• Utilization Review, Management

    Sutter Health (Sacramento, CA)
    …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management more
    Sutter Health (05/29/25)
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  • Physician , Chief of Inpatient Medicine

    Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
    …Experience supervising physicians and supporting utilization management as a Physician Utilization Management Advisor (PUMA) is preferred; Must ... L. Pettis Memorial Veterans Hospital is recruiting for a Full-Time, Permanent, Physician , Chief of Inpatient Medicine and reports directly to the ED-Inpatient… more
    Veterans Affairs, Veterans Health Administration (06/15/25)
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  • Physician Advisor

    Dignity Health (Carmichael, CA)
    …of the Department of Care Coordination's utilization and compliance activities. The Physician Advisor may report directly to the VP Medical Affairs, Chief ... **Responsibilities** ** Physician Advisor - Champion Quality Care...State of California. + Certification in Health Care Quality Management (HCQM) **Licensure:** + Physician License in… more
    Dignity Health (07/09/25)
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  • CDI Physician Advisor

    Sutter Health (Emeryville, CA)
    …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management more
    Sutter Health (08/02/25)
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  • Physician Advisor

    Dignity Health (Carmichael, CA)
    …hospital or office environment (Required). + 2+ years of work experience as a Physician Advisor (Preferred). + Membership in the American College of Physician ... enhance the clinical credibility of the Care Coordination Department's utilization and compliance activities. + Participate in an annual...in Sacramento, CA, is seeking a dedicated and experienced Physician Advisor to join our team and… more
    Dignity Health (06/14/25)
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  • Physician Advisor

    UCLA Health (Los Angeles, CA)
    management , ancillary services utilization and clinical documentation improvement. The Physician Advisor reviews clinical cases to provide a physician ... Description The Physician Advisor provides physician ...Experience, Skills and Abilities: * Five years of hospital utilization management experience, with demonstrated success in… more
    UCLA Health (07/18/25)
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  • Utilization Review Nurse Supervisor I

    The County of Los Angeles (Los Angeles, CA)
    …pertaining to Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission or continued stay is being ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply...criteria and standards; serves as the liaison with the physician advisor for the referral of unusual… more
    The County of Los Angeles (05/22/25)
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  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Evening ... + Req #:41910-31048 + FTE:1 + Posted:July 14, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN is responsible for… more
    Alameda Health System (07/29/25)
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  • Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …Medical Management Department ( Utilization /Cost Management and Quality Management ) + Develops and updates Physician management department work ... operational leadership, projects and meetings throughout the SHP. This position oversees all physician management and medical care and for all of Sharp Health… more
    Sharp HealthCare (07/19/25)
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  • Medical Director - Sharp Health Plan - Hybrid…

    Sharp HealthCare (San Diego, CA)
    …to accrediting and regulatory agency feedback. + Supports pre-admission review, utilization management , and concurrent and retrospective rev1ew process. + ... the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is...Participates in risk management , pharmacy utilization management , catastrophic… more
    Sharp HealthCare (05/18/25)
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