- 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
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …Mental Health services on various Medical Center committees; serving as the back-up Physician Utilization Management Advisor (PUMA) for Mental Health; assists as ... West Palm Beach VA Medical Center is seeking a Physician (Psychiatry) to serve as an Intensive Community Mental...Service, will oversee many aspects of mental health resource utilization , such as use of psychotropic medications and mental… more
- 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
- Intermountain Health (Las Vegas, NV)
- …with MG clinicians, Affiliate Network PCPs and Specialists in the community, utilization management, care management, claims, network management, and finance. As the ... Medical Director for Utilization Management, you are responsible, in partnership with MG...(QMMC) and other designated committees defined by the organization. Physician will be engaged in these important projects along… 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 ... 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 (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
- 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
- ChenMed (Miami, FL)
- …to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our ... organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this… more
- Beth Israel Lahey Health (Plymouth, MA)
- …and identifies trends/root causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. + ... a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time**...and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you will:** +… more
- Sutter Health (Berkeley, CA)
- …to justify acute hospital admission, need for continued stay, and proper utilization of physician , nursing, and ancillary services. Responsible for concurrent ... for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with hospital… more
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