Remote Physician Advisor — Denial & Utilization
Indiana University Health
- Remote job
A 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 certification, along with clinical experience in a hospital setting. Responsibilities include liaising between IU Health Revenue Cycle Services and clinical staff, providing clinical expertise related to authorizations and payor denials. Seeking candidates with excellent communication skills and strong leadership abilities to help optimize hospital services and resource utilization. #J-18808-Ljbffr Indiana University Health
$93.6k - $312k
...Overview: Physician Advisor – Sentara Virginia Beach General Hospital... ...necessity reviews and assists with denials management, including peer-... ...of Sentara's centralized Utilization Review (UR) process. The... ...positions that are available as remote work, Sentara Health...Remote workFull timeTemporary workShift work$93.6k - $312k
...at Sentara Health. As a Regional Physician Advisor, you'll leverage your clinical... ...supports the Clinical Revenue Cycle’s Utilization Review and Denials/Appeals processes to determine and... ...For positions that are available as remote work, Sentara Health employs associates...Remote workFull timeTemporary workShift workDay shift$160k - $300k
...Join us to start Caring. Connecting. Growing together. In this Physician Advisor role, you will partner with providers, case managers, and... ...all Physician Advisors.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges...Remote workMinimum wageFull timeWork experience placementLocal areaAll shiftsFlexible hoursWeekend workAfternoon shift- ...Physician Advisor The Physician Advisor provides physician-to-physician... ...practices and appropriate resource utilization. Key Responsibilities... ..., level of care, and denial prevention/appeals Support... ...cycle teams Experience in a remote or consulting healthcare environment...Remote work
$198k - $297k
...hospitals and affiliated physician groups. They offer end... ...: The Physician Advisor provides leadership... ...managing resource and utilization to deliver quality cost... ...expert Assist with denials and appeals as appropriate... ...scale. - This is a remote position; however,...Remote workTemporary workWork at officeLocal area- Physician Advisor UR and CDI-Utilization Management Summary: The Physician Advisor is a key member of the healthcare organization's leadership team and... ...utilization of resources, medical necessity, levels of care, denial management, compliance with governmental and private...
- ...Goodyear, Arizona invites an experienced physician to join as a Physician Advisor on-site. This full-time leadership role will influence utilization management, documentation integrity,... ...with CDI/HIM teams to reduce denials and enhance documentation #J-18808-Ljbffr...Full time
- ...Manufacturing Sector is seeking an accomplished Utilities Industry Solutions Subject Matter Expert... ...conversationsAct as a trusted industry advisor and deal shaper, influencing scope,... .... We offer the flexibility of a remote role, the scale of a global organization...Remote work
- Penn Medicine is seeking a Physician Advisor to serve as a clinical leader within Utilization Management, reporting to the AVP of Utilization Management. The role supports medical necessity determinations, peer-to-peer engagement, and documentation improvements across...
$115k - $220k
...achieve competitive advantage. We represent utilities and other energy firms before their... ...docketed proceedings. As trusted strategic advisors, we work with stakeholders across the... ...year (e.g. holiday periods), additional remote work options are offered to those whose...Remote workWork at officeWork from home3 days per week- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
$248.5k - $373k
...businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care... .... Growing together.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$93k - $189k
DescriptionSummary: Huntington’s Commercial Portfolio Manager -Power & Utilities will co-manage a growing $4.5 billion book of business in the... ..., maintain a strong community, and do their best work. Remote roles will also have the opportunity to come together in our offices...Remote workFull timeWork at officeWork from homeFlexible hours$240k
...Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation: $240,000 base + bonus Schedule: 40 hours/week Work Model: Remote (on-site meetings in Daytona Beach, FL ) Overview Seeking an experienced Utilization Management Physician...Remote workFull timeRelocation$248.5k - $373k
...businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care... ...Bilingual (English/Spanish) fluency *All employees working remotely will be required to adhere to UnitedHealth Group's...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...To support high school students navigating the competitive BS/MD admissions process, the part-time remote BS/MD Physician Advisor will mentor clients by evaluating candidacy, editing application materials, and preparing them for interviews while collaborating closely...Remote workPart time
- ...BS/MD Advisor We are looking for highly motivated individuals who are passionate about... ...can take upwards of a year. This is a remote position that requires you to have a reliable... ...Word. Qualifications: MD or DO physician (attending preferred; residents and...Remote workFlexible hours
- A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...Remote workFor contractorsMonday to FridayFlexible hours
- ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...Remote workFull timeCasual workMonday to Friday
- ...Dane Street, a certified "Great Place to Work" company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical...Remote work
- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New Jersey for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for...Remote work
- ...record (EHR) experience for physicians and providers. The award places... ...is seeking a Physician Advisor!Lee Health is a nonprofit organization... ..., review and manage payor denials, assist with documentation... ...and optimize resource utilization through standardization. This...Work at officeRelocationMonday to FridayWeekend work
- The Physician Advisor is a key member of the healthcare organization’s leadership team and is... ...for assuring the effective, efficient utilization of health care services. The Physician... ...necessity, levels of care, care progression, denial management, compliance with...Contract work
- General Summary:The System Physician Advisor for CDI serves as a key liaison between Quality,... ...Report.Reporting Structure:• Direct: Chief Utilization Officer• Dotted Line: Chief Quality... ...to clinical documentation and DRG denials.· Drive initiatives that improve quality...
$93k - $189k
...Huntington's Commercial Portfolio Manager - Power & Utilities Huntington's Commercial Portfolio Manager - Power & Utilities will co-... ...connections, maintain a strong community, and do their best work. Remote roles will also have the opportunity to come together in our...Remote workWork at officeWork from homeFlexible hours- ...Jersey seeks a part-time Per Diem RN for Utilization Management and denial management. You will apply medical... ...reviews, and coordinate with physicians and payers to support compliant patient... ...Management certification within one year. Remote work options may apply; competitive...Remote jobHourly payDaily paidPart time
- ...At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting,... ...patterns; documentation and over- and under-utilization of resources. This position is a key... ...the identification and management of denials. Make suggestions related to resource...Shift work
- ...Job Description The Physician Advisor serves as a physician leader partnering with Care Management, Utilization Management (UM), Clinical Documentation Improvement (CDI),... ...documentation and severity capture, supports denial prevention and appeals, and advances...Work experience placementWork at officeAfternoon shift
- ...Children’s Hospital seeks a coding Supervisor/Manager to lead Physician Organization Shared Services’ professional coding operations. The... ...surgical coding background. You will mentor staff, manage denials, and collaborate with physicians and billing leadership to improve...Remote job
- ChenMed LLC seeks a physician with strong clinical and UM background to cover delegated utilization management across multiple territories. The role requires residency in Internal Medicine or Family Practice, board certification, and 2+ years in hospital medicine, with...Remote job
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