• CHRISTUS Health (Wake Village, TX)
    …on levels of care, resource utilization, payor practices, and documentation. Escalates to Physician Advisor or CMO when discrepancies are present. * Performs the ... the best course of action for the patient, the physician , and the hospital by working closely with ...physician , and the hospital by working closely with facility House Supervisors, referring physicians, ED, and inpatient staff… more
    JobGet (11/11/24)
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  • Merck & Co. (Boston, MA)
    Job DescriptionWe have an exciting opportunity for a physician -scientist to join our group as a- Principal Scientist (Clinical Director) in Translational ... To discuss in more detail, please contact your HRBP or Talent Acquisition Advisor .Current Employees apply HERE Current Contingent Workers apply HERE US and Puerto… more
    HireLifeScience (11/07/24)
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  • Merck & Co. (North Wales, PA)
    …sources, including patient claims data from IQVIA, sales force activity data, physician prescription data, etc.. Possess a strong analytical background with the ... To discuss in more detail, please contact your HRBP or Talent Acquisition Advisor .Current Employees apply HERE Current Contingent Workers apply HERE US and Puerto… more
    HireLifeScience (11/07/24)
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  • 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

    Premier Health (Dayton, OH)
    Position: Physician Advisor Dept: Physician Advisors Shift: Full Time 8am - 5pm / 40 hours per week with option to maintain support clinical skills Premier ... us and be part of a team committed to inspiring better health. The Physician Advisor provides leadership for efficiently managing resource and utilization to… more
    Premier Health (11/07/24)
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  • Physician Advisor

    Dignity Health (Prescott, AZ)
    …www.yrmc.org #hellohumankindness **Responsibilities** **Position Summary:** Reporting to our CMO, the Physician Advisor plays a critical role in promoting ... with facility utilization initiatives (ie leverage the leadership influence of Physician Advisor by mobilizing other physicians and staff). Provide education… more
    Dignity Health (10/13/24)
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  • Physician Advisor Denials Management

    CommonSpirit Health (Sacramento, CA)
    …**Responsibilities** **This is a remote position.** **Summary** The Utilization Management Physician Advisor II conducts clinical case reviews referred by ... and understanding of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters and other… more
    CommonSpirit Health (09/20/24)
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  • System Physician Advisor , Safety…

    Novant Health (Winston Salem, NC)
    **Overview** Novant Health is looking for a System Physician Advisor to join their Safety & Quality Institute. This role is charged with meeting the ... for assuring the effective, efficient utilization of health care services. The Physician Advisor will have the responsibility of improving care delivered… more
    Novant Health (09/28/24)
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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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  • Physician Advisor (Part-Time,…

    R1 RCM (Chicago, IL)
    …analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities navigate the path ... in this remote position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues: compliance and level of care. +… more
    R1 RCM (11/01/24)
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  • Physician Advisor

    R1 RCM (Detroit, MI)
    …analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities navigate the path ... this remote position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues: authorization requested,… more
    R1 RCM (09/26/24)
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  • System Vice President Care Coordination Liaison,…

    SSM Health (St. Louis, MO)
    …etc. + Acts as primary contact for the organization's leadership with physician advisor services, supports system and regional leadership through oversight ... vendor partnerships, acting as a liaison and primary contact for organization's physician advisor services. Supports strategic goals and drives behaviors to… more
    SSM Health (09/13/24)
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  • Associate Vice President Care Coordination…

    SSM Health (St. Louis, MO)
    …and integrated networks. + Acts as primary contact for regional leadership with physician advisor services through oversight of vendor services to improve our ... with vendor partners, acting as a liaison and regional contact for organization's physician advisor services. Supports strategic goals and drives behaviors which… more
    SSM Health (09/13/24)
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  • Physician , Medical Asset Support Team (O-6…

    Immigration and Customs Enforcement (IN)
    …AND RESPONSIBILITIES: Physician Support Duties: Serves at various IHSC medical facilities on temporary duty (TDY) as assigned providing direct patient care, with ... reviews and other duties requiring medical expertise; Serves as a professional advisor to physician colleagues from medical schools, graduate training programs… more
    Immigration and Customs Enforcement (10/02/24)
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  • Utilization Mgmt II - Transfer and Admissions…

    Sharp HealthCare (San Diego, CA)
    … of these cases and works to mitigate denials.Reviews hospitalized patients with the Physician Advisor and/or facility UR chairperson as requested or ... ** Facility :** Corporate Offices **City** San Diego **Department** **Job...timely and proactive interaction with the CPPC team, admitting/attending physician , payer, physician advisor and… more
    Sharp HealthCare (09/28/24)
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  • Per Diem RN - Utilization Management - System…

    Sharp HealthCare (San Diego, CA)
    …of these cases and works to mitigate denials. Reviews hospitalized patients with the Physician Advisor and/or facility UR chairperson as requested or ... ** Facility :** Corporate Offices **City** San Diego **Department** **Job...position ensures timely and proactive interaction with the admitting/attending physician , payer, physician advisor and… more
    Sharp HealthCare (11/02/24)
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  • RN Case Mgr Weekend Per Diem - Days

    Hackensack Meridian Health (Hackensack, NJ)
    …to achieve continuous improvement in both areas. + Refers cases and issues to physician advisor in compliance with department procedures and follows up as ... according to department standards. + Facilitates transfers to other facilities . + Follows ED Case Manager Job Description and...including orders for CT and MRI. Refers variances to Physician Advisor . + Knowledgeable about Indigent Medication… more
    Hackensack Meridian Health (09/06/24)
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  • Case Manager II, Psychiatric Intake

    Sutter Health (Berkeley, CA)
    …that chart documentation supports LOC determination and assignment. * Works with Physician Advisor and Attending Physicians to obtain necessary documentation to ... appropriateness of the level of care. * Follows policies and procedures for Physician Advisor referrals. * Facilitates and expedites the discharge of patients… more
    Sutter Health (10/24/24)
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  • Executive Medical Director Revenue Cycle

    AdventHealth (Maitland, FL)
    …**Days - This is On Site position** **The role you'll contribute:** As the physician advisor , the Executive Medical Director of Revenue Cycle educates, informs, ... services. This position supports the CMO capacities at the facilities within the Central Florida Division - South by...Management . Two years or greater experience as a Physician Advisor **LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED**… more
    AdventHealth (11/04/24)
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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 (09/14/24)
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