• CDI Physician Advisor

    Penn Medicine (Philadelphia, PA)
    …Monument Road, Bala Cynwyd, PA Hours: M-F, 8hr days, hybrid Summary: + The CDI Physician Advisor is a key member of the healthcare organization's leadership team ... administrative (approximately 80%) with a clinical component (approximately 20%).The CDI Physician Advisor will act as a resource and liaison between our… more
    Penn Medicine (10/17/25)
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  • Physician Advisor

    R1 RCM (Jenkintown, PA)
    …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
    R1 RCM (10/24/25)
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  • Regional Medical Director

    UPMC (Media, PA)
    …+ Develops and maintains effective relationships with providers. + Serves as physician advisor for UPMC Passavant McCandless and UPMC Passavant Cranberry ... would join a highly educated and motivated team of physician advisors at CCBHO who advocate well for the...agencies with regard to psychiatric services. + Serve as advisor to quality departments from a regional perspective. +… more
    UPMC (08/08/25)
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  • Clinical Resource Coordinator at HUP

    Penn Medicine (Philadelphia, PA)
    …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician AdvisorDischarge planning activities: timely coordination of home care, DME,… more
    Penn Medicine (10/01/25)
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  • Clin Resource Coord ED at HUP Cedar

    Penn Medicine (Philadelphia, PA)
    …work? Determines the medical necessity of proposed admission using InterQual, referral to Physician Advisor , and/or use of clinical judgment, the purpose of ... which is not only to determine medical necessity of admission but also to work to decompress Emergency Department Census real time. In addition, role includes coordination of swift discharge plan to move patient in the ED to the appropriate level of care given… more
    Penn Medicine (10/28/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …assignment of documented medical care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by ... RAC/MIC/QIO and other governmental or commercial payor auditors in retrospective reviews for DRG and documentation or coding-related issues. + Develop and apply appeal arguments and draft appeal letters to support and defend the codes assigned by the coding… more
    St. Luke's University Health Network (10/28/25)
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  • Case Management Manager - UPMC

    UPMC (Washington, PA)
    …Assists with management of departmental budget. + Collaborates with Director, Medical Director/ Physician Advisor and staff to ensure effective processes and ... systems are established and maintained to meet department goals. + Participates in leadership development. + Functions as a resource person for the care management and denial management processes. + Coordinates daily flow of the department (this includes… more
    UPMC (10/10/25)
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  • RN Case Manager (Part Time) - West Penn Hospital

    Highmark Health (Pittsburgh, PA)
    …for denial trends with the care coordination teams, performance improvement teams, physicians/ physician advisor and third party payers. + Maintains a working ... knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as an educational resource to all AHN staff regarding utilization review practice and… more
    Highmark Health (09/13/25)
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  • Treasury Management Advisor III - Corporate…

    Huntington National Bank (Pittsburgh, PA)
    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
    Huntington National Bank (10/28/25)
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  • Senior Engineer, Cyber M&A Advisor

    Cardinal Health (Harrisburg, PA)
    …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
    Cardinal Health (09/03/25)
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