- CommonSpirit Health (Phoenix, AZ)
- …more just, equitable, and innovative healthcare delivery system. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical ... 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 ... difference in people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth Israel… 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
- Catholic Health Initiatives (Omaha, NE)
- **Overview** The Physician Advisor is charged with meeting the organization's goals and objectives for assuring the effective, efficient utilization of health ... care services. The Physician Advisor is a physician ...patterns, and other relevant information as requested. + Ensures physician accountability for efficient patient care management .… 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
- Highmark Health (Pittsburgh, PA)
- …+ The Physician Advisor works in concert with the admitting physician , Case Management , and other hospital personnel, to evaluate the medical necessity ... The **Allegheny Health Network (AHN)** is recruiting a full-time ** Physician Advisor ** to join our team located...Advisor is an integral part of the Utilization Management Committee and participates in hospital and enterprise-level quality… 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
- Community Health Systems (Franklin, TN)
- …to support denial management strategies and payer interactions. The Physician Advisor Specialist ensures timely case scheduling, documentation accuracy, and ... **Job Summary** The Physician Advisor Specialist is responsible for...with Physician Advisors, Utilization Review, and Denial Management teams, ensuring timely resolution of denials … 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
- Cleveland Clinic (Cleveland, OH)
- **Enterprise Physician Advisor ** The Physician Advisor works in collaboration with institute, market, and enterprise leaders in aligning interests ... resource, and consultant to Finance, Medical Staff and Utilization Management . Reports to the Assistant Medical Director Physician...to achieve the best outcomes. . Participate in status management , denials management and prevention,… more
- AdventHealth (Orlando, FL)
- …questions from Utilization Management staff involved in authorizations, concurrent review, and denials as a back up to UM Physician Advisory as and when ... AND JOB RESPONSIBILITIES** **:** Provides clinical support/validation for Care Management , CDI and Quality teams. Provides education and serves...Regulations . Two years or greater experience as a Physician Advisor . Three years of leadership… 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
- Trinity Health (Des Moines, IA)
- … with Inpatient experience for a newly opened but established role as a Physician Advisor . The ideal candidate will have served on Hospital committees or ... working knowledge of CMS and commercial insurance regulations. The Physician Advisor must possess a team-building mindset...health plan, and clinical guidelines in the review of denials . Serve as a resource for physicians regarding… more
- Ascension Health (Jacksonville, FL)
- …time of the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent 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 (Hoffman Estates, IL)
- …time of the offer._ **Responsibilities** **Position Highlights** Ascension St. Alexius is looking for a Physician Advisor to join our team. We are looking for a ... of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. This position reports directly… 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