- Penn Medicine (Philadelphia, PA)
- …for assuring the effective and efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, ... and advising the care management and utilization review departments and the hospital leadership. The Physician... review departments and the hospital leadership. The Physician Advisor shall possess and/or develop expertise… more
- R1 RCM (Jenkintown, PA)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... by reviewing payor peer-to-peer cases. Every day you will review cases for which authorization has been denied evaluating...position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues:… 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… 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 ... knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.… more
- Penn Medicine (Philadelphia, PA)
- …Ensures consistent delivery of high-quality patient care and services as a trusted advisor to the department Chair and COO/ACOO. This individual must be an excellent ... scheduling and on-site patient experience to ensure access to care and physician and patient satisfaction. + Oversees the efficient, effective flow of materials… 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, ... quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources,… more