- Catholic Health Services (Melville, NY)
- …and standardize the implementation of CM processes and policies, as well as the Physician Advisor role, activities and expectations. Collaborates with CM and CDI ... to Physician Advisors through annual performance evaluation. Monitors Physician Advisor performance dashboard with Key Performance Indicators (KPIs).… more
- UPMC (Washington, PA)
- …Case Management staff + Assists with management of departmental budget. + Collaborates with Director , Medical Director / Physician Advisor and staff to ... operations of the Case management department under the direction of the Director . The Manager is accountable for the following Case Management functions: training,… more
- UPMC (Coudersport, PA)
- …+ Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor , Attending Physicians and clinical team to ... LOC requirements and that chart documentation supports LOC determination. Works with Physician Advisor and Attending Physicians to obtain necessary documentation… more
- UPMC (Pittsburgh, PA)
- …+ Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor , Attending Physicians and clinical team to ... requirements and that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain necessary documentation… more
- UPMC (Harrisburg, PA)
- …+ Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor , Attending Physicians and clinical team to ... LOC requirements and that chart documentation supports LOC determination. Works with Physician Advisor and Attending Physicians to obtain necessary documentation… more
- Provider Solutions & Development (Burbank, CA)
- Providence St. Joseph Medical Center is seeking a Physician Advisor /UM Medical Director to join a strong leadership team promoting high-value care in ... improving our mission outcomes. You will work closely with the physician leadership, the Director of Care Management, and executive leadership; in particular the… more
- Swedish Health Services (Seattle, WA)
- …appropriate for secondary review to Case Management Department leadership, the Medical Director , or Physician Advisor . **Resource Management:** Assures ... the patient's health, safety and rights. * Advocates for the patient, family, physician , and facility to obtain benefits from insurance carriers and others that… more
- Swedish Health Services (Seattle, WA)
- …appropriate for secondary review to Case Management Department leadership, the Medical Director , or Physician Advisor . *Resource Management; Assures prudent ... the patient's health, safety and rights. * Advocates for the patient, family, physician , and facility to obtain benefits from insurance carriers and others that… more
- Highmark Health (Pittsburgh, PA)
- …**Job Description :** The **Allegheny Health Network (AHN)** is recruiting a full-time ** Physician Advisor ** to join our team located in **Pittsburgh, PA** . ... the setting for the administration of that care. The Physician Advisor is responsible for level of...President of Care Continuum and Transitions and the Medical Director of Physician Advisors. **Essential Responsibilities:** +… more
- Ochsner Health (New Orleans, LA)
- …Come make a difference at Ochsner Health and discover your future today!** The Physician Advisor (PA-Utilization Management) serves as the physician leader ... Board of Quality Assurance and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty Certification by the American Board of Quality… more