• Physician Advisor | Case Management

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting, and advising the case management department, clinical documentation ... is a key member and leader of the hospital's utilization review /management committee, which is charged with...of healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews… more
    Houston Methodist (09/26/25)
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  • Physician Advisor

    CommonSpirit Health (Houston, TX)
    …a remote position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews ... providing quality patient care, to assure effective and efficient utilization of health care services. The PA communicates remotely...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5… more
    CommonSpirit Health (10/29/25)
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  • Physician Advisor

    Ascension Health (Austin, TX)
    **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Remote (with some on-site prescense required) + ... Highlights** Ascension in Austin, TX is looking for a Physician Advisor to join our team. We...setting (Adult Medicine Hospitialist experience preferred), preferably with some Physician Advisory/ Utilization Management work experience. If… more
    Ascension Health (10/08/25)
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  • Case Manager Certified - Transition in Care

    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 healthcare team to… more
    Houston Methodist (10/11/25)
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  • Case Manager - PRN

    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
    Houston Methodist (08/08/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning ... other members of the team on issues related to utilization review including inappropriate admissions and placements....illness. Escalates cases as appropriate and per policy to [ Physician Advisor and Director]. Collaborates with the… more
    HCA Healthcare (10/13/25)
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  • Medical Director-Medicaid (ABH TX)

    CVS Health (Austin, TX)
    …working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred Qualifications:** ... -Health plan/payor Utilization Management / Review experience -Electronic medical systems/record experience -Managed Care experience -Medicaid experience… more
    CVS Health (09/04/25)
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  • Dialysis Clinical Manager Registered Nurse - RN

    Fresenius Medical Center (San Antonio, TX)
    …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
    Fresenius Medical Center (10/24/25)
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