Physician Advisor - Philadelphia - Jefferson

Provides clinical expertise and guidance to Clinical Analysis and appeals team acts as physician advisor for medical necessity appeals and for Pennsylvania Medical assistance PAMA utilization reviews. · Doctorate Degree Medicine or Osteopathic Medicine Required · ...

Temple Health is recruiting top talent to join its diverse workforce. · Clinical expertise and guidance to Clinical Analysis and appeals team. · ...

Provides clinical expertise and guidance to Clinical Analysis and appeals team. · ...

CBH is seeking a detail-oriented Physician Advisor to join its team. · ...

The Physician Advisor provides strategic oversight of medical necessity determinations for behavioral health services. · ...

The Physician Advisor provides strategic oversight of medical necessity determinations for behavioral health services. · Ensure alignment with clinical standards and organizational objectives through conducting medical necessity and peer reviews, · directing the activities of the ...

The Physician Advisor provides strategic oversight of medical necessity determinations for behavioral health services. Review cases from multiple sites and levels of care for medical necessity. · Ppeer review cases for disputed levels of care. · ...

The Physician Advisor provides strategic oversight of medical necessity determinations for behavioral health services ensuring alignment with clinical standards and organizational objectives. · ...

The CDI Physician Advisor is a key member of the healthcare organization's leadership team and is charged with meeting the organization's goals and objectives for ensuring the accuracy, completeness, and integrity of clinical documentation to reflect the true severity of illness ...

We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Physician Advis ...

+ Promote efficient and effective clinical care of hospitalized patients delivered in a timely, appropriate and cost-effective fashion as guided by evidenced based medicine and regulatory requirements via review of clinical documentation, collaborative telephonic communication an ...

Full-time Remote Physician Advisor with Optum. Work from home and make an impact on the communities we serve. · Promote efficient and effective clinical care of hospitalized patients delivered in a timely, appropriate and cost-effective fashion as guided by evidenced based medici ...

We are seeking a Physician Advisor to join our team at Optum. As a Physician Advisor, you will play a vital role in improving health outcomes by connecting people with the care they need. · The ideal candidate will have strong clinical knowledge and experience working in hospital ...

Physician Advisor · Job Summary: Join us to start Caring. Connecting. Growing together. · Full-time Remote Physician Advisor · Coverage spans from 6 pm - 3 am EST M-Fr One Weekday off per 4-week cycle replaced by SA or SU 6 pm-3 am with set schedules based on business needs to p ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their b ...

+Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · + · + · +[li]Promote efficient and effective clinical care of hospitalized patients delivered in a timely appropriate and cost-effective fashion as guided by evidence ...

We are seeking a Physician Advisor to join our team at Optum. As a Physician Advisor, you will play a vital role in promoting efficient and effective clinical care of hospitalized patients delivered in a timely, appropriate and cost-effective fashion. · Promote efficient and effe ...

This is a · remote position.The PA conducts · clinical case reviews referred by case management staff and/or other health care professionals. · ...

The American Board of Internal Medicine (ABIM) is currently seeking a Program Manager to join our Medical Specialties team.The Program Manager advances ABIM's priorities through various coordination efforts developing and maintaining stakeholder relationships helping to steer gov ...

The American Board of Internal Medicine (ABIM) is seeking a Deputy Chief Medical Officer to join its Strategic Alliances team. · ...

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by o ...