- Stanford Health Care (Menlo Park, CA)
- …and administrative space activations, wayfinding and signage, facilities governance, hospital tours and immersive experiences, and key facilities initiatives. In ... and stakeholder engagement, the Senior Project Manager serves as an advisor to department leadership. This role models structured project execution, supports… more
- 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 ... with physicians, administrative personnel, and other disciplines in the hospital to coordinate the work of the unit, obtain...criteria and standards; serves as the liaison with the physician advisor for the referral of unusual… more
- AdventHealth (Glendale Heights, IL)
- …status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by ... record; *Escalating otherwise unresolved status conflicts appropriately and timely to the physician advisor to avoid concurrent denials. + Collaborates with… more
- Tenet Healthcare (Detroit, MI)
- …payors Performing accurate medical necessity screening and timely submission for Physician Advisor reviews Collaborating with payors, physicians, office staff ... level of care based on Medical Necessity and submits case for Secondary Physician review per Tenet...Behavioral Health patient care experience required. One (1) year hospital acute or behavioral health case management… more
- Penn Medicine (Philadelphia, PA)
- … manager conducts utilization management activities, communication with insurers, team, and physician advisor . Discharge planning activities such as : home care, ... you will miss patient contact? If so, our nurse case manager role at Penn Medicine is the perfect...of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home… more
- AdventHealth (Tampa, FL)
- …staff office, medical school affiliation(s) and residency programs. The Associate CMO serves as physician advisor to the Case Management staff and serves as ... decisions. + Serves as a clinical leader to the hospital 's medical staff providing guidance in case ...at applicable meetings by providing counsel and relaying a physician perspective. + Represents the hospital to… more
- Trinity Health (Fort Lauderdale, FL)
- …Nurse Reviewer for Observation services. * Maintains a working relationship with onsite Physician Advisor * Educates Observation Case Managers, including ... hospital clinical experience is required.** Recent experience in case management, utilization review, discharge planning, ongoing monitoring and evaluation of… more
- Rochester Regional Health (Rochester, NY)
- …or attending physician to identify cause. Communicates as needed with Physician Advisor , assures patient is placed on clinical pathway and monitors ... Per Week: 40 Schedule: Monday-Friday 8am-4:30pm SUMMARY Provides proactive case coordination/patient navigation for patients, including triage management, algorithm… more
- Nuvance Health (Danbury, CT)
- …Forwards reviews that require secondary physician review to appropriate resource ( Physician Advisor ) 13) Coordinates with care team in changing LOC/Status, ... *Description* Nuvance Health has a network of convenient hospital and outpatient locations - Danbury Hospital...New York - plus multiple primary and specialty care physician practice's locations, including The Heart Center, a leading… 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 for ... national and local coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan of care… more