- CommonSpirit Health (Houston, TX)
- …and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case ... state of Texas required. + Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5 years of clinical practice required. + Experience… more
- Houston Methodist (The Woodlands, TX)
- …appropriate, by analyzing clinical protocols. + Escalates appropriate cases to the Physician Advisor (or services) for appropriate second level review, peer-peer ... discussions, and payer denial- appeal needs. Consults with physician advisor as necessary to resolve progression-of-care barriers through appropriate… more
- Sedgwick (Irving, TX)
- …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
- Houston Methodist (Cypress, TX)
- …the external case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need ... improvements, patient satisfaction. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional healthcare team to… more
- Houston Methodist (The Woodlands, TX)
- …the external case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need ... improvements, patient satisfaction). **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional health care team to… more
- Sedgwick (Irving, TX)
- …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 (Irving, TX)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... + Negotiates return to work with or without job accommodations via the claimant's physician and employer. + Refers cases as appropriate to team lead and clinical… more
- Houston Methodist (Houston, TX)
- …for cost, quality, and service and patient satisfaction. Collaborates with the Physician Advisor to address identified educational needs for providers and ... utilization information and data in a comprehensive manner. + Works with physician leadership and the interprofessional health care team for defined patient… more
- UTMB Health (Galveston, TX)
- …to patient and customer requests/needs + .Partners with physicians and the Physician Advisor (s) to build and maintain effective relationships with physicians, ... services, specialties, etc. + Manages structures and processes to facilitate participation by physicians, physical therapists, clergy, Social Work, and other health professionals in multidisciplinary care planning, care delivery, and discharge planning.… more
- Houston Methodist (Houston, TX)
- …role will be supporting the southern region of the Houston Methodist Physician 's Organization, primarily serving physicians and clinic employees connected to or ... support for workplace teams and or individuals. + Serves as spiritual advisor and I CARE consultant for executive assembly, entity standing committees, department,… more