- 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
- 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …judgement, and discussions with the attending physician and/or physician advisor . This individual will: + Perform utilization review by completing ... + And more **Description** We're seeking an **Inpatient Registry Utilization Review Nurse (PRN)** who is responsible...documentation of authorized, unauthorized or denied days to the Physician and the care team in order to reduce… more
- Dayton Children's Hospital (Dayton, OH)
- …and retrospective denials. The Physician Advisor role will support the Utilization Review RN for second level clinical reviews for cases that do not ... Facility:Dayton Children's - Main CampusDepartment: Utilization Review TeamSchedule:Full timeHours:40Job Details:Under the supervision of the Manager of … more
- Penn Medicine (Philadelphia, PA)
- …advising case management, utilization review and provider staff. The physician advisor works with the. clinical documentation integrity team to improve ... patient flow measures by ensuring efficient and effective utilization of health care services. The Physician Advisor role includes teaching, consulting, and… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …and identification of trends in the over and under- utilization of resources. 2. The Physician Advisor should be a key member of the medical staff and take on ... the role as leader of the Hospital's utilization review /management committee, which is charged with...and utilization management (including LOS). 4. The Physician Advisor should discuss his/her role with… more
- Houston Methodist (Houston, 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
- Catholic Health Services (Melville, NY)
- …and presents to Physician Advisors during the monthly Physician Advisor meeting. + Attends hospital Utilization Management (UM) committees. + Supervises ... Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC...of CM processes and policies, as well as the Physician Advisor role, activities and expectations. +… more
- HonorHealth (AZ)
- …staff regarding federal and state utilization and quality regulations. As a CDI physician advisor , the PA will act as a liaison between the CDI ... Learn more at HonorHealth.com. Responsibilities Job Summary The System Physician Advisor (PA) serves as a liaison...reviewing a particular patient record. Assists with identifying a physician to review such record. Acts as… more
- 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
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