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Keywords: Physician Advisor, Utilization Management, Location: USA

Page: 3

Utilization Reviewer

and some holidays. General Summary Under general supervision, provides utilization review and denials management for an assigned.... Communicates with clinical care coordinators, physician advisor, medical team and payors as needed regarding reviews and pended...

Posted Date: 26 Sep 2025

Utilization Review Registered Nurse / RN

, clinical nursing judgement, and discussions with the attending physician and/or physician advisor. This individual...Description We're seeking an Inpatient Registry Utilization Review Nurse (PRN) who is responsible for conducting...

Company: Emory Healthcare
Location: Atlanta, GA
Posted Date: 19 Sep 2025

Utilization Review Registered Nurse / RN

, and discussions with the attending physician and/or physician advisor. This individual will: Perform utilization review by completing... an Inpatient Registry Utilization Review Nurse (PRN) who is responsible for conducting medical necessity reviews by utilizing...

Company: Emory Healthcare
Location: Atlanta, GA
Posted Date: 19 Sep 2025

Utilization Review RN

, to the UR physician advisor for review and determination. Gathers clinical information to conduct continued stay utilization... referrals to the physician advisor and the UR Committee. Identifies, develops and implements strategies to reduce length of stay...

Company: Capital Health
Location: USA
Posted Date: 18 Sep 2025

Utilization Review Nurse - Pool

Physician Advisor role will support the Utilization Review RN for second level clinical reviews for cases that do not meet... Job Details: Under the supervision of the Manager of Utilization Management, the Utilization Review RN conducts medical record review...

Location: USA
Posted Date: 18 Sep 2025

Utilization Review RN

, to the UR physician advisor for review and determination. Gathers clinical information to conduct continued stay utilization... referrals to the physician advisor and the UR Committee. Identifies, develops and implements strategies to reduce length of stay...

Company: Capital Health
Location: USA
Posted Date: 18 Sep 2025

Utilization Review RN

stay). Refers cases as appropriate, to the UR physician advisor for review and determination. Gathers clinical information... guidelines and appropriate referrals to the physician advisor and the UR Committee. Identifies, develops and implements...

Company: Capital Health
Location: Pennington, NJ
Posted Date: 17 Sep 2025

CHS Utilization and Appeals Coordinator

and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include... for utilization management and appeals processes, performs data management and coordinates communication between members of the...

Company: Catholic Health
Location: Melville, NY
Posted Date: 10 Sep 2025
Salary: $34 per hour

Outcomes Manager, Utilization Review, RN, Per Diem

Responsibilities: Utilization Management Utilizes Payer specific screening tools as a resource to assist in the determination... process regarding level of service and medical necessity. Consults with Physician Advisor to discuss medical necessity...

Company: Virtua Health
Location: Pennsauken, NJ
Posted Date: 27 Aug 2025
Salary: $37.21 - 57.68 per hour

Utilization Nurse

, documentation, and appeals process. Collaborates with UR Manager and/or physician advisor regarding cases that do not meet... experience in the hospital setting Experience with utilization management within the last 3 years required An understanding...

Posted Date: 15 Aug 2025

Utilization Review Manager

review functions. Oversees daily operations, which include supervising staff performing utilization management activities.... The goal is to achieve clinical, financial, and utilization goals through effective management, communication, and role...

Posted Date: 08 Aug 2025

RN Utilization Review- Care Coordination- Full Time

cases that do not meet admission or continued stay guidelines to the Utilization Review Physician Advisor after discussions... in hospital case management or utilization management. Active New Hampshire or Compact State RN license required. CCM or ACM...

Company: Elliot Hospital
Location: Manchester, NH
Posted Date: 02 Aug 2025

Utilization and Appeals Manager

between the Utilization and Appeals Management Department and the physician of record, as required. Communicates changes... Catholic Health Physician Advisor when appropriate. Reviews results from managed care payors and/or regulatory agencies...

Company: Catholic Health
Location: Melville, NY
Posted Date: 25 Jul 2025

COORDINATOR UTILIZATION REVIEW

documentation does not support approved criteria for admission or continued stay to the physician advisor of the UR Committee.... Contacts physicians regarding problems with utilization management agencies approval of hospital stays. Follows appropriate...

Posted Date: 23 Jul 2025

Board Certified Urogynecologist Physician Advisor, Disability Peer Review

and actively practicing. JOB SUMMARY As Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical.... Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management...

Company: Sane Street
Location: USA
Posted Date: 01 Oct 2025

System Physician Advisor II

. Serve as a liaison between the national care management team, medical staff, and medical executives to encourage physician... cooperation and understanding of documentation importance Assist in communications of internal physician advisor services in the...

Location: Englewood, CO
Posted Date: 28 Sep 2025

Physician Advisor

youll contribute: As the physician advisor (PA), this role educates, informs, and advises members of the Utilization... measures for our contracted managed care payers. The PA role is responsible for providing physician review of utilization...

Company: AdventHealth
Location: Orlando, FL
Posted Date: 26 Sep 2025

Board Certified Forensic Pathology Physician Advisor, Disability Peer Re

medical license. Requirements: JOB SUMMARY As a Physician Advisor for Disability Peer Review, you will utilize... expertise strengthening your medical practice with medical necessity and utilization review/management expertise Expanded...

Company: Sane Street
Location: USA
Posted Date: 26 Sep 2025

Physician Advisor

youll contribute: As the physician advisor (PA), this role educates, informs, and advises members of the Utilization... measures for our contracted managed care payers. The PA role is responsible for providing physician review of utilization...

Company: AdventHealth
Location: Orlando, FL
Posted Date: 26 Sep 2025

Bariatric Surgery Physician Advisor, Disability Peer Review

license. Requirements: JOB SUMMARY As a Physician Advisor for Disability Peer Review, you will utilize your expertise... practice with medical necessity and utilization review/management expertise Expanded credentials as an expert in Independent...

Company: Sane Street
Location: USA
Posted Date: 21 Sep 2025