• Utilization Review Physician

    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
    Hackensack Meridian Health (07/01/25)
    - Related Jobs

  • Utilization Review, Management…

    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
    Sutter Health (08/28/25)
    - Related Jobs

  • Physician , Chief of Inpatient Medicine

    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
    Veterans Affairs, Veterans Health Administration (06/15/25)
    - Related Jobs

  • Physician (Psychiatry) - Section Chief

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    …performs psychiatry Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure compliance. Coordinates, ... EDRP application. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized Permanent Change of… more
    Veterans Affairs, Veterans Health Administration (08/14/25)
    - Related Jobs

  • Medical Director Utilization Management…

    Henry Ford Health System (Clinton Township, MI)
    …of inpatients. EDUCATION/EXPERIENCE REQUIRED: MD or DO. Two (2) years of physician advisor and/or utilization management experience. Medical Staff membership in ... GENERAL SUMMARY: The Medical Director of Utilization Management shall have responsibility for the medical oversight of activities related to Henry Ford Macomb… more
    Henry Ford Health System (08/13/25)
    - Related Jobs

  • Physician - Physician Advisor

    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 (08/13/25)
    - Related Jobs

  • Physician - Physician Advisor

    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
    Ascension Health (08/13/25)
    - Related Jobs

  • Utilization Review Nurse Supervisor II

    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
    The County of Los Angeles (06/28/25)
    - Related Jobs

  • Manager - Utilization Review & Denials…

    Beth Israel Lahey Health (Plymouth, MA)
    …and identifies trends/root causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. + ... a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time**...and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you will:** +… more
    Beth Israel Lahey Health (07/29/25)
    - Related Jobs

  • Licensed Physician Reviewer - Ortho…

    ChenMed (Miami, FL)
    …to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our ... organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this… more
    ChenMed (06/05/25)
    - Related Jobs