- BayCare Health System (Tampa, FL)
- …of the Utilization Physician Reviewer is to optimize utilization physician review coverage resulting in reduction of inappropriate prolonged ... on a foundation of trust, dignity, respect, responsibility and clinical excellence. ** Utilization Physician Reviewer position details:** + **Facility:** St.… more
- Ochsner Health (New Orleans, LA)
- …Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty Certification by ... at Ochsner Health and discover your future today!** The Physician Advisor (PA- Utilization Management) serves as the...the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) or (4) commitment… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity ... Hackensack University Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Sutter Health (Berkeley, CA)
- …and others to ensure appropriate utilization and quality care through utilization review , tracking and evaluation and objectively compare criteria with ... clinical nursing staff and other departments regarding documentation required for utilization review activities and processes. Collaborate with medical, nursing… more
- Lawrence General Hospital (Lawrence, MA)
- …supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports ... well as the integrated care team and supports the case management/ utilization review team on system-wide quality improvement/performance improvement initiatives.… more
- CommonSpirit Health (Phoenix, AZ)
- …both inside our hospitals and out in the community. **Responsibilities** As the Utilization Management Physician Advisor (PA), the PA conducts clinical case ... objectives for providing quality patient care, to assure effective and efficient utilization of health care services. The PA communicates remotely with case and… more
- CommonSpirit Health (Phoenix, AZ)
- …both inside our hospitals and out in the community. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews ... hospital's objectives for assuring quality patient care and effective and efficient utilization of health care services. This individual meets with case management… more
- HCA Healthcare (Idaho Falls, ID)
- …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... 156,000 hours impacting our communities. As a Director of Physician Services I with East Falls Primary Care, you...medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services… more
- Beth Israel Lahey Health (Boston, MA)
- …a difference in people's lives.** Position Summary: In conjunction with the admitting/attending physician , the Utilization Review RN assists in determining ... the level of care being billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records to ensure… more