89 physician advisor jobs found

Pay: $250,000 – $350,000 per year Schedule: Full Time, Day (Rotating Weekends) Location: MedStar Health - Remote / Telehealth (remote) MedStar Job ID: 166722 Physician Advisor – MedStar Multisite MedStar Health is seeking a Physician Advisor to join our team in a hybrid role supporting hospitals across the MedStar Health System. The Physician Advisor is an essential part of the team, using medical expertise to optimize resource use, reduce length of stay, and prevent clinical denials. Their work ensures patients receive appropriate, timely care. In this role, you’ll Review patient status, medical necessity, and level of care Lead clinical denial interventions, denial root cause determinations and upstream process improvement initiatives Engage in concurrent and retrospective denials management and peer to peer discussions with payers Drive length of stay improvements in close collaboration with case management and hospital stakeholders...

Pay range: $128.85 – $197.31 per hour (about $268K – $410K a year full-time) Practice site: 1290 Silas Deane Highway, Wethersfield, CT Schedule: Full Time System: Hartford HealthCare, Connecticut’s most comprehensive health system Clinical Resource Management Physician Advisor (Full-Time) At Hartford HealthCare in Connecticut Every day, more than 40,000 Hartford HealthCare colleagues come to work united by one shared purpose: knowing every moment matters. As Connecticut's most comprehensive, physician-led healthcare network, we are transforming the delivery of care through innovation, collaboration, education, and excellence. We invite you to join a nationally recognized health system where physicians are empowered to lead, collaborate, and make a meaningful impact on patient care across the continuum. About Hartford HealthCare Hartford HealthCare is one of the nation's most integrated healthcare systems, serving patients at more than 500...

Pay range: $150.00 per hour Practice site: 1290 Silas Deane Highway, Wethersfield, CT Schedule: Per Diem System: Hartford HealthCare, Connecticut’s most comprehensive health system Shift Detail: days/time vary. Include wkends/holidays Per Diem Physician Advisor Hartford HealthCare – Integrated Care Partners (ICP) At Hartford HealthCare, every moment matters. More than 40,000 colleagues come to work each day united by a shared purpose: delivering exceptional care, advancing innovation, and improving the health of the communities we serve. As Connecticut's most comprehensive integrated health system, Hartford HealthCare includes eight acute care hospitals , a large multispecialty physician organization, behavioral health services, rehabilitation, home care, senior services, and an extensive network of ambulatory locations throughout the state. Our physician-led organization is committed to collaboration, clinical excellence, and creating an...

Compensation: competitive salary and comprehensive benefits; Henry Ford Health does not publish pay ranges for physician roles Location: Henry Ford Hospital, Detroit, MI System: Henry Ford Health, one of the nation’s leading academic health systems General Summary: The System Physician Advisor for CDI serves as a key liaison between Quality, clinical teams, CDI specialists, coding professionals, and hospital leadership. This role ensures accurate, complete, and compliant clinical documentation that reflects the true severity of illness, risk of mortality, and quality of care provided across Henry Ford Health. The advisor will champion documentation integrity initiatives, educate providers, and drive improvements that directly impact quality outcomes, compliance, and organizational performance. The Physician Advisor will work the quality team to prioritize CDI efforts that support top-decile quality outcomes, as measured through Vizient expected performance, CMS...

Compensation: competitive salary and comprehensive benefits; Henry Ford Health does not publish pay ranges for physician roles Location: Henry Ford Hospital, Detroit, MI System: Henry Ford Health, one of the nation’s leading academic health systems The 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 assuring the effective, efficient utilization of health care services. The Physician Advisor is a ​ physician serving the hospital through teaching, consulting, and advising the care management and utilization review departments and hospital leadership. The Physician Advisor shall develop expertise on matters regarding physician practice patterns, over and under-utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding and documentation...

Department: 10761 Enterprise Corporate - Managed Health Physician Advisors Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details/Additional Information: As needed. Pay Range: $0.00 - $0.00 Major Responsibilities: Conducts clinical review as...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Department: 11229 Carolinas Medical Center - Care Management Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Full time - 40 hours per week Weekday schedule 8a-4:30p Pay Range: $47.50 - $71.25 Carolinas...

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. Job Description: Essential Functions: The RN Case Manager collaborates with the health care team to develop the plan of care and patient...

Department: 34033 Wake Forest Baptist Medical Center - Nursing: Care Coordination Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Typical schedule Mon-Friday 8-5pm. May volunteer an occasional weekend shift to cover...

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. Job Description: Essential Functions: The RN Case Manager collaborates with the health care team to develop the plan of care and patient...

  Director Care Transition-Texas Health Fort Worth          Work location: Texas Health Fort Worth, Fort Worth, TX Core work hours: Full Time, Monday – Friday, 08:00 AM – 5:00 PM    Key Responsibilities   Strategy / Operations - Responsible for the effective daily operation of the care transition function. Responsible for providing and/or implementing strategies to improve operations and outcomes. . Determines proactive strategies and methods necessary for a high performance culture related to care transition management. Supports change management and movement toward interaction with outpatient care management. . Directs the activities of the Care Transition Managers (RN & SW). . Serves as a content expert on the following: Compliance with program expectations Mitigation activities with all clinical partners / payors as needed. Compliance requirements: Code 44 intervention, HINN letters, Second IMM, Observation letter,...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Executive Director of Case Management provides strategic and operational leadership for the enterprise Case Management program across all Beth Israel Lahey Health (BILH) facilities. This role will lead the transformation of Case Management operations from a decentralized model to an integrated, centralized enterprise function with standardized processes, shared best practices, and consistent performance across all facilities. This executive-level position is responsible for developing and executing comprehensive care coordination strategies that optimize patient throughput, ensure safe and timely transitions of care, reduce avoidable readmissions, and support the organization's population health and value-based care objectives. The Executive Director partners with senior clinical and operational leaders, including the Chief Nursing Officers, Chief Medical...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Department: 11202 Advocate Lutheran General Hospital - Administration: Care Management Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Monday - Friday, 8:00-4:30 with rotating weekends and holidays Pay Range: $38.20...