• Physician Advisor

    AdventHealth (Orlando, FL)
    …**Schedule:** **FT** **Shift** : **Days** **The role you'll contribute:** The Onsite Physician Advisor provides primary support for Care Management (CM) and ... campus, as well as, the medical liaison for payor escalations. The Physician Advisor is responsible for educating, informing and advising members of the, Care… more
    AdventHealth (11/15/24)
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  • Executive Medical Director Revenue Cycle

    AdventHealth (Maitland, FL)
    …**Days - This is On Site position** **The role you'll contribute:** As the physician advisor , the Executive Medical Director of Revenue Cycle educates, informs, ... including Utilization Management . Two years or greater experience as a Physician Advisor **LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED** **:** . Current,… more
    AdventHealth (11/04/24)
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  • Supervisor RN Transitional Care - Care Continuum…

    Health First (Rockledge, FL)
    …expectations, age, cultural, and individual differences. * Works with the physician advisor , physicians, nursing, ambulatory programs, outpatient programs, ... * Works collaboratively and maintains active communication with physicians, nursing, physician advisor , and other members of the interdisciplinary care… more
    Health First (11/11/24)
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  • Disability Representative Sr

    Sedgwick (Orlando, FL)
    …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
    Sedgwick (11/15/24)
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  • Sr. Disability Representative

    Sedgwick (Orlando, FL)
    …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
    Sedgwick (09/14/24)
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  • Clinical Documentation Integrity Manager RN

    AdventHealth (Daytona Beach, FL)
    …related projects. + Meets regularly with the acute care site and regional based Physician Advisor designee. + Assist with regional budgets and operates within ... and management skills that will promote effective and efficient review of physician documentation that supports the patient's level of care and develop action… more
    AdventHealth (11/02/24)
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  • RN Case Manager- Case Management

    Health First (Viera, FL)
    …goals. 9. Works collaboratively and maintains active communication with physicians, nursing, physician advisor , and other members of the interdisciplinary care ... mandatory legal reporting, etc. 5. Works with the Utilization Department, Physician Advisors, Hospitalists, Emergency and other physicians to ensure appropriate,… more
    Health First (10/17/24)
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  • Medical Director - Florida Medicaid

    CVS Health (Tallahassee, FL)
    …- Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred ... Qualifications:** -Health plan/payor Utilization Management / Review experience. -Electronic medical systems/record experience. -Managed Care experience. -Medicaid experience. **Education:** -M.D. or DO, Board Certification in ABMS or AOA recognized specialty… more
    CVS Health (10/04/24)
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  • Patient Benefits Advisor 2

    University of Miami (Miami, FL)
    …The Patient Access department has an exciting opportunity for a full-time Patient Benefits Advisor 2 (H) to work on-site on the UHealth campus. The Patient Benefits ... Advisor 2 (H) ensures that patients have adequate insurance...documented prior to the receipt of services. + Contacts physician offices to obtain missing patient information. + Utilizes… more
    University of Miami (10/09/24)
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  • RN Clinical Assessment Advisor Home Health…

    CenterWell (Sarasota, FL)
    …our caring community and help us put health first** The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved ... by physician , performs ongoing evaluation of patient needs and coordinates...health aides to ensure optimal clinical outcomes. Works with physician and/or referral source to obtain all pertinent clinical… more
    CenterWell (11/16/24)
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