area. The Case Manager performs utilization management functions on all patients: admissions, continued stay reviews... and physicians or their designee, make appropriate referrals to Physician Advisor and hospital Physician Advisor designees, tracks...
advisor and provider contact for academic medical centers and large, complex health systems to influence participation.... You will interpret, prioritize, and deliver advanced clinical, operational, and utilization insights. You will support performance...
, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May... be responsible for an entire clinical program and/or independently performs clinical reviews. Typically has program management...
to leadership to assess progress toward goals. Understand the dynamic Cardiac space and be a trusted advisor to help customers... and leverage the value of providing referring physician education and office-based resources and how this impacts referrals...
or exceeding Flyrcado sales forecasts and shared volume targets. With your Cardiac PET Physician Outreach teammate, conduct regular... of Flyrcado. Be a trusted advisor to Imaging Centers and Cardiologists by deepening your understanding of their goals, equipment...
experience strongly preferred. Utilization Management experience. Applied Behavior Analysis (ABA) experience. For candidates..., cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical...
or exceeding Flyrcado sales forecasts and shared volume targets. With your Cardiac PET Physician Outreach teammate, conduct regular... of Flyrcado. Be a trusted advisor to Imaging Centers and Cardiologists by deepening your understanding of their goals, equipment...
Care Guidelines (MCG), etc. Collaborates with the Attending of record and the Physician Advisor as indicated for review... to obtain certification of the patient days and secure reimbursement. Confers with Attending Physician, Physician Advisor...
, and evaluation of department and physician advisor goals. Role models professional standards of nursing practice. Serves... utilization competency assessment program facilitating the feedback, individual action planning, and documentation processes...
, medical school affiliation(s), and residency programs. The CMO serves as physician advisor to the Case Management staff... and serves as physician liaison to promote appropriate utilization of resources by the medical staff. Performance improvement...
. Escalate deviations from the plan to the Physician Advisor as appropriate. Possesses effective verbal and written... of the care team, focusing on the delivery of efficient, high-quality care. This position ensures the appropriate utilization...
. About the Role Threat Tec is seeking a Force Surgeon (Medical Policy Advisor) to support U.S. Marine Corps Forces Central... Program and Force Surgeon on allocation, utilization, and policy coordination for US/non-US blood products. Keep the Force...
for post- hospital levels of care. 5. Collaborate closely with the Physician Advisor, Hospitalist Director and Supervisor... development and implementation of a comprehensive transition of care model to ensure the appropriate utilization of resources...
: 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...
for issues related to physician practices and best practices for the patient’s plan of care. Refers cases to physician advisor... and hospital staff regarding admission status and acute care criteria, utilization management issues, care coordination...
in a timely manner Collaborates with Utilization Management and synthesizes information in order to reduce avoidable days... Collaborates with Physician Advisor for complex issues Guides physicians in appropriate clinical documentation Actively...
. This position integrates national standards for case management scope of services including: Utilization Management supporting...'s responsibilities include the following activities: Accurate medical necessity screening and submission for Physician Advisor review...
and feasibility of appeal. Consults with attending physician, physician advisor, and case managers to formulate secondary appeals... Utilization Review Professionals. MCG. ANCC Nursing Case Management. ACMA Case Management Administrator Certification...
of care Refers potentially avoidable days to physician advisor when appropriate Facilitates efficient care processes... required. Experience in Quality Improvement, Utilization Management, Case Management preferred. Microsoft Office skills required, database...
integrates national standards for case management scope of services including: • Utilization Management supporting medical... include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care...