- Community Health Systems (Gadsden, AL)
- …and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee. + Identifies ... Part-Time role **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities… more
- Community Health Systems (Bentonville, AR)
- …and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee. + Identifies ... place to live! **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities… more
- Houston Methodist (The Woodlands, TX)
- … committee, actively participates in defining operational strategic objectives for the Utilization Management Program and serve as the liaison to other ... review/ management committee. Assist with the evaluation of the hospital's Utilization Management Program, including annual review and revision of the… more
- Community Health Systems (La Follette, TN)
- …stays, and discharge planning. + Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate ... clinical nursing experience required + 3-5 years of experience in care management or utilization review required + 1-3 years of leadership experience in a… more
- Evolent (Jackson, MS)
- …reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician Business Managers to ... well as health plan members and staff whenever a physician `s input is needed or required. Responsible for clinical...needed for new hires to educate and train on Utilization management system and Field Medical Director… more
- Catholic Health Initiatives (Bismarck, ND)
- …physician leader and advocate for the improvement of a hospital's utilization management , regulatory compliance, quality assurance, revenue integrity, and ... Physcian Advisor to join the team! The Onsite Physician Advisor (PA) will serve as a ...leadership experience in acute care settings with focus on utilization management and quality assurance and improvement.… more
- AdventHealth (Orlando, FL)
- …and serves as a resource to Medical Staff colleagues regarding best practices, Utilization Management and Care Management structures, and functions and ... facilitates productive internal/external relationships with all physicians and constituents of Utilization Management , Care Management and CDI departments.… more
- Trinity Health (Silver Spring, MD)
- …distance from Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization /level of ... LOS management , continued stay decisions, clinical review of patients, utilization review activities, resource utilization / management , denial … more
- Highmark Health (Pittsburgh, PA)
- …team. The Physician Advisor is an integral part of the Utilization Management Committee and participates in hospital and enterprise-level quality and ... Physician Advisor works in concert with the admitting physician , Case Management , and other hospital personnel,...appeal letters and participates in data collection activities for utilization management . + Receives daily report from… more
- WMCHealth (Valhalla, NY)
- …role in ensuring physician support and execution of for Utilization Management and Documentation strategies and processes. Responsibilities: + Reviews ... on UM Committee .Provides Physician administrative support and leadership to the utilization and resource management areas of Integrated Case Management … more