- AdventHealth (Altamonte Springs, FL)
- …outcomes. Through primary support of Utilization Management, the Physician Advisor is responsible for providing clinical review of utilization , ... Altamonte Springs, FL **The role you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support… more
- Ascension Health (Jacksonville, FL)
- …time of the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a ... 5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to… more
- AdventHealth (Tampa, FL)
- …indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by department ... **le you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse (RN) is to use...to ensure timely resolution of issues. Collaborates with the physician and all members of the multidisciplinary team to… more
- AdventHealth (Tampa, FL)
- …indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by department ... 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis. Performs… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …(HRO), performs psychiatry Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure compliance. ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. VA offers a comprehensive total rewards package.… more
- Ascension Health (Jacksonville, FL)
- …areas of responsibility, to include but not limited to; + Quality and Safety + Utilization Review + Peer Review and Credentialing + Growth and Strategic ... adherence and completion of medical staff decisions regarding peer review and physician behavioral issues. + Leads...principles for physician activities. + Serves as physician advisor to assist with level of… more
- AdventHealth (Tampa, FL)
- …staff office, medical school affiliation(s) and residency programs. The Associate CMO serves as physician advisor to the Case Management staff and serves as ... physician liaison to promote appropriate utilization of...and retention strategies and activities. + Completes annual quantifiable review of the service provided by each executive contract… more
- HCA Healthcare (Gainesville, FL)
- …the development and implementation of critical pathways. 1. Utilizes computer support and physician advisor to determine potential outliers (length of stay and ... physical, psycho-social, financial). 1. Participates in IDT rounds, 1. Conducts utilization review , evaluates clinical information, and communicates findings to… more
- Fresenius Medical Center (Venice, FL)
- …departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. + ... staff in problem solving. **PHYSICIANS:** + Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible… more
- CVS Health (Tallahassee, FL)
- …UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization A Plus +. + Electronic ... and consistent responses to members and providers related to precertification, concurrent review , and appeal request. This position is primarily responsible for … more