- CommonSpirit Health (Sacramento, CA)
- …the community. **Responsibilities** **This is a remote position.** **Summary** The Utilization Management Physician Advisor II conducts clinical case reviews ... This position will be a part of the specialized Denials Management team. This individual meets with...of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …has an integral role within the revenue cycle by providing clinical expertise in the denials management process. The Denials RN performs a root cause ... management guidelines, medical necessity criteria, critical thinking skills, and physician advisor review. 2. Identifies denial root cause for each… more
- Dayton Children's Hospital (Dayton, OH)
- …to the Manager of Utilization Management and in partnership with the Physician Advisor provider team, Revenue Cycle leadership, Integrated Care Management ... Management ; supports the development and implementation of a comprehensive denials management program. This role functions as a hospital liaison with external… more
- Kaleida Health (Buffalo, NY)
- …as facilitating strong working relationships between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting, and hospital departments ... Revenue Cycle Admin **Job Description:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical Revenue… more
- Hartford HealthCare (Wethersfield, CT)
- *Exciting Opportunity for Physician Advisor Clinical Resource Management * Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing ... Appeals and Denials team, is a robust, physician -led Physician Advisor program, that...Experience: At least five years of acute care clinical experience. Physician advisor experience (Utilization Management … more
- Premier Health (Dayton, OH)
- Position: Physician Advisor Dept: Physician Advisors Shift: Full Time 8am - 5pm / 40 hours per week with option to maintain support clinical skills Premier ... us and be part of a team committed to inspiring better health. The Physician Advisor provides leadership for efficiently managing resource and utilization to… more
- Houston Methodist (Houston, 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
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? **Summary:** + The Physician Advisor is a key member of the healthcare organization's leadership team ... effective and efficient utilization of health care services. The Physician Advisor is a physician ...recommendations on cases placed in Observation. Participate in the denials management process. Be a leader in… more
- Dignity Health (Prescott, AZ)
- …www.yrmc.org #hellohumankindness **Responsibilities** **Position Summary:** Reporting to our CMO, the Physician Advisor plays a critical role in promoting ... 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
- WMCHealth (Valhalla, NY)
- …duties as assigned. Qualifications/Requirements: Experience: Experience as a CDI champion and/or Case management Physician Advisor or having 3-5 years as a ... Physician Advisor Company: WMC Advanced ...objectives. This position plays an important role in ensuring physician support and execution of for Utilization Management… more