- Highmark Health (Pittsburgh, PA)
- …on case management and observation services on the bi-weekly Throughput Meeting. + The Physician Advisor needs to be able to review and analyze metric reporting ... The **Allegheny Health Network (AHN)** is recruiting a full-time ** Physician Advisor** to join our team located in **Pittsburgh,...Advisor is responsible for level of care reviews and peer -to- peer discussions with payers if denials do… more
- CommonSpirit Health (Englewood, CO)
- **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other health care ... goals and expectations. This individual reviews cases for clinical validation, performs peer -to- peer discussions and participates in appeal letter writing.** The… more
- Veterans Affairs, Veterans Health Administration (IN)
- …when assigned. Serve as Peer Reviewer for the Protected Peer Review Committee, when assigned. Demonstrate effective communication both down ... in the FPPE/OPPE process. Adheres to employee health requirements. Timely participates in peer review process. Adherence to tour of duty & leave policies.… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits, Free ... distance from Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization/level of care… more
- Henry Ford Health System (Detroit, MI)
- …SE MICHIGAN TO VISIT VARIOUS CLINICS. DESCRIPTION: Reporting to the Director of Physician Communication and Peer Support, the Physician Communication ... wellness and engagement elements in program development activities. + Represents Physician Communication and Peer Support programs through presentations and… more
- Veterans Affairs, Veterans Health Administration (Pittsburgh, PA)
- …ultrasound examinations. Participates in Quality Management activities such as film quality review , clerical checks, peer review and other activities ... VA and Medical Center. The Incumbent shall provide professional ( physician ) guidance for all necessary imaging services for which...Participate in various aspects of quality assurance such as peer review , protocol review , appropriateness… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …and business planning. Participation in staff meetings, hospital committees, and peer review process. Demonstrate effective communication both down to ... Participate in the FPPE/OPPE process. Adhere to employee health requirements. Participate in peer review process. Time/Leave Management: Adhere to tour of duty.… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Manager Physician Contract Compliance position is responsible for developing, implementing, and administering a variety of variable pay ... compliance with all pertinent regulations. As the strategic lead, the Physician Contract Compliance Manager plans, directs, and/or coordinates inter-related projects… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …consults. Credentialing and Privileging- Familiarity with credentialing and privileging processes, peer review , and quality improvement activities. 3. Program ... improvement practices and meeting VHA requirements for credentialing, privileging, and peer review . 6. Academic and Research Collaboration: Academic… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …as initiatives designed to improve overall quality through evidence-based medicine and peer review . Participates and facilitates implementation of modern care, ... based on American College of Radiology appropriateness criteria) and that physician related work-up, periprocedural and post-procedural follow-up care are of… more