Remote Physician Advisor: Utilization & Compliance Leader
HURC Healthcare Solutions
A healthcare solutions provider in New Jersey is seeking a Physician Advisor to provide clinical guidance and conduct physician-to-physician reviews. The candidate will support utilization review and ensure adherence to medical necessity criteria. Qualifications include an MD or DO, board-certification, and acute-care experience. Strong communication skills and proficiency in utilization management are essential. This role offers a unique opportunity to impact healthcare delivery while educating peers on best practices. #J-18808-Ljbffr
- ...A healthcare organization in Orlando seeks a Physician Advisor to serve as a bridge between clinical medicine and hospital operations. The role involves reviewing clinical cases, managing utilization, and educating medical staff. Candidates should have 10+ years of clinical...Suggested
$172.36k - $258.55k
...A leading healthcare company is seeking a Physician Advisor for Utilization Management. The role requires a California license and significant experience in clinical care and utilization management. Responsibilities include processing reviews, liaising with medical staff...Remote work- ...leading healthcare organization is seeking a RCS-Physician Advisor to join their Denial Management team. This full-time remote position requires a medical degree and board... ...leadership abilities to help optimize hospital services and resource utilization. #J-18808-Ljbffr...Remote workFull time
- ...Catholic Health Initiatives is seeking an On-site Physician Advisor at the CHI Health Creighton University Medical Center. The role involves improving hospital utilization management, ensuring compliance with regulations, and providing education on quality care initiatives...Suggested
- ...Dane Street, LLC is seeking a remote Physician Reviewer for full-time work from home. The role requires an MD or DO, board-certified in Internal or Family Medicine, to perform utilization reviews, including preauthorization and appeals. Ideal candidates will have prior...Remote workFull timeWork from home
- ...Valley Health System (MVHS) is seeking a Physician Advisor to join our team. The Physician... ...conducts clinical review of cases to ensure compliance with regulatory requirements,... ...while ensuring effective and efficient utilization of resources. The Physician Advisor guides...Night shift
$198k - $297k
...hospitals and affiliated physician groups. They... ...The Physician Advisor provides leadership... ...resource and utilization to deliver quality... ...improvements and compliance, performing Peer... ...results through other leaders by empowering... ...Top Workplace for Remote Work 2024 ~ Great...Remote workLocal area- ...HonorHealth is seeking a Physician Advisor to join their administrative support team, primarily... ...focusing on quality patient care and utilization management. This role necessitates extensive... ...effective patient care and regulatory compliance. The ideal candidate will have...
- ...Part-Time | Remote (U.S. Based) Medical Review Institute of... ...is a nationally recognized leader in utilization management and clinical... ...based solutions for more than Physician Advisor (Utilization Review) Part-... ...agreeing to all necessary Compliance Regulations on their first...Remote workPart timeWork at officeWork from home10 hours per weekFlexible hoursShift workWeekend work
- ...Join to apply for the Physician Advisor - Utilization Mgmt role at Erlanger 2 months ago Be among the first 25 applicants Join to apply for the... ...goals and operations, as outlined in contract. Assures compliance with all JCAHO/DNV and other regulatory agency guidelines...Full timeContract workPart timeNight shift
- ...A healthcare provider is seeking a detail-oriented Physician Advisor to join their inpatient team full-time in Kankakee, IL. This... ...role is pivotal in ensuring effective healthcare service utilization and compliance with regulations. Responsibilities include making care recommendations...Full time
- ...A leading consulting firm is seeking a Director, Smart Grid & Electric Utility Consulting, based in Greenbelt, MD. The role involves strategic leadership in Smart Grid consulting, client engagement, and business development targeting electric cooperatives and municipal...Remote work
- ...Supervisor to lead the Medical Management team. This fully remote position requires an active New York State... ...and involves overseeing day-to-day activities of the utilization management team while ensuring compliance with quality and performance standards. You will play...Remote work
- ...firm in California is seeking a Care Progression Physician Advisor to provide clinical leadership in utilization review and care coordination. This role involves... ...to promote quality patient care and regulatory compliance. Ideal candidates should have an MD/DO, a medical...
