Clinical Utilization Specialist
1 month ago
The Physician Advisor plays a critical role in ensuring high-quality, safe patient care by conducting clinical reviews and collaborating with healthcare professionals to optimize resource utilization. As a key member of the Premier Health Partners team, this individual will work closely with physicians, nurses, and other stakeholders to promote effective and efficient care delivery.
Key Responsibilities- Conduct thorough clinical reviews of patient cases to ensure compliance with regulatory requirements and hospital objectives.
- Collaborate with healthcare professionals to identify opportunities for improving patient care and reducing unnecessary utilization.
- Develop and implement strategies to promote effective clinical documentation and reduce medical record errors.
- Provide education and training to physicians and other clinicians on regulatory requirements, clinical best practices, and utilization management principles.
- Participate in daily huddles and utilization management team meetings to stay informed about hospital operations and identify areas for improvement.
- Medical Doctorate degree (MD or DO) from an accredited institution.
- Current licensure to practice medicine in the state of Ohio.
- Board Certification in a medical specialty (current or expired).
- CHCQM Physician Advisor certification.
- Minimum 5 years of experience in clinical practice, with a focus on utilization management and quality improvement.
- Leadership experience in clinical practice, programs, and projects.
- Strong knowledge of federal, state, and payer regulatory requirements related to healthcare utilization and quality management.
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Clinical Utilization Specialist
4 weeks ago
Dayton, Ohio, United States Premier Health Partners Full timeJob SummaryThe Physician Advisor is a key member of our Utilization Management team, responsible for conducting clinical reviews of cases referred by our ICM, CDI staff, and CSI staff to ensure high-quality, safe patient care. This role requires collaboration with ICM/CSI/care providers to optimize healthcare services and meet regulatory requirements.Key...
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Clinical Utilization Specialist
4 weeks ago
Dayton, Ohio, United States Premier Health Partners Full timeJob SummaryThe Physician Advisor plays a critical role in ensuring high-quality, safe patient care along the care continuum. As a key member of the Premier Health Partners team, this individual will conduct clinical reviews, collaborate with healthcare professionals, and provide education to physicians and other clinicians on regulatory requirements,...
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Clinical Utilization Specialist
2 months ago
Dayton, Ohio, United States Premier Health Partners Full timeJob SummaryPremier Health Partners is seeking a highly skilled Physician Advisor to join our team. As a key member of our Utilization Management team, you will play a critical role in ensuring high-quality, safe patient care along the care continuum.Key ResponsibilitiesConduct clinical reviews of cases referred by ICM, CDI staff, and CSI staff to meet...
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Clinical Utilization Consultant
3 months ago
Dayton, Ohio, United States Premier Health Partners Full timePremier Health Partners is in search of a committed Clinical Utilization Consultant to enhance our healthcare team. The Clinical Utilization Consultant will play a pivotal role in performing clinical assessments in partnership with a variety of healthcare professionals to guarantee exceptional patient care throughout the healthcare journey. This position...
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Clinical Utilization Advisor
1 week ago
Dayton, Ohio, United States Premier Health Partners Full timeJob SummaryThe Physician Advisor plays a vital role in ensuring high-quality, safe patient care at Premier Health Partners. As a trusted advisor, you will conduct clinical reviews on cases referred by our team to meet regulatory requirements and support efficient utilization of healthcare services.Key ResponsibilitiesCollaborate with our Interdisciplinary...
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Clinical Documentation Specialist
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Clinical Neuroscience Specialist
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Dentist Position in Dayton Ohio
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Clinical Neuroscience Specialist
3 weeks ago
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Clinical Nurse Specialist
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Cytotechnologist Specialist
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Dayton, Ohio, United States CompuNet Clinical Laboratories Full timeJob SummaryWe are seeking a highly skilled Cytotechnologist to join our team at CompuNet Clinical Laboratories. The successful candidate will be responsible for accurately screening and evaluating gynecologic and non-gynecologic specimens for possible malignancy or related abnormal conditions.Key ResponsibilitiesPerform microscopic examination of gynecologic...
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Clinical Neuroscience Specialist
3 weeks ago
Dayton, Ohio, United States Premier Health Full timeJob SummaryAs a Clinical Neuroscience Specialist with Premier Health, you will be responsible for providing exemplary patient primary health care and continuity of medical services under the direction of the supervising physician/s. This role requires a skilled and compassionate Advanced Practice Provider who can work effectively in a team environment to...
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