- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... this remote position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues: authorization requested,… more
- Sedgwick (Southfield, MI)
- …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 (Southfield, MI)
- …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
- Munson Healthcare (Traverse City, MI)
- …appropriately to readmission or psychosocial risk factors. + Consults with physician advisor as necessary to resolve progression-of-care barriers through ... which may impact placement. + Utilizes the Program Manager, Director and Medical Advisor as expert advisors to gain insights in dealing with physicians and Resource… more
- Sedgwick (Southfield, MI)
- …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
- Tenet Healthcare (Detroit, MI)
- …the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning ... of care based on Medical Necessity process and submits case for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers… more
- Tenet Healthcare (Detroit, MI)
- …inappropriate utilization of resources or quality issues to management and to a physician advisor . Identifies non-acute days or delays in discharge and assesses ... causative factors. Establishes and maintains effective relationships with physicians and all other staff members, internally and externally. Identifies problems or any dissatisfaction experienced by any customer or referring source and works to resolve them to… more
- Henry Ford Health System (Clinton Township, MI)
- …of inpatients. EDUCATION/EXPERIENCE REQUIRED: MD or DO. Two (2) years of physician advisor and/or utilization management experience. Medical Staff membership in ... good standing at Henry Ford Macomb Hospital (HFMH) or attainment of membership following job initiation. CERTIFICATIONS/LICENSURES REQUIRED: Michigan medical and DEA licensure. Board certification in Internal Medicine or Emergency Medicine. #pr Additional… more
- Huntington National Bank (Detroit, MI)
- Description Job Summary: As a Treasury Management Advisor III - Corporate Healthcare, you will play a pivotal role in driving the growth and success of our treasury ... negotiation, and implementation. In this role, you will act as a trusted advisor to both clients and prospects, providing insightful guidance and strategic advice on… more
- Cardinal Health (Lansing, MI)
- …systems, pharmacies, ambulatory surgery centers, clinical laboratories and physician offices worldwide. The company provides clinically-proven medical products ... and pharmaceuticals and cost-effective solutions that enhance supply chain efficiency from hospital to home. Cardinal Health connects patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management.… more