- CommonSpirit Health (Phoenix, AZ)
- …more just, equitable, and innovative healthcare delivery system. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical ... patients and alternative levels of care. **The PA performs denials management and prevention in accordance with...required + **Minimum 3 years of experience as a Physician Advisor ** **managing denials required**… 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 ... difference in people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth Israel… more
- Kaleida Health (Buffalo, NY)
- …as facilitating strong working relationships between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting, and hospital departments ... where diversity is valued and celebrated!_ **Position** Director Clinical and DRG Denials **Location** US:NY:Buffalo | Management | Full-Time **Req ID** null… 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 ... Board of Quality Assurance and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty Certification by the American Board of Quality… more
- Catholic Health Initiatives (Omaha, NE)
- **Overview** The Physician Advisor is charged with meeting the organization's goals and objectives for assuring the effective, efficient utilization of health ... care services. The Physician Advisor is a physician ...patterns, and other relevant information as requested. + Ensures physician accountability for efficient patient care management .… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Physician Advisor is responsible for teaching, consulting, and advising the case management department, clinical documentation ... of healthcare quality and acceptable levels of cost. The Physician Advisor will conduct clinical reviews on...team, in order to assist with the identification and management of denials . Make suggestions related to… more
- Highmark Health (Pittsburgh, PA)
- …+ The Physician Advisor works in concert with the admitting physician , Case Management , and other hospital personnel, to evaluate the medical necessity ... The **Allegheny Health Network (AHN)** is recruiting a full-time ** Physician Advisor ** to join our team located...Advisor is an integral part of the Utilization Management Committee and participates in hospital and enterprise-level quality… more
- Trinity Health (Silver Spring, MD)
- …procedure and approach to physician advisor roles in utilization management , length of stay, denials /downgrades. Serves as physician expert and ... throughout the organization. Manages processes, policies, workflows and overall management of the physician advisor ...all levels of care) + Understanding of approaches to denials management + Familiarity with clinical documentation… more
- Dignity Health (Prescott, AZ)
- …and your family. **Responsibilities** **Position Summary:** Reporting to our CMO, the Physician Advisor plays a critical role in promoting evidence-based ... facility utilization initiatives (ie leverage the leadership influence of Physician Advisor by mobilizing other physicians and...length of stay and reducing avoidable days and claim denials . + Influence physician practices to optimize… more
- Catholic Health Services (Melville, NY)
- …presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. Supervises the ... with management in recruiting new Catholic Health Physician Advisor hires. Trains new Physician...admission criteria for all levels of care). Experience with denials management . Knowledge of clinical, quality, and… more