- Sutter Health (Sacramento, CA)
- …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of resources, medical… more
- 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 ... of necessary documentation. + Assists in communications of internal physician advisor services in the hospital newsletters and other...such as Joint Operating Committee (JOC), as requested by Utilization Management or Care Management .… more
- CommonSpirit Health (Houston, TX)
- …a remote position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews ... care services. The PA communicates remotely with case and utilization management to discuss selected cases and...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5 years of… more
- AdventHealth (Altamonte Springs, FL)
- …role you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management (CM) ... documentation, patient safety, and quality outcomes. Through primary support of Utilization Management , the Physician Advisor is responsible for providing… more
- AdventHealth (Tampa, FL)
- …role you'll contribute** **:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management ... documentation, patient safety, and quality outcomes. Through primary support of Utilization Management , the Physician Advisor is responsible for providing… more
- UPMC (Pittsburgh, PA)
- The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC ... Changing Medicine happen. **Responsibilities:** + Actively participates in the daily utilization management and quality improvement review processes, including… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …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
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …(HRO), performs psychiatry Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure compliance. ... of mental health. Incumbent collaborates and participates with facility leadership and Utilization Management to ensure practices follow JC, CARF, and CO… more
- Catholic Health Services (Melville, NY)
- …clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of record, as required. Communicates ... changes from the Managed Care Department and applies to UM and appeals management processes. Works collaboratively with physicians, physician office staff and… more
- Henry Ford Health System (Clinton Township, MI)
- …stays of inpatients. EDUCATION/EXPERIENCE REQUIRED: MD or DO. Two (2) years of physician advisor and/or utilization management experience. Medical Staff ... GENERAL SUMMARY: The Medical Director of Utilization Management shall have responsibility for the medical oversight of activities related to Henry Ford Macomb… more