- 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)
- …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
- 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 (Commerce Township, MI)
- …include the following activities: a) accurate LOS screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment ... and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h )… 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
- 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
- Corewell Health (Greenville, MI)
- …healthcare leader, Corewell Health in West Michigan is committed to preparing the physician of tomorrow to best care for our patients and their families. Corewell ... Family Medicine Residency Program is seeking to add a Family Medicine Physician provider dedicated to delivering high-quality patient care to their team. Our… more
- Hospice of Michigan (Cadillac, MI)
- …and provide patient and family oriented hospice services. Communicates with the Physician , Social Worker and Spiritual Care Advisor to provide assessment ... and technology available, communicates complete and accurate information to attending physician (s), other team disciplines and other departments in a timely manner.… more
- Hospice of Michigan (Detroit, MI)
- …patients' immediate needs upon admission and throughout care. + Confers with the physician , social worker and spiritual care advisor to provide assessment ... hospice care to establish appropriate levels of care and to assist the physician in determining the patient's eligibility for hospice and determine scope and… more
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