• Utilization Review Physician

    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 (07/01/25)
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  • Physician Advisor, Utilization

    Sutter Health (Sacramento, CA)
    …health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of resources, medical ... Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's… more
    Sutter Health (06/12/25)
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  • Utilization Management Nurse

    Veterans Affairs, Veterans Health Administration (Providence, RI)
    Utilization Management concerns or issues. UM RN also collaborates with Physician Utilization Management Advisor (PUMA) regarding appropriate levels of care ... Summary This Utilization Management Nurse position is located in Nursing...is full-time at 40 hours per week. Responsibilities The Utilization Management (UM) registered nurse (RN) is responsible for… more
    Veterans Affairs, Veterans Health Administration (08/09/25)
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  • Physician , Chief of Inpatient Medicine

    Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
    …with consulting specialty services is required; Experience supervising physicians and supporting utilization management as a Physician Utilization Management ... 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)
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  • Physician (Psychiatry) - Section Chief

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    …performs psychiatry Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure compliance. Coordinates, ... EDRP application. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized Permanent Change of… more
    Veterans Affairs, Veterans Health Administration (08/14/25)
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  • Licensed Practical Nurse Utilization

    Intermountain Health (Las Vegas, NV)
    … Management, under the supervision of a registered nurse or licensed physician , participates in utilization management and authorization processes in accordance ... **Essential Functions** + Provide education to healthcare providers regarding utilization guidelines and requirements. + Conduct initial reviews to determine… more
    Intermountain Health (08/08/25)
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  • Medical Director Utilization Management…

    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
    Henry Ford Health System (08/13/25)
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  • 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 to ... the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a Physician more
    Ascension Health (08/13/25)
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  • Physician - Physician Advisor

    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 ... the offer._ **Responsibilities** **Position Highlights** Ascension St. Alexius is looking for a Physician Advisor to join our team. We are looking for a Physician more
    Ascension Health (08/13/25)
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  • Coord Physician Adv Ops

    Covenant Health Inc. (Knoxville, TN)
    Overview Physician Advisor Operations Coordinator, Revenue Integrity and Utilization PRN/OCC, Variable Hours, Day Shift Covenant Health Overview: Covenant Health ... utilization management functions related to the coordination of physician advisor related activities. Prepares necessary documentation for insurance … more
    Covenant Health Inc. (08/01/25)
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