• Physician Advisor / UM

    Provider Solutions & Development (Mission Hills, CA)
    Providence Holy Cross Medical Center is seeking a Physician Advisor / UM Medical Director to join a strong leadership team promoting high-value care in ... develop strong collaborative and positive mutually supported relationships between the medical center and its physicians to improve clinical quality, resource… more
    Provider Solutions & Development (12/18/25)
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  • Physician Advisor , Care…

    Sutter Health (Oakland, CA)
    …Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely with the medical staff, including house staff, and all ... Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member...UM staff and health care team members and medical directors of third-party payers to discuss the needs… more
    Sutter Health (12/10/25)
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  • Physician Advisor

    Catholic Health Initiatives (Bismarck, ND)
    **Job Summary and Responsibilities** **Join Our Team as a Physician Advisor at CHI St. Alexius Health!** Are you a physician leader passionate about ... compliance, and driving clinical excellence? CHI St. Alexius Health is seeking a visionary ** Physician Advisor ** to join our dedicated team and make a profound… more
    Catholic Health Initiatives (12/19/25)
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  • Physician Advisor

    CommonSpirit Health (Salt Lake City, UT)
    …in or willing to relocate to the Salt Lake City Area._ The Physician Advisor reports directly to the Medical Director Physician Advisor /UR and ... is responsible for maintaining a collaborative partnership with the Medical Director CDI, Enterprise Director Case Management, UM...Committees or administrative roles, preferred. + Experience as a Physician Advisor in the acute care setting… more
    CommonSpirit Health (11/07/25)
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  • Physician Advisor

    MaineGeneral Health (Augusta, ME)
    …is seeking an experienced physician , (MD or DO) for the role of Physician Advisor . In this role, the individual will: + Provide clinical leadership and ... Medical Center has an internal referral bonus program for all employed medical staff. Please contact physician recruitment for more details of this program.… more
    MaineGeneral Health (10/21/25)
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  • System VP Utilization Management

    CommonSpirit Health (Phoenix, AZ)
    …of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty Certification by the American Board of ... federal, state and payer regulatory and contract requirements. + Previous Physician Advisor /Care Management or equivalent experience. Excellent communication… more
    CommonSpirit Health (11/02/25)
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  • Medical Director - Medicaid (Oklahoma)

    CVS Health (Madison, WI)
    …Michigan and Oklahoma. Support for other regions may occasionally be required. The UM Medical Director will ensure timely and consistent responses to members ... supports the Aetna Better Health Plan of Oklahoma. This UM (Utilization Management) Medical Director will be...at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent… more
    CVS Health (12/19/25)
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  • Medical Director - Kentucky Medicaid

    CVS Health (Frankfort, KY)
    UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred ... and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a...and the Southeast Region (FL, LA and WV). This Medical Director will be a "Work from Home" position… more
    CVS Health (11/19/25)
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  • Care Manager - LPN - Part Time - On Site

    Community Health Systems (Bentonville, AR)
    … necessity, and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management ( UM ) committee. + Identifies ... patient care activities under the supervision of a Registered Nurse or physician . This role involves reviewing medical records for appropriateness and… more
    Community Health Systems (11/13/25)
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  • Care Manager LPN PRN

    Community Health Systems (Siloam Springs, AR)
    … necessity, and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management ( UM ) committee. + Identifies ... patient care activities under the supervision of a Registered Nurse or physician . This role involves reviewing medical records for appropriateness and… more
    Community Health Systems (11/25/25)
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