFM division. The division provides ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** **Position Highlights:** + Includes… more
    Ascension Health (07/15/24)
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  • Physician - Internal Medicine Faculty

    Ascension Health (Warren, MI)
    …experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension Macomb Oakland Hospital ... is looking for an Internal Medicine Physician for our Internal Medicine Faculty practice. This is...from other physicians. Acts as admitting, attending and/or consulting physician for patients who require hospitalization for primary medical… more
    Ascension Health (09/13/24)
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  • Physician - OBGYN

    Ascension Health (Brighton, MI)
    …education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension Medical Group is ... looking for a Physician - OBGYN for our Department of OBGYN. This...from other physicians. Acts as admitting, attending and/or consulting physician for patients who require hospitalization for primary medical… more
    Ascension Health (08/07/24)
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  • Physician - Cardiothoracic Surgery

    Ascension Health (Southfield, MI)
    …education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension Genesys Hospital is ... referrals from other physicians. Acts as admitting, attending and/or consulting physician for patients who require hospitalization for primary medical diagnoses,… more
    Ascension Health (08/20/24)
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