- CommonSpirit Health (Houston, TX)
- …is 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 ... care services. The PA communicates remotely with case and utilization management to discuss selected cases and...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5… more
- 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 healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews...actively participates in defining operational strategic objectives for the Utilization Management Program and serve as the… more
- 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 (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 ... Provides education to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of department scores for… more
- Huntington National Bank (Addison, TX)
- Description Job Summary: As a Treasury Management Advisor III - Corporate Healthcare, you will play a pivotal role in driving the growth and success of our ... In this role, you will act as a trusted advisor to both clients and prospects, providing insightful guidance...: Oversee portfolio performance, ensuring revenue growth and high utilization of treasury solutions + Risk Management … more
- Wolters Kluwer (Dallas, TX)
- …efforts, prioritizing efforts and resources for assigned customer portfolio. + Ongoing Utilization Management + Oversee and analyze customer utilization ... on the front lines of clinical care. Our talented team of physician and pharmacist editors, technologists, and product visionaries collaborate to provide advanced… more
- CVS Health (Austin, TX)
- …program/operational efficiency involving clinical issues * Provide leadership and day-to-day physician oversight for utilization management team, including ... Qualifications** * Experience with managed care, as a provider and manager of care utilization review or physician advisor experience. **Education** * Active… more
- Houston Methodist (The Woodlands, TX)
- …case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need for ... state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement and… more
- Houston Methodist (Houston, TX)
- …case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need for ... state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement and… more
- CVS Health (Austin, TX)
- …review, and appeal request. This position is primarily responsible for Utilization Management , including prior authorization and precertification as well ... - Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred… more