Physician Advisor

4 weeks ago


Tyler, Texas, United States Christus Health Full time
Job Summary

We are seeking a highly skilled Physician Advisor - Care Management & CDI to join our team at Christus Health. As a key member of our Care Management Department, you will play a vital role in ensuring the delivery of high-quality patient care while promoting efficient resource utilization.

Key Responsibilities
  • Collaborate with the Director of Care Management to lead the Utilization Review Committee and monitor key metrics for UM and participate in action steps to achieve targets.
  • Provide education to physicians and other clinicians on regulatory requirements, appropriate billing status, and utilization of alternate levels of care.
  • Facilitate referrals to the continuum of care and provide mentoring/coaching to UR Case Managers to increase knowledge in care progression.
  • Act as a liaison with payers to facilitate approvals and prevent denials or carved-out days when appropriate.
  • Participate in review of long-stay patients escalated from Care Management to facilitate the use of the most appropriate LOC.
Requirements
  • Licensed physician in state of residence.
  • Board certified in a clinical specialty.
  • Certified by the American Board of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP) - preferred.
  • Experienced in clinical practice with an understanding of utilization review.
  • Served on or chaired an Utilization Management Committee.
What We Offer
  • Balanced professional and personal lifestyle.
  • Competitive compensation and benefits.
  • No state income tax.
  • Relocation assistance.

  • Physician Advisor

    4 weeks ago


    Tyler, Texas, United States CHRISTUS Health Full time

    Job SummaryWe are seeking a highly skilled Physician Advisor to join our Care Management team at CHRISTUS Health. As a Physician Advisor, you will play a critical role in ensuring the delivery of high-quality patient care while promoting efficient use of resources.Key ResponsibilitiesCollaborate with the Director of Care Management to lead the Utilization...

  • Physician Advisor

    3 weeks ago


    Tyler, Texas, United States Christus Health Full time

    Job SummaryWe are seeking a highly skilled Physician Advisor to join our Care Management team at Christus Health. As a Physician Advisor, you will play a critical role in ensuring the delivery of high-quality patient care while promoting efficient use of resources.Key ResponsibilitiesCollaborate with the Director of Care Management to lead the Utilization...

  • Physician Advisor

    4 weeks ago


    Tyler, Texas, United States Christus Health Full time

    Job SummaryWe are seeking a highly skilled Physician Advisor to join our team at Christus Health. As a Physician Advisor, you will play a critical role in ensuring the highest quality patient care while promoting efficient use of resources.Key ResponsibilitiesCollaborate with the Director of Care Management to lead the Utilization Review Committee and...

  • Physician Advisor

    4 weeks ago


    Tyler, Texas, United States Christus Health Full time

    Job SummaryWe are seeking a highly skilled Physician Advisor to join our team at Christus Health. As a Physician Advisor, you will play a critical role in ensuring the highest quality patient care while promoting efficient use of resources.Key ResponsibilitiesCollaborate with the Director of Care Management to lead the Utilization Review Committee and...

  • Physician Advisor

    4 weeks ago


    Tyler, Texas, United States CHRISTUS Health Full time

    Job SummaryWe are seeking a highly skilled Physician Advisor - Care Management & CDI to join our team at CHRISTUS Health. As a key member of our Care Management Department, you will play a vital role in ensuring the delivery of high-quality patient care while promoting efficient use of resources.ResponsibilitiesCollaborate with the Director of Care...

  • Physician Advisor

    4 weeks ago


    Tyler, Texas, United States Christus Health Full time

    Job SummaryWe are seeking a highly skilled Physician Advisor - Care Management and CDI to join our team at Christus Health. As a key member of our Care Management Department, you will play a vital role in ensuring the delivery of high-quality patient care while promoting efficient use of resources.Key ResponsibilitiesCollaborate with the Director of Care...

  • Physician Advisor

    2 weeks ago


    Tyler, Texas, United States Christus Health Full time

    Job SummaryWe are seeking a highly skilled Physician Advisor to join our Care Management team at Christus Health. As a key member of our team, you will play a critical role in ensuring the delivery of high-quality patient care while promoting efficient use of resources.ResponsibilitiesParticipate in daily IDRs to expedite testing and treatment, promoting...

  • Physician Advisor

    1 month ago


    Tyler, Texas, United States Christus Health Full time

    Job SummaryWe are seeking a highly skilled Physician Advisor to join our team at Christus Health. As a Physician Advisor, you will play a critical role in ensuring the highest quality patient care while promoting efficient use of resources.Key ResponsibilitiesCollaborate with the Director of Care Management to lead the Utilization Review Committee and...

