- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... this remote position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues: authorization requested,… more
- Sedgwick (Southfield, MI)
- …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
- Sedgwick (Southfield, MI)
- …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
- Tenet Healthcare (Detroit, MI)
- …the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning ... of care based on Medical Necessity process and submits case for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers… more
- University of Michigan (Ann Arbor, MI)
- …appropriate utilization management venues + Conducts referrals and consultation with Physician Advisor **Professional Development** + Actively participates in ... a comprehensive plan of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary team in the… more
- R1 RCM (Detroit, MI)
- …of documentation inconsistencies and DRG variances + Educates the CDI team and Physician Advisor on coding changes, DRGs, Official coding guidelines and ... site customers including CDI, Quality/Risk, Case Management, Patient Advocate's, Physician Advisors, Clinical Departments and Administration. **Here's what you'll… more
- Tenet Healthcare (Commerce Township, MI)
- …include the following activities: a) accurate LOS screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment ... and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h )… more
- Henry Ford Health System (Clinton Township, MI)
- …of inpatients. EDUCATION/EXPERIENCE REQUIRED: MD or DO. Two (2) years of physician advisor and/or utilization management experience. Medical Staff membership in ... good standing at Henry Ford Macomb Hospital (HFMH) or attainment of membership following job initiation. CERTIFICATIONS/LICENSURES REQUIRED: Michigan medical and DEA licensure. Board certification in Internal Medicine or Emergency Medicine. #pr Additional… more
- Corewell Health (Greenville, MI)
- …healthcare leader, Corewell Health in West Michigan is committed to preparing the physician of tomorrow to best care for our patients and their families. Corewell ... Family Medicine Residency Program is seeking to add a Family Medicine Physician provider dedicated to delivering high-quality patient care to their team. Our… more
- R1 RCM (Detroit, MI)
- …As our Senior Manager of Client Success, you will serve as a trusted advisor and reliable advocate for clients, overseeing the client experience throughout the full ... revenue cycle management, healthcare operations, or client success roles. + Physician billing experience in specialty groups preferred; radiology, surgical, primary… more
Recent Jobs
-
Primary Care Provider (Physician Assistant or Nurse Practitioner)
- STG International (Yellowstone National Park, WY)
-
Area Service Leader
- GE HealthCare (Appleton, WI)
-
Payroll Audit Clerk
- SUNY Schenectady County Community College (Schenectady, NY)
-
Director, Pharmaceutical Sciences Program Leadership
- Takeda Pharmaceuticals (Boston, MA)