Remote Physician Advisor — Denial & Utilization
Indiana University Health
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
- ...and level-of-care decisions. Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals. Coordinate with clinical... ...organisation UM program. Work Terms Location: Remote Employment Type: Hourly...Remote workHourly payNight shift
- ...PRN Physician Advisor Opportunity Ascension in Austin, TX is looking for... ...a PRN (Per-Request-Needed) Remote Physician Advisor to join our... ...some physician advisory or utilization management work experience.... ...determination. Assist and manage the denial management process with peer...Remote workWork experience placementReliefLocal area
- ...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
- ...Physician Advisor - UM MSQ - 161706 Tampa: St Josephs | Physician | Part... ...assuring the effective, efficient utilization of health care services. Is... ...of care, care progression, denial management, compliance with... ...this team member be working remotely? Hybrid Equal Opportunity...Remote workPart timeShift workWeekend work
$93 per hour
...Physician Advisor The Mid-Atlantic Permanente Medical Group (MAPMG) is a leading group of over... ...What You Can Expect: Shifts are remote and typically 8 hours in duration. Expected... ...related to status designation, denials, and post-acute referrals Provide real...Remote workHourly payWork at officeShift work- ...XSOLIS is seeking a Physician Advisor to provide concurrent review and appeal support for its XPAS client base. You will apply utilization management expertise, review cases for level of care, and help ensure compliance with CMS and state regulations. This full-time...Full time
- ...Physician Advisor The Physician Advisor performs case reviews of all case types in a knowledgeable and conscientious manner to achieve... ..., case management, social services, discharge planning, and utilization management to recommend methods to optimize use of hospital...Remote jobWork at officeLocal areaShift work
$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- Washington Hospital Healthcare System seeks a Lead Physician Advisor to optimize patient care and ensure regulatory compliance across inpatient... ...requires MD degree, CA license, and extensive experience in utilization management, CDI, and case management. Strong analytical and...
- Henry Ford Health System in Detroit seeks a Physician Advisor responsible for overseeing healthcare service utilization and compliance. The role includes collaboration with medical staff to promote quality care while managing resources effectively. Applicants should possess...Full time
- Henry Ford Health seeks a Physician Advisor to collaborate with medical staff leadership to optimize resource use and ensure quality care. The role requires extensive experience in utilization management, regulatory knowledge, and strong physician engagement across hospital...
- Med-Metrix is seeking a Physician Advisor to perform case reviews across all types to ensure compliance and optimize hospital resource use... ...medical license with 3+ years in physician advisory roles, and is proficient with EMR systems and utilization #J-18808-Ljbffr Med-Metrix
- Henry Ford Health is seeking a Physician Advisor to partner with medical leadership, hospital staff, and revenue cycle teams to optimize utilization and ensure high-quality patient care across the system. You will lead medical necessity reviews, mentor clinicians on documentation...
$93k - $189k
DescriptionSummary: Huntington’s Director, Portfolio Management -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$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- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.The Utilization Review Physician is the lead clinician for the health...Remote work
$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- ...ChenMed is looking for a Licensed Physician Reviewer – Ortho for a remote role based in Miami, FL. This position involves conducting Utilization Management reviews and advising other physician reviewers while participating in quality improvement efforts. The ideal...Remote 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...
$219k - $286.9k
...Physician Reviewer - Utilization Management Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar... ...Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in the United...Remote workFull timeLocal areaWork from homeHome officeWeekend 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
- ...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
- Department: Physician AdvisorsLocation: 1611 NW 12 Ave., Miami, FL 3... ...On site).SummaryThe Physician Advisor (PA) serves as a clinical... ...facilitation, and resolution of utilization issues. The PA role reports to... ...admissions and overturn denials as appropriate, including peer...Daily paidWeekend work
- ...Health is seeking a highly motivated Physician Advisor to partner with physicians, Care Management... ...leadership to ensure appropriate utilization of healthcare resources, regulatory compliance... ..., patient status determinations, denials prevention and appeals, physician...Daily paidFull timePart timeWorldwide
$242.11k - $387.38k
...System Office-ValleyPosition Overview:The Physician Advisor (PA) is a key member of the hospital's... ...for ensuring the effective, efficient utilization of health care services. The PA will... ...practices, level of care progression, denial management and compliance with...Full timeFor contractorsWork at officeShift workNight shift- ...admissions process. Working alongside a College Advisor, the BS/MD Advisor will mentor high... ...can take upwards of a year. This is a remote position that requires you to have a... ...Microsoft Word. Qualifications MD or DO physician (attending preferred; residents and...Remote workPart timeFlexible hours
- ...Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist... ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with...Remote workPrice workExtra incomeTemporary workFor contractorsFlexible hours
- ...Working fully remote in a full-time capacity, the Utilization Management Physician Reviewer will be responsible for making accurate coverage determinations for inpatient and outpatient services by applying utilization management criteria and clinical judgment while ensuring...Remote workFull time
- A prominent healthcare group in New York is seeking a Physician Advisor to lead the Utilization Management team at their South Brooklyn campus. The role involves providing direct patient care and ensuring compliance with regulations. Ideal candidates will be board certified...
- RWJBarnabas Health is seeking a full-time Physician Advisor in New Jersey to collaborate with administration, medical staff, and case management. The role focuses on utilization management, progression of care, and complex discharge planning across multiple departments...Full time
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