patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria... identifies and refers cases to the physician advisor to support timely progression of patients along the continuum of care...
York. Requirements: As Physician Reviewer/Advisor, you will utilize clinical expertise and reviews insurance appeals.... Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management...
Management and synthesizes information in order to reduce avoidable days Collaborates with Physician Advisor for complex issues.... Job Description Full Time, Work Schedule 8:00-1630 I. General Summary Under general supervision of the Manager of Case Management, the...
: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length... following activities: · Accurate medical necessity screening and submission for Physician Advisor review, · Care...
& Ancillary Relations serves as a physician advisor / dyad partner to other members of the Hospital and Ancillary Relations... for their utilization management activities (admissions, and transfers, including related orders and contracted facility case mix...
. home health, inpatient, physician office, clinic) LICENSE/CERTIFICATIONS: BLS (Basic Life Support) Issued by American... requirements EDUCATION: Bachelor's of Science in Nursing LICENSE/CERTIFICATIONS: Case Management Certification...
interdisciplinary care management rounds. Ensures collaboration between multidisciplinary healthcare team members, primary physician... in not clear. Consults with the Physician Advisor when the admission or continued stay does not meet criteria, care is not being...
evaluations to activate initial adoption of Karius test/solutions and drive increased utilization over time. Serve... both prospective and existing partners. Develop a 'trusted advisor' relationship and establish oneself as fully accountable...
interdisciplinary care management rounds. Ensures collaboration between multidisciplinary healthcare team members, primary physician... in not clear. Consults with the Physician Advisor when the admission or continued stay does not meet criteria, care is not being...
. Integrates Program into Case Management and physician extender (PA and NP) services. Participates in multidisciplinary quality...About this Job: MedStar Health is currently seeking a Nocturnist Hospitalist Physician to support night shifts...
, and closing). Manage early evaluations to activate initial adoption of Karius test/solutions and drive increased utilization over... across multiple stakeholders among both prospective and existing partners. Develop a 'trusted advisor' relationship and establish...
innovation, and fostering a culture of safety, quality, and engagement. The Director partners with senior executives, physician... as a trusted advisor and thought partner to senior executives, influencing decisions that shape patient care delivery...
and problems appropriate for secondary review to Case Management Department leadership, the Medical Director, or Physician Advisor.... Resource Management; Assures prudent utilization of all resources (fiscal, human, environmental, equipment and services...
provision, and implementing and reporting care coordination, discharge planning and utilization management (UM) activities... practices and best practices for the patient’s plan of care. Refers cases to physician advisor as needed to ensure efficient...
/family and providers and advocates for problem resolution. Utilization Management: Screens all patients for appropriate.... Works with physician advisor as indicated to optimize success in obtaining authorizations. Demonstrates working knowledge...
practice robust utilization and resource management. RN case managers also frequently lead multidisciplinary and family care... Physician Advisor when indicated. Assesses for and tracks potentially avoidable hospital days. Educates providers regarding...
practice robust utilization and resource management. RN case managers also frequently lead multidisciplinary and family care... Physician Advisor when indicated. Assesses for and tracks potentially avoidable hospital days. Educates providers regarding...
practice robust utilization and resource management. RN case managers also frequently lead multidisciplinary and family care... Physician Advisor when indicated. Assesses for and tracks potentially avoidable hospital days. Educates providers regarding...
. Serve as Physician Advisor when needed to the consortium care coordination department and participate in the Utilization... Review Committee. Work with the UR Physician advisor (contractor). Continually assesses barriers, hindrances, waste...