- 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
- 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
- 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 (West Hills, CA)
- …external support and arranges referrals to vendors for services such as physician advisor reviews, surveillance, independent medical evaluations, and functional ... plan.** **Carefully reviews and interprets detailed medical records-including attending physician statements, office notes, and operative reports-to assess whether… more
- Sedgwick (West Hills, CA)
- …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 claimant's physician and employer. + Refers cases as appropriate to team lead and clinical… more
- UCLA Health (West Hills, CA)
- Description This candidate is an active physician assistant, working 80% of their time in their designated clinical specialty and 20% of their time in administrative ... the practice of advanced healthcare professionals (AHP), including nurse practitioners and physician assistants. Ensures quality of care and serves as a role model,… more
- Huron Consulting Group (Los Angeles, CA)
- …Healthcare Provider Strategy & Innovation team, you will serve as a trusted advisor to C-suite executives and boards of leading healthcare organizations. You will ... Academic Medical Centers, Ambulatory Surgery Centers, Integrated Delivery Networks, Physician Practices/Groups, etc. + **Conceptual, Strategic and Problem-Solving Skills:**… more