- Beth Israel Lahey Health (Plymouth, MA)
- …trends/root causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. + Participate ... you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We Are:** At… more
- CareFirst (Baltimore, MD)
- …+ Experience in utilization management or served as physician advisor for utilization review in healthcare entities. Previous experience working ... **Resp & Qualifications** **PURPOSE:** The Medical Director oversees all activities of utilization review , care management and quality to determine the medical… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …and identification of trends in the over and under- utilization of resources. 2. The Physician Advisor should be a key member of the medical staff and take on ... the role as leader of the Hospital's utilization review /management committee, which is charged with...and utilization management (including LOS). 4. The Physician Advisor should discuss his/her role with… more
- Carle Health (Champaign, IL)
- Overview Carle Health is seeking a ** Physician Advisor ** to help oversee the efficiency of care for our Behavioral Health team over the West, Central, and East ... (.5 FTE and 100% Virtual) + The Behavioral Health Physician Advisor is responsible for conducting clinical...responsible for conducting clinical case reviews referred by the Utilization Management Team, the Case Management Team, the Clinical… more
- Penn Medicine (Philadelphia, PA)
- …for assuring the effective and efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, ... and advising the care management and utilization review departments and the hospital leadership. The Physician... review departments and the hospital leadership. The Physician Advisor shall possess and/or develop expertise… more
- Catholic Health Initiatives (Lexington, KY)
- … including the designated Quality Review Organization and external Medical Directors. The Physician Advisor in addition to assisting in the review of ... **Job Summary and Responsibilities** As a Physician Advisor , you will promote evidence-based...sessions. + Participates in the Case Management Process including Utilization Review and Proactive Discharge Planning. Articulates… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting, and advising the case management department, clinical documentation ... is a key member and leader of the hospital's utilization review /management committee, which is charged with...of healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews… more
- Mohawk Valley Health System (Utica, NY)
- …level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure ... hospitals objectives, and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides the… more
- Hackensack Meridian Health (North Bergen, NJ)
- ** Physician Advisor ** **Palisades Medical Center** **North Bergen** **, New Jersey** Hackensack Meridian _Health_ is seeking a collaborative Physician ... teaching, consulting, and advising of the care management and utilization review departments and hospital leadership. +...ensuring quality care is provided. + Develop expertise on physician practice patterns, over and under- utilization of… more
- Sutter Health (Oakland, CA)
- …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
Related Job Searches:
Advisor,
Physician,
Physician Advisor,
Review,
Review Physician,
Utilization,
Utilization Review,
Utilization Review Physician