- Ochsner Health (New Orleans, LA)
- …Come make a difference at Ochsner Health and discover your future today!** The Physician Advisor (PA- Utilization Management ) serves as the physician ... Interdisciplinary and Post-Acute teams, Payors, Administration and Revenue Cycle) to improve utilization management , sustain quality goals, and act as a… more
- CommonSpirit Health (Phoenix, AZ)
- …a more just, equitable, and innovative healthcare delivery system. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts ... team, medical staff, and medical executives to encourage physician cooperation and understanding of documentation importance + Assists...such as Joint Operating Committee (JOC), as requested by Utilization Management or Care Management .… more
- CommonSpirit Health (Houston, TX)
- …a remote position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews ... care services. The PA communicates remotely with case and utilization management to discuss selected cases and...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5 years of… more
- Trinity Health (Fort Lauderdale, FL)
- …information.** **Diligently manages all clinical review work queues assigned to Utilization Management .** **Coordinates Physician Advisor referrals with ... well as independently. Communicates & collaborates with multiple team members, including Utilization Management RNs, care managers, nursing unit staff, unit… more
- Tenet Healthcare (Detroit, MI)
- …financial outcomes Utilizes data to provide timely and meaningful information to the Utilization Management Committee and physician staff for performance ... to Case Management scope of services, including utilization management , transition management promoting...resources in advocating for patient needs with judicious resource management Oversees submission of cases to Physician … more
- Covenant Health Inc. (Knoxville, TN)
- …Operations Coordinator will perform activities to help facilitate utilization management functions related to the coordination of physician advisor related ... to denials. + Maintains a monthly data report on each physician 's activities impacting Utilization Management activities. + Manages physician advisor… more
- Sutter Health (Sacramento, CA)
- …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of resources, medical… more
- Nuvance Health (Danbury, CT)
- …Summary: Required- Registered Nurse ( RN) The purpose of the Utilization Management Nurse is to support the physician , the interdisciplinary team, and ... of care and providing timely and accurate clinical information to payors. Utilization management provides clinically based first level medical necessity reviews… more
- Ascension Health (Baltimore, MD)
- …5 years of recent experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experince. This position reports to ... **Details** + **Department** : Case Management + **Schedule:** Full Time | Hybrid (frequently...**Position Highlights:** Ascension St. Agnes is looking for a Physician Advisor to join our team. We are looking… 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 ... **Details** + **Department** : Case Management + **Schedule:** Full Time | Hybrid (frequently...**Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking… more
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