- CommonSpirit Health (Englewood, CO)
- **Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case ... and understanding of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters and other… more
- Catholic Health Initiatives (Bismarck, ND)
- …St. Alexius is looking for a Physcian Advisor to join the team! The Onsite Physician Advisor (PA) will serve as a physician leader and advocate for the ... upon-performance and process improvement metrics for facility, UM/Medical Staff, and Physician Advisor program. + Communicate facility feedback and metrics… more
- Baptist Memorial (Memphis, TN)
- …healthcare insurance providers in response to post-claim denials received by BMHCC. Physician Advisor communication may be necessary to provide further clinical ... Overview Specialist-Denial Mitigation II RN Job Code: 21432 FLSA Status Job...outside the formal appeal process. + Works closely with physician advisor for assistance with medically complex… more
- The County of Los Angeles (Los Angeles, CA)
- …and analyzes reports prepared by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician advisor ... UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of the Manager of LTC Benefits, the LTC Benefits Planner (Personal Care Advisor ) has the responsibility of evaluating and managing those Insureds that are accessing ... contracts. Essential Primary Responsibilities/Accountabilities: All Levels + Operates as a case advisor for Insureds accessing benefits under their LTC policy as key… more
- City of New York (New York, NY)
- …in maintaining inventory of supplies under the direction of the clinic manager or physician -in-charge (PIC). Why you should work for us: - Loan Forgiveness: As a ... in "2" above. Additional Requirements A. To be assigned to Assignment Level II , candidates must have, in addition to meeting the minimum qualification requirements… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …is required; Experience supervising physicians and supporting utilization management as a Physician Utilization Management Advisor (PUMA) is preferred; Must be ... L. Pettis Memorial Veterans Hospital is recruiting for a Full-Time, Permanent, Physician , Chief of Inpatient Medicine and reports directly to the ED-Inpatient… 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 ... criteria and standards; serves as the liaison with the physician advisor for the referral of unusual...Review Nurse* or Medical Service Coordinator, CCS.** -OR- OPTION II : Two (2) years of experience as a registered… more
- Ellis Medicine (Schenectady, NY)
- …prior to implementation of discharge plan + Collaborates and makes referrals to physician advisor when unable to resolve issues with attending physician ... physician , nurse or ancillary staff member. Make appropriate referral to physician advisor regarding trends/areas of concern + Proactively monitors patient… more
- MD Anderson Cancer Center (Houston, TX)
- …verbal interaction with colleagues and walking to meeting locations throughout the campus. ii . Serve as mentor/ advisor for research and clinical trainees. iii. ... with the successful applicant's qualifications. We are seeking a highly motivated physician who has expertise in medical oncology, ideally with interest and… more