- Guthrie (Troy, PA)
- …Guthrie Clinic is an Equal Opportunity Employer. The Guthrie Clinic is a non -profit, integrated, practicing physician -led organization in the Twin Tiers of New ... a $15,000.00 Sign on Bonus! Summary The LPN Utilization Management (UM) Reviewer , in collaboration with Care Coordination, Guthrie Clinic offices, other physician… more
- Houston Methodist (The Woodlands, TX)
- …to the Physician Advisor (or services) for appropriate second level review , peer-peer discussions, and payer denial- appeal needs. Consults with physician ... At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed...coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... additional vacancies. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Education Debt Reduction Program (Student Loan Repayment): Learn… more
- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management,...posted rate of pay based on a number of non -discriminatory factors, including but not limited to: + Labor… more
- Houston Methodist (The Woodlands, TX)
- …per hospital/ case management and clinical documentation policies policy. + Review issues identified by case management department to ensure appropriate ... At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting,...documentation to support such determinations. **FINANCE ESSENTIAL FUNCTIONS** + Review medical records identified by case managers,… more
- Mohawk Valley Health System (Utica, NY)
- PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the ... billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of...of admission and continued stay, severity, and morbidity/mortality. + Review patient status when admission criteria is non… more
- Ellis Medicine (Schenectady, NY)
- …by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social workers ... years of inpatient experience in a hospital environment preferred. + Previous case management, utilization review , and discharge planning experience highly… more
- Sharp HealthCare (San Diego, CA)
- …every patient identified per departmental guidelines during hospital stay beginning with the admission review of the case manager and reviews with the Case ... in collaboration with the Hospitalist team, SRS primary care physician , and ancillary staff to ensure cost effective quality...home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care… more
- Sharp HealthCare (San Diego, CA)
- …Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California ... Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management...of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary… more
- Sharp HealthCare (La Mesa, CA)
- …Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California ... a comprehensive plan of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary team in the… more