- Highmark Health (Pittsburgh, PA)
- …interdisciplinary care team including Physicians, Case Managers, UM nurses, and the hospital leadership team. The Physician Advisor is an integral part ... The Physician Advisor works in concert with the admitting physician , Case Management, and other hospital personnel, to evaluate the medical necessity… more
- WellSpan Health (York, PA)
- …as needed. Assist with Bridges to Health referrals and cases as needed. + Provides Physician Advisor support to all WellSpan entities as needed and at the ... **General Summary** Provides direct supervision of case management and utilization review activities performed by...Milliman and other nationally accepted guideline. + Provides daytime physician advisor coverage with availability in person… more
- Highmark Health (Monroeville, PA)
- …for denial trends with the care coordination teams, performance improvement teams, physicians/ physician advisor and third party payers. + Maintains a working ... working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by… more
- Penn Medicine (Philadelphia, PA)
- …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician Advisor Discharge planning activities: timely coordination of home… more
- Penn Medicine (Philadelphia, PA)
- … manager conducts utilization management activities, communication with insurers, team, and physician advisor . Discharge planning activities such as : home care, ... you will miss patient contact? If so, our nurse case manager role at Penn Medicine is the perfect...of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home… more
- UPMC (Pittsburgh, PA)
- …requirements and that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
Recent Jobs
-
Financial Services Commercial Advisory - Financial Crimes, Risk & Compliance | Senior Consultant
- Guidehouse (Mclean, VA)
-
Mid-Level Program Integration Manager
- The Boeing Company (Titusville, FL)