- Mohawk Valley Health System (Utica, NY)
- PHYSICIAN ADVISOR Department: CASE MGMT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the level ... care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with… more
- Ellis Medicine (Schenectady, NY)
- …prior to implementation of discharge plan + Collaborates and makes referrals to physician advisor when unable to resolve issues with attending physician ... physician , nurse or ancillary staff member. Make appropriate referral to physician advisor regarding trends/areas of concern + Proactively monitors patient… more
- Mount Sinai Health System (New York, NY)
- …to reduce readmission rate. h. Appropriately identifies and refers cases to the physician advisor to support timely progression of patients along the continuum ... standardized criteria to justify continued inpatient stay. c. Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment and… more
- Rochester Regional Health (Rochester, NY)
- …or attending physician to identify cause. Communicates as needed with Physician Advisor , assures patient is placed on clinical pathway and monitors ... is obtained and documented in the patient chart. Forward patient chart to physician for review when problems are identified. Intercedes with appropriate department… more
- Catholic Health Services (Roslyn, NY)
- …skills to ensure timely resolution of issues. + Refers cases and issues to Physician Advisor in compliance with identified procedures and follow-up as indicated. ... resource utilization and denials. + Serves as a resource to physicians, physician advisors, CM department, and hospital staff. + Collaborates with all disciplines… more
- Northwell Health (Melville, NY)
- …level of care and medical necessity for assigned case. + Collaborates with physician advisor , payor representative and site case managers to facilitate ... coding issues and knowledge gaps. Job Responsibility + Serves as liaison between the patient and facility/ physician and the third party payer. + Prepares and defends… more
- Northwell Health (Melville, NY)
- …defends level of care and medical necessity for assigned case. Collaborates with physician advisor , payor representative and site case managers to facilitate ... appropriate level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical… more
- Rochester Regional Health (Rochester, NY)
- …patients across the continuum. + Appropriately identifies and refers cases to the Review Physician Advisor to validate level of care based on medical necessity ... Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $33.50… more
- Northwell Health (Lake Success, NY)
- **Req Number** 157314 Job Description As an Advisor , Revenue Cycle Quality and Performance Management, you will focus on strategically optimizing the Part B revenue ... functions. Preferred Skills: + Experience in Front- End Revenue Cycle/ Physician Billing: Demonstrated experience in front-end revenue cycle. Foundational… more
- Northwell Health (Lake Success, NY)
- …provide strategic medical record management guidance and support to front-end ambulatory physician practice locations and team members. + Ability to advise by ... providing education, recommendations, and perspectives to ambulatory site staff and leadership on medical record management best practices in adherence with Northwell Policies. + Ability to lead EMR implementation projects, new provider/practice onboards, and… more
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