- SUNY Downstate Health Sciences University (New York, NY)
- Physician Advisor / Clinical Assistant Professor (HS) Apply now Job No: 496974 Department: PHYSICIANS - MEDICINE Local Title: Physician Advisor / ... of Medicine at SUNY Downstate Health Sciences University is seeking a full‑time Physician Advisor / Clinical Assistant Professor (HS). The Physician … more
- Luminis Health (Lanham, MD)
- …while decreasing length of stay, avoidable delays and denied days; utilizes Physician Advisor and administrative personnel for unresolved issues; identifies ... : Monitors and identifies patterns or trends in utilization management ; monitors potential and actual denials and...expedited appeals and collaborates with the care coordinator and Physician Advisor to resolve payer issues. 4.… more
- WVU (Morgantown, WV)
- … management .7. Continually communicates with Coding Staff, Medical Staff, Physician Advisor , Department Chairman, and Department Administrators.8. Organizes, ... **OR** Registered Health Information Technician (RHIT)through American Health Information Management Association)* Certified Outpatient Coder (COC) through American Academy… more
- CommonSpirit Health (Englewood, CO)
- **Job Summary and Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews ... patients and alternative levels of care. **The PA performs denials management and prevention in accordance with...required + **Minimum 3 years of experience as a Physician Advisor ** **managing denials required**… more
- UNC Health Care (Kinston, NC)
- …payor regulations. 3. Reviews all denials and works collaboratively with the Physician Advisor and Case management Assistants. 4. Reviews and documents ... gathers required clinical documentation and formulates appropriate appeals. Coordinates with the Physician Advisor and Case management Assistants in order… more
- Beth Israel Lahey Health (Plymouth, MA)
- …trends/root causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. + Participate ... difference in people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth Israel… more
- Nuvance Health (Danbury, CT)
- …support inpatient level of care. If the case still does not meet, send to the Physician Advisor (PA) for a second level review. * Forward cases that require ... secondary physician review to appropriate resource (eg, Physician Advisor ). * Resolve any discrepancy at...appeals and communicating on a daily/regular basis with the Denials Management team. * Assists with informing… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …patients, regulatory compliance, and utilization management (including LOS). 4. The Physician Advisor should discuss his/her role with the Hospital CMO, or ... We are seeking a physician with leadership experience interested in our new Physician Advisor position. 1. The Physician Advisor serves the… more
- Carle Health (Champaign, IL)
- … and clinical denials management . + The Behavioral Health Physician Advisor is also expected to onboard the new providers regarding utilization ... with our Utilization Management RN team, Clinical Denials Management team and the Physician Advisor Team which is comprised of five other physicians.… more
- Houston Methodist (Houston, 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...team, in order to assist with the identification and management of denials . Make suggestions related to… more
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