- Sutter Health (Oakland, 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
- 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
- Provider Solutions & Development (Mission Hills, CA)
- Providence Holy Cross Medical Center is seeking a Physician Advisor /UM Medical Director to join a strong leadership team promoting high-value care in Mission ... maintaining and improving mission outcomes. You will work closely with the physician leadership, the Director of Care Management, and executive leadership; in… more
- Dignity Health (San Bernardino, CA)
- **Job Summary and Responsibilities** As our Physician Advisor you will play a critical role in promoting evidence-based standards of medical care while ... at no payroll deduction. **Job Requirements** Required Licensure: + Must be a licensed Physician (MD or DO) in the state of California. \#LI-DH **Where You'll Work**… more
- The County of Los Angeles (Los Angeles, CA)
- …pertaining to Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission or continued stay is being ... appropriate screening criteria and standards; serves as the liaison with the physician advisor for the referral of unusual questionable cases, on referred cases… more
- University of Southern California (Los Angeles, CA)
- …supervision of Case Management Assistants. * Makes appropriate referrals to Physician Advisor , communicating accurate clinical information. * Participates in ... processing within 3 working days of patient discharge. * Notifies director and physician advisor timely of patients who do not meet InterQual criteria. * Other… more
- University of Southern California (Arcadia, CA)
- …social work intervention based on department criteria. + Refers cases and issues to physician advisor in compliance with department procedures and follows up as ... of the Case Coordinator position is to support the physician and interdisciplinary team in the provision of patient...on department standards. + Assist in the compilation of physician profile data regarding LOS, resource utilization, denied days,… more
- 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
- 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
- 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