  • Physician Advisor

    3 weeks ago


    Tyler, Texas, United States CHRISTUS Health Full time

    Job SummaryWe are seeking a highly skilled Physician Advisor to join our team at CHRISTUS Health. As a key member of our Care Management and Clinical Documentation Improvement team, you will play a critical role in ensuring the highest quality patient care and optimal resource utilization.ResponsibilitiesCollaborate with the Director of Care Management to...

  • Physician Advisor

    6 days ago


    Tyler, Texas, United States CHRISTUS Health Full time

    Job SummaryWe are seeking a highly skilled Physician Advisor to join our Care Management team at CHRISTUS Health. As a key member of our team, you will play a critical role in ensuring the delivery of high-quality patient care while promoting efficient use of resources.Key ResponsibilitiesCollaborate with the Director of Care Management to lead the...

  • Physician Advisor

    4 weeks ago


    Tyler, Texas, United States CHRISTUS Health Full time

    Job SummaryWe are seeking a highly skilled Physician Advisor to join our team at CHRISTUS Health. As a key member of our Care Management Department, you will play a vital role in ensuring the delivery of high-quality patient care while promoting efficient resource utilization.Key ResponsibilitiesCollaborate with the Director of Care Management to lead the...

  • Care Manager I

    1 month ago


    Tyler, Texas, United States Christus Health Full time

    Job SummaryThe Care Manager I is a critical member of the healthcare team, responsible for ensuring seamless patient progression through the continuum of care. This role requires collaboration with patients, families, physicians, and multidisciplinary team members to develop and implement effective care plans.Key ResponsibilitiesConduct thorough assessments...


  • Tyler, Texas, United States Ardent Health Services Full time

    OverviewWe are seeking a highly skilled and compassionate Registered Nurse to join our team as a PRN Case Manager in Tyler, TX. As a key member of our healthcare team, you will play a vital role in ensuring the best possible outcomes for our patients.ResponsibilitiesApply standardized, evidence-based medical necessity criteria to form utilization review...

  • Care Manager I

    2 weeks ago


    Tyler, Texas, United States Christus Health Full time

    Job Summary:The Care Manager I is a vital member of the healthcare team, responsible for ensuring seamless patient progression through the continuum of care. This role requires collaboration with patients, families, physicians, and multidisciplinary team members to develop and implement effective care plans. The ideal candidate will possess excellent...

  • Care Management Nurse

    4 weeks ago


    Tyler, Texas, United States Christus Health Full time

    Job SummaryThe Utilization Management Nurse II is a critical role at Christus Health, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This position requires a strong clinical background, excellent communication skills, and the ability to navigate complex regulatory...


  • Tyler, Texas, United States Christus Health Full time

    Job SummaryThe Utilization Management Nurse II is a key member of the healthcare team at Christus Health, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing comprehensive reviews of patient care to determine medical necessity, level of care, and...


  • Tyler, Texas, United States Hologic Full time

    About the RoleWe are seeking a highly motivated and experienced Surgical Territory Manager to join our team at Hologic. As a key member of our sales team, you will be responsible for driving growth and expanding our geographical reach within your assigned territory.Key ResponsibilitiesExecute sales calls and develop presentations to surgeons, physicians, and...

  • Care Manager I

    4 weeks ago


    Tyler, Texas, United States Christus Health Full time

    Job Summary:The Care Manager I is a vital member of our healthcare team, responsible for ensuring seamless patient progression through the continuum of care. This role requires collaboration with patients, families, physicians, and multidisciplinary team members to develop and implement effective care plans. The ideal candidate will possess excellent...

  • Care Manager I

    4 weeks ago


    Tyler, Texas, United States Christus Health Full time

    Job Summary: The Care Manager I is a vital member of our healthcare team, responsible for ensuring seamless patient progression through the continuum of care. This role requires collaboration with patients, families, physicians, and multidisciplinary team members to develop and implement effective care plans. The ideal candidate will possess excellent...

  • Care Manager PRN

    3 weeks ago


    Tyler, Texas, United States Christus Health Full time

    Job Summary:The Care Manager PRN is a key member of the healthcare team, responsible for ensuring patient progression through the continuum of care. This role requires collaboration with patients, families, physicians, and multidisciplinary team members to develop a plan of care for each assigned patient. The Care Manager PRN is responsible for identifying,...