- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... University Medical Center. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of… more
- Sutter Health (Sacramento, CA)
- …health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of resources, medical ... Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- … Utilization Management concerns or issues. UM RN also collaborates with Physician Utilization Management Advisor (PUMA) regarding appropriate levels of care ... Summary This Utilization Management Nurse position is located in Nursing...is full-time at 40 hours per week. Responsibilities The Utilization Management (UM) registered nurse (RN) is responsible for… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …with consulting specialty services is required; Experience supervising physicians and supporting utilization management as a Physician Utilization Management ... 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
- Corewell Health (Southfield, MI)
- …with payers based on adequate and complete documentation received by the physician /provider and utilization reviews. Initiates concurrent appeals to address ... Scope of Work This role includes accountability for utilization review (UR) and may include admission, concurrent, and retrospective reviews. Coordinates activities… more
- Intermountain Health (Las Vegas, NV)
- … Management, under the supervision of a registered nurse or licensed physician , participates in utilization management and authorization processes in accordance ... **Essential Functions** + Provide education to healthcare providers regarding utilization guidelines and requirements. + Conduct initial reviews to determine… more
- Ascension Health (Jacksonville, FL)
- …5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to ... the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a Physician… more
- Ascension Health (Hoffman Estates, IL)
- …of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. This position reports directly ... the offer._ **Responsibilities** **Position Highlights** Ascension St. Alexius is looking for a Physician Advisor to join our team. We are looking for a Physician… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Physician Advisor Operations Coordinator, Revenue Integrity and Utilization PRN/OCC, Variable Hours, Day Shift Covenant Health Overview: Covenant Health ... utilization management functions related to the coordination of physician advisor related activities. Prepares necessary documentation for insurance … more
- The County of Los Angeles (Los Angeles, CA)
- …of Hospitals' utilization review standard. Under the direction of a physician member of the Utilization Review Committee, the incumbent is responsible ... UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply...by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician … more