- Dignity Health (Carmichael, CA)
- **Responsibilities** ** Physician Advisor - Champion Quality Care at Dignity Health Mercy San Juan Medical Center** Are you a physician leader passionate ... Level 2 Trauma Center in Sacramento, CA, is seeking a dedicated and experienced Physician Advisor to join our team and play a pivotal role in shaping the future… more
- Sutter Health (Sacramento, CA)
- …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the ... and the hospital to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely… more
- Dignity Health (Carmichael, CA)
- …hospital or office environment (Required). + 2+ years of work experience as a Physician Advisor (Preferred). + Membership in the American College of Physician ... Level 2 Trauma Center in Sacramento, CA, is seeking a dedicated and experienced Physician Advisor to join our team and play a pivotal role in shaping the future… more
- UCLA Health (Los Angeles, CA)
- Description The Physician Advisor provides physician leadership and clinical expertise related to coordination of patient care, length of stay and level of ... flow/throughput management, ancillary services utilization and clinical documentation improvement. The Physician Advisor reviews clinical cases to provide a … more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …is required; Experience supervising physicians and supporting utilization management as a Physician Utilization Management Advisor (PUMA) is preferred; Must be ... L. Pettis Memorial Veterans Hospital is recruiting for a Full-Time, Permanent, Physician , Chief of Inpatient Medicine and reports directly to the ED-Inpatient… more
- The County of Los Angeles (Los Angeles, CA)
- …pertaining to Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission or continued stay is being ... appropriate screening criteria and standards; serves as the liaison with the physician advisor for the referral of unusual questionable cases, on referred cases… more
- Alameda Health System (Oakland, CA)
- …Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. + Takes appropriate action when cases ... Escalates to the attending physician , and the Care Management physician advisor of any concurrent denials. + Prepares case reports; documents treatment plan,… more
- The County of Los Angeles (Los Angeles, CA)
- …and analyzes reports prepared by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician advisor ... Accreditation of Hospitals' utilization review standard. Under the direction of a physician member of the Utilization Review Committee, the incumbent is responsible… more
- Alameda Health System (San Leandro, CA)
- …action when cases do not meet criteria - coordinates denials with the attending physician , and the UR physician advisor . Prepares case reports; documents ... disposition of Medi-Cal, self-pay, and out-of-plan patients, including working with physician to determine readiness for transfer, securing placement and completing… more
- Sedgwick (West Hills, CA)
- …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