• Utilization Review, Management

    Sutter Health (Sacramento, CA)
    …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management more
    Sutter Health (05/29/25)
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  • Physician Advisor Denials…

    CommonSpirit Health (Englewood, CO)
    **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or ... of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters...such as Joint Operating Committee (JOC), as requested by Utilization Management or Care Management .… more
    CommonSpirit Health (07/11/25)
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  • Physician Advisor

    CommonSpirit Health (Houston, TX)
    …is 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 ... 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… more
    CommonSpirit Health (06/28/25)
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  • Medical Director Physician Advisor

    AdventHealth (Altamonte Springs, FL)
    …you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management (CM) ... safety, and quality outcomes. Through primary support of Utilization Management , the Physician Advisor is responsible for providing clinical review of … more
    AdventHealth (08/07/25)
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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 ... Summary This Utilization Management Nurse position is located in Nursing Service at the VA Providence Medical Center. This position is full-time at 40 hours per… 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)
    …Experience supervising physicians and supporting utilization management as a Physician Utilization Management Advisor (PUMA) is preferred; Must ... 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)
    …Office (HRO), performs psychiatry Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure ... of mental health. Incumbent collaborates and participates with facility leadership and Utilization Management to ensure practices follow JC, CARF, and CO… more
    Veterans Affairs, Veterans Health Administration (08/14/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    … Committee and Medical Staff with referral of all cases in question to the Utilization Management Physician Advisor . + Communicates with third party ... third-party payers in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved by the medical… more
    HCA Healthcare (08/10/25)
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  • Medical Director Utilization

    Henry Ford Health System (Clinton Township, MI)
    …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 Advisor

    Catholic Health Initiatives (Bismarck, ND)
    …St. Alexius is looking for a Physcian Advisor to join the team! The Onsite Physician Advisor (PA) will serve as a physician leader and advocate for the ... improvement of a hospital's utilization management , regulatory compliance, quality assurance, revenue...and process improvement metrics for facility, UM/Medical Staff, and Physician Advisor program. + Communicate facility feedback… more
    Catholic Health Initiatives (08/14/25)
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