- Sutter Health (Sacramento, CA)
- …Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's ... care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity,… more
- CareOregon (Portland, OR)
- …non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound ... on the satisfactory completion of a pre-employment background check, immunization review , and drug screen (including THC/Marijuana). CareOregon is a federal… more
- ChenMed (Warren, MI)
- …patient's primary care physician to meet urgent patient needed with the aim of preventing unnecessary hospital arrivals + Performs other duties as assigned and ... other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary...episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge… more
- CareOregon (Portland, OR)
- …non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound ... on the satisfactory completion of a pre-employment background check, immunization review , and drug screen (including THC/Marijuana). CareOregon is a federal… more
- CareOregon (Portland, OR)
- …non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound ... on the satisfactory completion of a pre-employment background check, immunization review , and drug screen (including THC/Marijuana). CareOregon is a federal… more
- CareOregon (Portland, OR)
- …non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound ... on the satisfactory completion of a pre-employment background check, immunization review , and drug screen (including THC/Marijuana). CareOregon is a federal… more
- Elevance Health (Atlanta, GA)
- …state mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician -level case review of utilization requests for procedures ... reviews for their board certified specialty. + Makes physician to physician calls to gather medical...necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …case reviews and may require peer-to-peer discussions with providers regarding UM case review determinations. + Provides clinical expertise on ARD cases, ... and may require peer-to-peer discussions with providers regarding UM case review determinations. + Provides input into...of Medicine or Doctor of Osteopathic Medicine. + The Physician is not the subject of any pending professional… more
- Stanford Health Care (Palo Alto, CA)
- …revenue cycle certification- Health Care Quality (HACP, CPHQ, HCQM) certification- Case Management Certification (CCM) or clinical certification- Physician ... experience. + ICU/ED and Academic Medical Center experience preferred. + Case management, utilization review and/or direct provider interaction experience,… more
- Banner Health (Mesa, AZ)
- …24-hour Pediatric Intensivist coverage, and dedicated Respiratory Therapists, Nutritionists, Case Management, Social Services, PT/OT and Pharmacists. As a Registered ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of...50 busiest Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable… more