- AdventHealth (Orlando, FL)
- …Utilization Management/Medicare Regulations . Two years or greater experience as a Physician Advisor . Three years of leadership experience **LICENSURE, ... of correct disease reporting and ICD code capture for physician /hospital performance profiling, E&M payment, pay-for-performance and hospital reimbursement. Educate… more
- Ascension Health (Jacksonville, FL)
- …time of the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a ... Physician with at least 5 years of recent work...work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are… more
- AdventHealth (Orlando, FL)
- …and feedback based on results._ + _Provides ongoing feedback to physicians, administration, Physician Advisor , CDI Director, and VP of Clinical Services._ + ... each year **The role you'll contribute:** _The Clinical Documentation Integrity Physician Liaison is a Registered Nurse, Advanced Practice Registered Nurse, or… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …performs psychiatry Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure compliance. Coordinates and ... Health & Behavioral Science Service is seeking an experienced and dynamic Physician (Psychiatry) Section Chief. Ideal applicants are those who want to contribute… more
- AdventHealth (Altamonte Springs, FL)
- …status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by ... otherwise unresolved status conflicts appropriately and timely to the physician advisor to avoid concurrent denials. 8) Collaborates with medical staff,… more
- Ascension Health (Jacksonville, FL)
- …of High Reliability Organization principles for physician activities. + Serves as physician advisor to assist with level of care, length of stay, denial ... patients, physicians and clinical staff. Identifies, cultivates and develops emerging physician leaders, provides coaching and mentoring by identifying deficits and… more
- Sedgwick (Orlando, FL)
- …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
- HCA Healthcare (Gainesville, FL)
- …the development and implementation of critical pathways. + Utilizes computer support and physician advisor to determine potential outliers (length of stay and ... all components necessary for preadmission, admission process. + Assist the physician offices in obtaining necessary assessments prior to surgery, procedures, and/or… more
- Sedgwick (Orlando, FL)
- …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 (Orlando, FL)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... + Negotiates return to work with or without job accommodations via the claimants physician and employer. + Refers cases as appropriate to team lead and clinical case… more