• Physician Advisor

    Dignity Health (Carmichael, CA)
    **Responsibilities** The Physician Advisor plays a critical role in promoting evidence-based standards of medical care while maintaining appropriate utilization ... practice, regulatory and quality considerations in the delivery of medical care. The Physician Advisor plays a key role in the following: advocating for the best… more
    Dignity Health (05/09/25)
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  • Physician Advisor , Care Progression

    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 ... and the hospital to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely… more
    Sutter Health (04/17/25)
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  • CDI Physician Advisor , Greater…

    Sutter Health (Burlingame, CA)
    …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's ... and the hospital to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely… more
    Sutter Health (03/13/25)
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  • Physician Advisor

    UCLA Health (Los Angeles, CA)
    Description The Physician Advisor provides physician leadership and clinical expertise related to coordination of patient care, length of stay and level of ... flow/throughput management, ancillary services utilization and clinical documentation improvement. The Physician Advisor reviews clinical cases to provide a … more
    UCLA Health (04/18/25)
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  • Physician Medical Director (Non Clinical)…

    Provider Solutions & Development (Burbank, CA)
    Providence St. Joseph Medical Center is seeking a Physician Advisor /UM Medical Director to join a strong leadership team promoting high-value care in Burbank, ... and improving our mission outcomes. You will work closely with the physician leadership, the Director of Care Management, and executive leadership; in particular… more
    Provider Solutions & Development (04/24/25)
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  • Nurse, Care Management

    Alameda Health System (San Leandro, CA)
    …Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. 3. Takes appropriate action when cases ... Escalates to the attending physician , and the Care Management physician advisor of any concurrent denials.Prepares case reports;documents treatment plan,… more
    Alameda Health System (05/06/25)
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  • Utilization Review Nurse Supervisor II

    The County of Los Angeles (Los Angeles, CA)
    …and analyzes reports prepared by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician advisor ... Accreditation of Hospitals' utilization review standard. Under the direction of a physician member of the Utilization Review Committee, the incumbent is responsible… more
    The County of Los Angeles (03/30/25)
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  • Utilization Management Nurse Specialist RN II

    LA Care Health Plan (Los Angeles, CA)
    …and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and ... High risk/high cost cases and reports are maintained and referred to the Physician Advisor /UM Director. Document in platform/system of record. Utilize designated… more
    LA Care Health Plan (03/27/25)
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  • SLH Case Manager RN, Part Time, Benefited, Days,…

    Alameda Health System (San Leandro, CA)
    …action when cases do not meet criteria - coordinates denials with the attending physician , and the UR physician advisor . Prepares case reports; documents ... disposition of Medi-Cal, self-pay, and out-of-plan patients, including working with physician to determine readiness for transfer, securing placement and completing… more
    Alameda Health System (05/06/25)
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  • Sr. Disability Representative

    Sedgwick (West Hills, CA)
    …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
    Sedgwick (04/17/25)
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