• Physician Advisor

    Sutter Health (Sacramento, CA)
    …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
    Sutter Health (06/12/25)
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  • Manager - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    …trends/root causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. + Participate ... you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We Are:** At… more
    Beth Israel Lahey Health (07/29/25)
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  • Physician Advisor - Allegheny Health…

    Highmark Health (Pittsburgh, PA)
    …Case Managers, UM nurses, and the hospital leadership team. The Physician Advisor is an integral part of the Utilization Management Committee and ... medical necessity and appropriateness of: admission to the hospital, utilization of observation status and services for those patients,...the bi-weekly Throughput Meeting. + The Physician Advisor needs to be able to review more
    Highmark Health (06/19/25)
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  • Physician Advisor

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting, and advising the case management department, clinical documentation ... is a key member and leader of the hospital's utilization review /management committee, which is charged with...of healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews… more
    Houston Methodist (07/05/25)
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  • Physician Advisor

    Catholic Health Initiatives (Bismarck, ND)
    …St. Alexius is looking for a Physcian Advisor to join the team! The Onsite Physician Advisor (PA) will serve as a physician leader and advocate for the ... + Extended Length of Stay (LOS) Rounds + Multidisciplinary Rounds + Utilization Review Committee Meetings + Clinical Documentation Improvement (CDI) Committee… more
    Catholic Health Initiatives (06/15/25)
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  • Director Physician Advisor

    Catholic Health Services (Melville, NY)
    …UR department, and presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. ... Initiatives Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical… more
    Catholic Health Services (06/27/25)
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  • Physician Advisor

    WMCHealth (Valhalla, NY)
    Physician Advisor Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Physicians Department: Clinical Care Mgmt- WMC Health Union: ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29449) Internal Applicant link Job Details: Job Summary: The Physician Advisor is responsible for developing positive… more
    WMCHealth (05/22/25)
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  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure ... hospitals objectives, and quality patient care while ensuring effective and efficient utilization of resources. The Physician Advisor guides the… more
    Mohawk Valley Health System (07/09/25)
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  • Physician Advisor

    Trinity Health (Silver Spring, MD)
    …Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization /level of care (LOC), ... **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits, Free… more
    Trinity Health (07/18/25)
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  • Physician Advisor

    Catholic Health Services (Roslyn, NY)
    …of hospitalization, LOC status, LOS management, continued stay decisions, clinical review of patients, utilization review activities, resource ... advice, and quality issues. Maintains knowledge of government regulations related to utilization review , transition planning, billing, and managing patients and… more
    Catholic Health Services (06/27/25)
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