- CommonSpirit Health (Englewood, CO)
- …opportunities.** We are seeking a highly skilled individual to develop and submit clinical appeals , expertly crafting physician -aligned letters based on ... and understanding of documentation importance + Assist in communications of internal physician advisor services in the hospital newsletters and other… more
- Nuvance Health (Danbury, CT)
- …support inpatient level of care. If the case still does not meet, send to the Physician Advisor (PA) for a second level review. * Forward cases that require ... in preventing payment denials by providing timely and accurate clinical information to all payers, while ensuring compliance with...secondary physician review to appropriate resource (eg, Physician Advisor ). * Resolve any discrepancy at… more
- Catholic Health Services (Melville, NY)
- …timeframes. + Collaborates in clinical discussions with the Catholic Health Physician Advisor when appropriate. + Reviews results from managed care payors ... Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews...documentation. + Acts as liaison between the Utilization and Appeals Management Department and the physician of… more
- Catholic Health Services (Melville, NY)
- …Manage Care Payors or regulatory agencies, as needed or requested. + Manages physician advisor reports and assists with facilitating UM Committee reviews when ... liaison between patient account services, physicians, care coordinators, Utilization and Appeals Managers, physician advisors and facility departments. +… 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 ... and efficient utilization of resources. The Physician Advisor guides the team to improve clinical ...staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …levels of healthcare quality and acceptable levels for the cost of care. 3. The Physician Advisor will conduct clinical reviews on cases referred by ... **Job Summary and Responsibilities** 1. The Physician Advisor serves the Hospital through...PHYSICIAN LIAISON:** * Discuss cases with the attending physician and whether additional clinical information is… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits, Free ... distance from Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization/level of… more
- CommonSpirit Health (Englewood, CO)
- …Summary and Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews ... the submission of necessary documentation. + Assists in communications of internal physician advisor services in the hospital newsletters and other communication… more
- AdventHealth (Orlando, FL)
- …Utilization Management/Medicare Regulations . Two years or greater experience as a Physician Advisor . Three years of leadership experience **LICENSURE, ... clinical documentation improvement opportunities and relevant data. Provide physician coaching on documentation. Assist in billing for technical component of… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Specialty** : Case Management + **Subspecialty:** Physician Advisor + **Schedule** : Full Time | Hybrid (frequently on site) + **Call Schedule:** ... time of the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a … more