• Utilization Review, Management

    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
    Sutter Health (08/28/25)
    - Related Jobs
  • Physician Advisor Denials Management

    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 ... team, medical staff, and medical executives to encourage physician cooperation and understanding of documentation importance + Assists...such as Joint Operating Committee (JOC), as requested by Utilization Management or Care Management .… more
    CommonSpirit Health (07/11/25)
    - Related Jobs
  • Physician Advisor

    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
    CommonSpirit Health (08/27/25)
    - Related Jobs
  • Medical Director Physician Advisor UM

    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 (08/07/25)
    - Related Jobs
  • Medical Director Physician Advisor UM…

    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
    AdventHealth (08/27/25)
    - Related Jobs
  • Medical Director - Utilization

    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
    UPMC (06/12/25)
    - Related Jobs
  • Physician , Chief of Inpatient Medicine

    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 (06/15/25)
    - Related Jobs
  • Physician (Psychiatry) - Section Chief

    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
    Veterans Affairs, Veterans Health Administration (08/14/25)
    - 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 ... **Details** + **Department** : Case Management + **Schedule:** Full Time | Hybrid (frequently...**Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking… more
    Ascension Health (08/13/25)
    - Related Jobs
  • Physician - Physician Advisor

    Ascension Health (Hoffman Estates, IL)
    …years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. This position reports ... Time | Onsite + **Practice Details:** Join experienced Case Management Team + **EMR** **System:** Cerner + **Facility** :...**Position Highlights** Ascension St. Alexius is looking for a Physician Advisor to join our team. We are looking… more
    Ascension Health (08/13/25)
    - Related Jobs