- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues:...Serve as a clinical resource to medical and case management staff by providing identification, facilitation, and resolution of… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... payors Performing accurate medical necessity screening and timely submission for Physician Advisor reviews Collaborating with payors, physicians, office staff… 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 ... In this role, you will act as a trusted advisor to both clients and prospects, providing insightful guidance...Leadership: Oversee portfolio performance, ensuring revenue growth and high utilization of treasury solutions + Risk Management … more
- Tenet Healthcare (Detroit, MI)
- …* Utilizes Crimson data to provide timely and meaningful information to the Utilization Management Committee and physician staff for performance improvement. ... case management scope of services including: * Utilization Management supporting medical necessity and denial...care per Tenet policy. Oversees submission of cases to Physician Advisor review to ensure timely referral,… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention. Transition ... the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning… more
- CVS Health (Lansing, MI)
- …role that primarily supports the Aetna Better Health Plan of Oklahoma. This UM ( Utilization Management ) Medical Director will be a "Work from Home" position ... and appeal request. This position is primarily responsible for Utilization Management , including prior authorization as well...at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent… 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 ... to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to… more
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