• Behavioral Health Physician…

    Carle Health (Champaign, IL)
    …Illinois. Opportunity Details + Part-time position (.5 FTE and 100% Virtual) + The Behavioral Health Physician Advisor is responsible for conducting ... Clinical Denial Management Team, and other health care professionals. + The Behavioral Health Physician Advisor , in accordance with Carle Health… more
    Carle Health (12/20/25)
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  • Physician Advisor , Overlook Medical…

    Atlantic Health System (Summit, NJ)
    Atlantic Health is Seeking a Physician Advisor in Summit, New Jersey Atlantic Health , one of New Jersey's largest non-profit healthcare systems, is ... seeking a highly motivated and experienced full-time Physician Advisor to join our team at...Advanced Comprehensive Stroke Center. Additional Joint Commission-certified services include behavioral health care, spine surgery, wound care,… more
    Atlantic Health System (11/17/25)
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  • Talent & Culture Development Advisor

    PeaceHealth (Vancouver, WA)
    …duties as assigned. **QUALIFICATIONS** **EDUCATION** + Bachelor's Degree required: Behavioral Health Sciences, Human Resources, Patient Relations, Education, ... **Description** **_PeaceHealth is seeking a Talent & Culture Development Advisor in Vancouver, WA _** The Talent & Culture Development Advisor serves to ensure… more
    PeaceHealth (10/31/25)
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  • RN Health Services Coordinator

    Devereux Advanced Behavioral Health (Berwyn, PA)
    **Description** **Join Devereux Advanced Behavioral Health !** _Are you seeking an opportunity to provide quality healthcare to adults with IDD or special needs?_ ... _If you answered YES, then consider joining Devereux Advanced Behavioral Health 's PA Adult Services team!_ **Being...Health Services Coordinator you will serve as the health care advisor to the interdisciplinary team.… more
    Devereux Advanced Behavioral Health (10/21/25)
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  • Social Worker

    UNC Health Care (Rocky Mount, NC)
    …barriers according to escalation process; if the barrier is clinical in nature, refer to Physician Advisor and escalate to the ED Case Manager for all other ... related to one CQI program. 9. Performs other duties as assigned. Assists with behavioral health housing placements. Provides observation for behavioral … more
    UNC Health Care (12/17/25)
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  • Director Care Transition

    Texas Health Resources (Arlington, TX)
    …Care Services cases (neglect, abuse, etc.) as appropriate. Adoptions Complex behavioral health cases Applications for community resource needs. Guardianship ... for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health ...principles. Escalates issues to Chief Quality Medical Officer (CQMO), Physician Advisor , and/or Senior Director as appropriate.… more
    Texas Health Resources (12/18/25)
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  • Director Care Transition

    Texas Health Resources (Bedford, TX)
    …and vascular care, acute and medical-surgical care, intermediate/step-down care, oncology, behavioral health , and emergency medicine. Additional services include ... for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health ...staff on care transition management principles. Escalates issues to Physician Advisor as appropriate. Fiscal Responsibility -… more
    Texas Health Resources (12/06/25)
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  • Case Manager RN - Per Diem

    Nuvance Health (Carmel, NY)
    …essential services a community needs from their local hospital, including Emergency and Behavioral Health Services. Our accolades include: * The Leapfrog Group - ... *Description* *Intro:* At Nuvance Health , we enjoy the benefits of a two-state...of care. Escalate deviations from the plan to the Physician Advisor as appropriate. 15. Completes clear… more
    Nuvance Health (11/18/25)
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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 ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Registered...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (12/13/25)
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  • RN Utilization Review - Case Management

    Tenet Healthcare (Detroit, MI)
    …payors Performing accurate medical necessity screening and timely submission for Physician Advisor reviews Collaborating with payors, physicians, office staff ... based on Medical Necessity and submits case for Secondary Physician review per Tenet policy Ensures timely communication and...preferred. At least two (2) years acute hospital or Behavioral Health patient care experience required. One… more
    Tenet Healthcare (12/03/25)
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