- 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
- Beth Israel Lahey Health (Plymouth, MA)
- …trends/root causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. + Participate ... making a difference in people's lives.** MANAGER,UTILIZATION REVIEW & DENIALS MGMT **Job Description:** Beth Israel Deaconess Hospital-Plymouth recognizes Integrity,… more
- Kaleida Health (Buffalo, NY)
- …as facilitating strong working relationships between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting, and hospital departments ... where diversity is valued and celebrated!_ **Position** Director Clinical and DRG Denials **Location** US:NY:Buffalo | Management | Full-Time **Req ID** null… more
- Ochsner Health (New Orleans, LA)
- …Come make a difference at Ochsner Health and discover your future today!** The Physician Advisor (PA-Utilization Management ) serves as the physician ... Board of Quality Assurance and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty Certification by the American Board of Quality… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Physician Advisor is responsible for teaching, consulting, and advising the case management department, clinical documentation ... of healthcare quality and acceptable levels of cost. The Physician Advisor will conduct clinical reviews on...team, in order to assist with the identification and management of denials . Make suggestions related to… more
- Trinity Health (Silver Spring, MD)
- …procedure and approach to physician advisor roles in utilization management , length of stay, denials /downgrades. Serves as physician expert and ... throughout the organization. Manages processes, policies, workflows and overall management of the physician advisor ...all levels of care) + Understanding of approaches to denials management + Familiarity with clinical documentation… more
- Dignity Health (Prescott, AZ)
- …and your family. **Responsibilities** **Position Summary:** Reporting to our CMO, the Physician Advisor plays a critical role in promoting evidence-based ... facility utilization initiatives (ie leverage the leadership influence of Physician Advisor by mobilizing other physicians and...length of stay and reducing avoidable days and claim denials . + Influence physician practices to optimize… more
- Catholic Health Services (Melville, NY)
- …presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. Supervises the ... with management in recruiting new Catholic Health Physician Advisor hires. Trains new Physician...admission criteria for all levels of care). Experience with denials management . Knowledge of clinical, quality, and… more
- WMCHealth (Valhalla, NY)
- …duties as assigned. Qualifications/Requirements: Experience: Experience as a CDI champion and/or Case management Physician Advisor or having 3-5 years as a ... Physician Advisor Company: WMC Advanced ...objectives. This position plays an important role in ensuring physician support and execution of for Utilization Management… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits, Free ... from Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate...all levels of care) * Understanding of approaches to denials management * Knowledge of clinical, quality,… more
- Mohawk Valley Health System (Utica, NY)
- PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on ... of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance… more
- AdventHealth (Tampa, FL)
- …Primary Stroke Center. **The ro** **le you'll contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary ... documentation, patient safety, and quality outcomes. Through primary support of Utilization Management , the Physician Advisor is responsible for providing… more
- Ascension Health (Austin, TX)
- …the time of the offer._ **Responsibilities** **Position Highlights** Ascension Seton is looking for a Physician Advisor to join our team. We are looking for a ... work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If...compliance processes. + Develop strategy and processes to reduce denials and audits. + Assist with appeals and length… more
- Ascension Health (Chicago, IL)
- **Details** + **Department:** Physician Advisor , Administration + **Schedule:** Full-time + **Hospital:** Ascension St. Joseph's Chicago (Lakeshore Drive) + ... the offer._ **Responsibilities** Provide medical direction in the care management , clinical documentation improvement, coding, quality and/or compliance process. +… more
- Billings Clinic (Billings, MT)
- …and coding. Analyzes and reports coding distribution and trends in clinical denials to providers and management . Analyzes payer bulletins and regulations ... a difference here. About Us Billings Clinic is a community-owned, not-for-profit, Physician -led health system based in Billings with more than 4,700 employees,… more
- Covenant Health Inc. (Knoxville, TN)
- …utilization management functions related to the coordination of physician advisor related activities. Prepares necessary documentation for insurance ... report on each physician 's activities impacting Utilization Management activities. + Manages physician advisor.... + Keeping abreast of current changes affecting utilization management as applicable. + Prepares notices ( denials )… more
- Ascension Health (Derby, KS)
- …education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension Via Christi is ... looking for a Board Certified/Board Eligible Family Medicine Physician in Derby, KS. **Position Highlights:** + Employed opportunity within a physician group of… more
- Ascension Health (Waco, TX)
- …education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension Providence is looking ... for a Physical Medicine and Rehabilitation physician to serve as the Medical Director for our...could establish an outpatient clinic practice and see pain management patients as well. This is a great opportunity… more
- Ascension Health (Indianapolis, IN)
- …TBD + **Practice Detail:** We are searching for a skilled Pediatric Child Abuse Physician to join our excellent team! + **EMR System:** SCM in Indianapolis, IN and ... education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Peyton Manning Children's Hospital… more
- Ascension Health (Manhattan, KS)
- …education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Ascension Via Christi is ... medical diagnostic and treatment skills. Coordinates discharge planning with case management . + Recommends, participates in, and works to ensure the success… more