- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting, and advising the case management department, clinical documentation ... high levels of healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews on cases referred by case… more
- 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
- Intermountain Health (Austin, TX)
- …to coding questions received by facility caregivers including CDI RNs, Quality and Physician Advisor Services MDs. This position supports higher level analytics ... Association (AHIMA). This position provides advanced training to CDI RNs and Physician Advisor Services MDs on ICD-10 and DRG code assignment for hospitals. It… more
- Houston Methodist (Houston, 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
- 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
- Houston Methodist (Houston, 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
- 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 (Houston, TX)
- …review teams to facilitate efficient use of resources and seeks assistance from the Physician Advisor when necessary. Informs management of the possible need for ... education, process improvements). **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional health care team to… more
- HCA Healthcare (Houston, TX)
- …Staff with referral of all cases in question to the Utilization Management Physician Advisor . + Communicates with third party payers regarding extended stays ... for approval. + Coordinates Discharge Planning meetings with nursing and ancillary staff on individual nursing units to promote ongoing review of patient care activities related to provision of services, patterns of care, and utilization of resources. +… more