12 physician advisor jobs found

Job Description Salary Range The expected base rate for this Glens Falls, New York, United States-based position is $40.83 to $60.74 per hour. (Exact rate is determined on a case-by-case basis commensurate with experience level, as well as education and certifications pertaining to each position which may be above the listed job requirements.) The Impact You Can Make The Case Manager (Acute Care) role must optimize and integrate the interface between clinical and financial systems supporting positive health outcomes. The Case Manager uses nursing and case management knowledge to promote appropriate allocation of hospital and other resources, while striving to provide high quality care to each patient in a cost effective and timely manner. Support services provided by the Case Manager include, but are not limited to, utilization review, case management, weekend and holiday case management, care transition, collaboration with physicians and social workers for care...

Job Summary :  The Clinical Appeals Specialist is responsible for managing client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. Where warranted, the Clinical Appeals Nursing Specialist will write sound, compelling factual arguments in order to recoup revenue.    This position also facilitates collaboration between the Utilization Review Specialist's, Medical Staff, Physician Advisor, Nursing staff, Commercial Payers, VA, Managed Medicare Organizations, Medicare, and Medicaid (Center for Medicare/Medicaid Services) to ensure correct admission status as dictated by medical necessity criteria for correct reimbursement for level of care provided and to ensure that any denial is thoroughly reviewed and that an appeal letter, if warranted, is well written and submitted in a timely manner.   In addition, the following are essential duties and responsibilities of the Nurse Reviewer:...

Department: 34014 Advocate Aurora Health Corporate - Patient Coordination Command Center Status: Full time Benefits Eligible: Yes Hou rs Per Week: 36 Schedule Details/Additional Information: 3-12s, 7p-7a Orientation is on day shift, but then transition to nights. Every other...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The RN Case Manager working in the Triad Model of Care Transitions partners with the interdisciplinary care team to facilitate the progression of care for the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with all members of the care team, focusing on the delivery of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and timely discharge for the patient. This role navigates health system services to support effective transitions while advising the team on healthcare industry compliance. The RN Case Manager must be adept at driving throughput metrics, clinical effectiveness, and fiscal responsibility. Weekday availability required! Job Description: Essential Functions: The RN Case Manager collaborates with the health care team to...

Department: 11200 AMC Summit - Case Management Status: Part time Benefits Eligible: Yes Hou rs Per Week: 24 Schedule Details/Additional Information: On-site Monday through Friday 1st shift (0730 - 1600) Float with weekend rotation. Holidays off. Pay Range: $38.20 -...

Department: 11210 Aurora St. Lukes Medical Center - Social Services Status: Full time Benefits Eligible: Yes Hou rs Per Week: 32 Schedule Details/Additional Information: M-Th, 08-1630, some weekend days and holidays. Pay Range: $38.20 - $57.30 Registered Nurse (RN)...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. **This position is remote. Candidates must be local to New England States for consideration** The Clinical Documentation Improvement (CDI) Specialist II assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient’s hospital stay and care provided including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record. The CDI Specialist II works under the direction of the Manager of CDI and collaborates with coding, clinicians, medical staff, and physician advisors to improve documentation and the importance...

Job Description Salary Range The expected base rate for this Glens Falls, New York, United States-based position is $109,512.00 to $166,904.49 annually. Salary is determined on a case-by-case basis commensurate with experience level, as well as education and certifications pertaining to each position which may be above the listed job requirements. The Impact You Can Make Leadership opportunity is calling for you at Glens Falls Hospital! Glens Falls Hospital is seeking a strategic, forward thinking, and motivated Registered Nurse with leadership experience to join as our next Nurse Manager! This opportunity will open a pathway for you to hone your skills in operational management and allow you to play key and decisive role in bolstering the continuous improvement effort in your unit and throughout the organization. If you are looking to make a positive impact on patients' lives while supporting the success of a team of Managers, RNs, and Patient Service Staff, this role is...

Acute Care Facility Hospitalist MD/DO Needed Caliber Healthcare Solutions has an opportunity available in MO for a Hospitalist MD/DO. Facility Type: Acute Care Facility Schedule: Full-time Schedule Assignment Detail: Locum Tenens, Ongoing Opportunity When you work with Caliber you can expect: Compliance guidance throughout the entire process, licensing support, concierge program to take care of travel or housing details, accurate payroll processing and career advising to discover the right path for you. About Caliber: Caliber Healthcare Solutions empowers high-quality physicians and advanced practice providers with greater career flexibility, autonomy, and mobility. As the leading provider-centric staffing firm, we serve as a trusted advisor both to providers and organizations competing for scarce clinical talent. Built on a foundation of specialization and exceptional support, Calibers workforce solutions ensure the quality and continuity of patient care in communities across the...

NM Acute Care Facility Opportunity - General Surgery MD/DO Caliber Healthcare Solutions has an opportunity available in NM for a General Surgery 24 Hour Call MD/DO. Facility Type: Acute Care Facility Schedule: Call Coverage Assignment Detail: Locum Tenens, Ongoing Opportunity When you work with Caliber you can expect: Compliance guidance throughout the entire process, licensing support, concierge program to take care of travel or housing details, accurate payroll processing and career advising to discover the right path for you. About Caliber: Caliber Healthcare Solutions empowers high-quality physicians and advanced practice providers with greater career flexibility, autonomy, and mobility. As the leading provider-centric staffing firm, we serve as a trusted advisor both to providers and organizations competing for scarce clinical talent. Built on a foundation of specialization and exceptional support, Calibers workforce solutions ensure the quality and continuity of patient care...

OB/GYN MD/DO Needed in MA Caliber Healthcare Solutions has an opportunity available in MA for a Nurse Practitioner OB/GYN Clinic and Call NP. Facility Type: Community Hospital Schedule: Call Coverage, Flexible Schedule Assignment Detail: Locum Tenens, Ongoing Opportunity When you work with Caliber you can expect: Compliance guidance throughout the entire process, licensing support, concierge program to take care of travel or housing details, accurate payroll processing and career advising to discover the right path for you. About Caliber: Caliber Healthcare Solutions empowers high-quality physicians and advanced practice providers with greater career flexibility, autonomy, and mobility. As the leading provider-centric staffing firm, we serve as a trusted advisor both to providers and organizations competing for scarce clinical talent. Built on a foundation of specialization and exceptional support, Calibers workforce solutions ensure the quality and continuity of patient care in...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. This role supports a clinically integrated network of providers and care teams committed to delivering high-quality, value-based care. The CDI Risk Adjustment Nurse plays a critical role in improving risk adjustment accuracy, documentation integrity, and gap closure performance across the network. This position leverages clinical expertise to conduct chart review and abstraction, identify coding opportunities, validate diagnoses, and support provider workflows, with a strong emphasis on chronic condition capture and pre-visit planning integration. Working under the direction of the CDI Manager and Performance leadership, this role collaborates across coding, quality, and provider teams to ensure accurate representation of patient complexity and to drive performance in value-based contracts. Job Description: Essential Duties & Responsibilities including...