- Centene Corporation (Springfield, IL)
- …presentations, creating/exporting reports, and data analysis. Additional Details: * Department: Quality Improvement * Business Unit: Illinois Health Plan * ... record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan… more
- Centene Corporation (Surfside Beach, SC)
- …pediatric background, and (3) an active RN license.** Additional Details: * Department: MED- Quality Improvement * Business Unit: Absolute Total Care * Schedule: ... record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan… more
- Genesis Healthcare (NM)
- …is submitted timely and validate readiness for revisit. 5. Collaborate with Market Advisor , Clinical Advisor or other designated Market team members ... Overview The Regulatory Compliance Advisor is responsible for overseeing Regulatory compliance and... is responsible for overseeing Regulatory compliance and the Quality Review process that supports compliance to state and… more
- Centene Corporation (Indianapolis, IN)
- …record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan ... needs where Centene can provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and… more
- Centene Corporation (Austin, TX)
- …record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan ... needs where Centene can provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and… more
- Houston Methodist (Houston, TX)
- …levels of healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews on cases referred by case management ... At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting, and...for teaching, consulting, and advising the case management department, clinical documentation specialists, medical staff and the hospital on… more
- CommonSpirit Health (Englewood, CO)
- …and Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case ... regulatory requirements and in accordance with the system's objectives for assuring quality patient care and effective and efficient utilization of health care… more
- Sutter Health (Modesto, CA)
- …care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on cases referred by UM/CM ... regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement ) professional, HIM (Health Information Management ) ,and the… more
- Atlantic Health System (Summit, NJ)
- …As a Physician Advisor at Overlook Medical Center, you will provide clinical direction and leadership to the organization, increasing its ability to produce best ... course), or CPUR (Certification Program in Utilization Review), Institute for Healthcare Improvement courses, or physician advisor training from the American… more
- PeaceHealth (Vancouver, WA)
- …years required: Caregiver development, patient experience, organizational design, healthcare quality improvement , and/or risk management experience with ... colleagues and subject matter experts in areas such as Human Resources, Mission, Quality , Analytics, Clinical Excellence and learning functions to ensure that… more