• Physician Advisor

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting, and advising the case management department, clinical ... of ensuring high levels of healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews on cases referred by … more
    Houston Methodist (07/05/25)
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  • Physician Advisor

    CommonSpirit Health (Houston, TX)
    …must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case ... to meet regulatory requirements and, in accordance with the hospital 's objectives for providing quality patient care, to assure...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5… more
    CommonSpirit Health (06/28/25)
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  • Utilization Review Nurse - Case Management…

    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
    Houston Methodist (07/12/25)
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  • Case Manager Certified (4 - 10s: Sunday…

    Houston Methodist (Houston, TX)
    …external case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need ... At Houston Methodist, the Case Manager (CM) Certified position is a registered...patient satisfaction. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional healthcare team… more
    Houston Methodist (06/28/25)
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  • Case Manager (RN) - PRN Days

    Houston Methodist (Sugar Land, TX)
    …external case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need ... At Houston Methodist, the Case Manager PRN (CM) position is a licensed...patient satisfaction). **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional health care… more
    Houston Methodist (05/25/25)
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  • Utilization Review Specialist RN - FT Days

    Houston Methodist (Sugar Land, 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 ... national and local coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan of care… more
    Houston Methodist (07/29/25)
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