- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... University Medical Center. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of… more
- Hackensack Meridian Health (Hackensack, NJ)
- **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... and Hackensack UMC. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …in accordance with VHA policy and state licensure requirements. Act as Physician Utilization Management Advisor (PUMA) for the Department of Surgery: ... services meetings, peer review, and quality improvement activities. Experienced as a Physician Utilization Coordinator (PUC). Reference: For more information on… more
- Ascension Health (Leander, TX)
- …strategies for various facilities and/or product lines with the goal of increasing physician utilization of Network facilities and improving payer mix. Determine ... programs and services. Identify and coordinate resolution of problems to improve physician utilization and patient satisfaction. + Manage staff relations… more
- Henry Ford Health System (Detroit, MI)
- …of care, patient experience, and improving operating procedures, which will increase physician utilization for the Health System. QUALIFICATIONS: + Bachelor's ... DESCRIPTION: Under the general direction of the Director, Physician Partnerships, for Henry Ford Health (HFH), the primary responsibility of this role is to focus on… more
- Ascension Health (Austin, TX)
- …hospital setting (Adult Medicine Hospitialist experience preferred), preferably with some Physician Advisory/ Utilization Management work experience. If you are ... **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Remote (with some on-site prescense required) +… more
- 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 to ... **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Hybrid (frequently on site) + **Call Schedule:** No… more
- Ascension Health (Hoffman Estates, IL)
- …of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. This position reports directly ... **Details** + **Specialty** : Physician Advisor + **Schedule:** Full Time | Onsite...to physicians and other clinicians on regulatory requirements, appropriate utilization of alternate levels of care, community resources, clinical… more
- Henry Ford Health System (Clinton Township, MI)
- …of inpatients. EDUCATION/EXPERIENCE REQUIRED: MD or DO. Two (2) years of physician advisor and/or utilization management experience. Medical Staff membership in ... GENERAL SUMMARY: The Medical Director of Utilization Management shall have responsibility for the medical oversight of activities related to Henry Ford Macomb… more
- AdventHealth (Orlando, FL)
- …our contracted managed care payers. The PA role is responsible for providing physician review of utilization , claims management, and quality assurance related to ... inpatients and 125,000 outpatients each year **The role you'll contribute:** As the physician advisor (PA), this role educates, informs, and advises members of the … more