• Director Physician Advisor

    Catholic Health Services (Melville, NY)
    …and standardize the implementation of CM processes and policies, as well as the Physician Advisor role, activities and expectations. Collaborates with CM and CDI ... to Physician Advisors through annual performance evaluation. Monitors Physician Advisor performance dashboard with Key Performance Indicators (KPIs).… more
    Catholic Health Services (06/27/25)
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  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the ... care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with… more
    Mohawk Valley Health System (07/09/25)
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  • Physician Advisor , Throughput

    WMCHealth (Valhalla, NY)
    Physician Advisor , Throughput Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Allied Health Prof/Technical Department: ... Internal Applicant link Job Details: Job Summary: The Throughput Advisor , Clinical Logisitics is responsible for developing positive relationships with… more
    WMCHealth (08/27/25)
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  • Case Manager , RN (FH)

    Northwell Health (Forest Hills, NY)
    …manager, the goals of care and expected length of stay.Discusses with attending physician and/or physician advisor the appropriateness of resource ... for continued stay and discharge criteria using established criteria.Discusses with attending physician and/or physician advisor the appropriateness of… more
    Northwell Health (08/16/25)
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  • Case Manager-PT/PD

    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
    Ellis Medicine (08/28/25)
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  • Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …or regulatory timeframes. Collaborates in clinical discussions with the Catholic Health Physician Advisor when appropriate. Reviews results from managed care ... a home health service, hospice and a network of physician practices across the island. At Catholic Health, our...between the Utilization and Appeals Management Department and the physician of record, as required. Communicates changes to patient… more
    Catholic Health Services (07/24/25)
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  • Nurse Navigator- Oncology- Canton-Potsdam Hospital

    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
    Rochester Regional Health (09/10/25)
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  • RN/Case Manager-MSH-Case Management-FT-Days

    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
    Mount Sinai Health System (08/28/25)
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  • RN/Case Manager-Inpatient-Mount Sinai West-FT-Days…

    Mount Sinai Health System (New York, NY)
    …to reduce readmission rate. 8. 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. 3. Collaborates with Physician and other clinicians to expedite diagnostic testing, treatment and… more
    Mount Sinai Health System (08/16/25)
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  • CHS Utilization and Appeals Coordinator

    Catholic Health Services (Melville, NY)
    …the Manage Care Payors or regulatory agencies, as needed or requested. Manages physician advisor reports and assists with facilitating UM Committee reviews when ... hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the… more
    Catholic Health Services (09/09/25)
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