$145k - $199.07k
...R1 RCM is seeking a Physician Advisor in Denver, Colorado, to assist client facilities in navigating revenue compliance by evaluating payor authorization cases. The ideal candidate must hold an unrestricted MD or DO license and have at least 3 years of clinical experience...Remote work$250k - $280k
...A prominent healthcare provider in Summit, New Jersey is seeking a Physician Advisor to deliver clinical leadership and improve patient outcomes. The role requires a Board Certified MD/DO with experience in managing hospitalized patients and working collaboratively with...Full time- ...is seeking a Trust Officer to manage trust accounts and ensure compliance with legal and regulatory standards. This role requires building... ..., and strong knowledge of trust laws. This is a full-time, non-remote position based in Brentwood, Tennessee, with a pay range TBD....Remote workFull time
$135 - $165 per hour
...on performing the following Physician duties: Diagnoses and treats... .... Job Overview The Physician Advisor, Lead is a critical role that... ...efficient workflows related to utilization management. As a representative... ...with health system leaders, including Quality Improvement...Hourly payWork experience placementWork at office- ...Healthcare is looking for a detail-oriented Physician Advisor to join our inpatient team in Kankakee,... ...operational leadership while ensuring compliance with regulatory standards. Your expertise will support effective utilization of healthcare services. The position involves...Full time
$139.76 per hour
...Kaweah Delta Health Care District in Visalia, California seeks a Physician Advisor to serve as a clinical liaison between medical staff and hospital administration. The role emphasizes proper utilization of hospital resources and accuracy in clinical documentation. Ideal...Shift work- ...A healthcare provider in Georgia is seeking a Physician Advisor responsible for enhancing clinical documentation accuracy and ensuring compliance with medical necessity guidelines. This role involves working with various teams to optimize healthcare resources and improve...
- ...A leader in clinical review services is seeking a Part-Time Physician Advisor to evaluate medical service requests and make coverage determinations. This remote role requires an active medical license, board... ...ensuring adherence to all compliance regulations. #J-18808-Ljbffr...Remote workPart timeFlexible hoursShift workWeekend work
$150.08k - $199.07k
R1 RCM in Chicago is seeking a Physician Advisor to review admission statuses and ensure compliance. The role requires MD or DO licensure and emphasizes strong communication, clinical knowledge, and flexibility with scheduling, especially on weekends. This position offers...Remote jobWeekend work$280k - $300k
...organization in Danbury, Connecticut is seeking a Physician Advisor Lead to provide clinical leadership in utilization management and oversee a team of physician... ...managing healthcare resources and ensuring regulatory compliance. The position offers a competitive salary...- Join Tenet Healthcare as a Physician Advisor in Palm Beach Gardens, FL, taking your career to the next level. This full-time, on-site role involves leading physician education, influencing utilization management and documentation integrity, and engaging with various teams...Full time
- ...is seeking a Medical Director to oversee operations and ensure compliance with medical standards. The ideal candidate should have experience... ..., oversight of protocols, and maintaining communication with clients and suppliers. This is a remote position. #J-18808-Ljbffr...Remote work
- 340B Health in Phoenix, Arizona seeks a Physician Advisor to promote evidence-based medical care while collaborating with various departments... ...mitigate payment denials from insurance payers, and ensure compliance with CMS regulations. Candidates must have a Doctor of...
$92.4k - $135k
...seeking a Quality Risk Manager (QTR) to oversee quality risk programs at their Redmond and Seattle sites. The role requires ensuring compliance with regulations and developing solutions to mitigate risks effectively. The ideal candidate will have a background in biological...Remote work$110k - $160k
Allstate Insurance Company is seeking a Fraud Risk Management Senior Manager in Chicago, Illinois. This role leads a team focused on fraud risk governance and analytics, driving strategic initiatives, and managing incident response efforts. The position requires extensive...Remote job$130k - $140k
...ensure long-term sustainability. This role requires a visionary leader with strong skills in project management and strategic partnerships... ...offers a hybrid schedule with 2 days in the office and 3 days remote. Benefits include a competitive salary within the range of $130,...Remote workWork at office
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