• 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

    AdventHealth (Orlando, FL)
    …**Schedule:** **FT** **Shift** : **Days** **The role you'll contribute:** The Onsite Physician Advisor provides primary support for Care Management (CM) and ... at the campus, as well as, the medical liaison for payor escalations. The Physician Advisor is responsible for educating, informing and advising members of the,… more
    AdventHealth (11/15/24)
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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

    Health First (Melbourne, FL)
    *POSITION SUMMARY:* The Physician Advisor is a key member of the Health First Hospital Division, responsible for ensuring high-quality patient care and efficient ... + One or more years of experience as a Physician Advisor . o Certification: Certified Physician...site or remote. * May require travel to various facilities within and beyond county perimeter; may require use… more
    Health First (11/25/24)
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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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  • 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 (Salt Lake City, UT)
    …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 (11/23/24)
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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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  • 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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  • Care Management Clinical Appeals Specialist

    Alameda Health System (San Leandro, CA)
    …Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. 3. Collaborates and communicates regularly ... Coordinates and executes the appeal process for all AHS facilities clinical appeals and third party audits. **DUTIES &...the attending physician and the Care Management physician advisor ; prepares case reports; documents treatment… more
    Alameda Health System (11/19/24)
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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 (11/17/24)
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  • Nurse, Care Management

    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 ... the attending physician , and the Care Management physician advisor of any concurrent denials.Prepares case...(ie Care Transition team and CM teams at other facilities ) for high risk patients for timely follow-up appointments… more
    Alameda Health System (09/06/24)
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  • Staff Nurse- Case Manager- Mount Sinai West- Part…

    Mount Sinai Health System (New York, NY)
    …and responsive to the diverse backgrounds and experience of others. * Liaison with Physician Advisor . 2. Case Management: * Assessment of the patient's clinical, ... to reduce readmission rate. * Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum… more
    Mount Sinai Health System (10/16/24)
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  • Physician - Psychiatry Section Chief

    Veterans Affairs, Veterans Health Administration (Spokane, WA)
    …Service (BHS) at VAMC Spokane. In this role, incumbent serves as the senior physician , subject matter expert, and advisor to Chief of Behavioral Health Service ... and/or through subordinate supervisors) clinical oversight of all physicians, physician assistants, nurse practitioners, and para-professionals who provide or… more
    Veterans Affairs, Veterans Health Administration (10/13/24)
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