As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
Part Time Weekend
Cedartown, GA · On-site
We will review applications and if we feel as though your application meets our qualifications we will reach out to you to schedule an interview. Please fill out application and submit resume. If one ...
Part Time Weekend
Cedartown, GA · On-site
We will review applications and if we feel as though your application meets our qualifications we will reach out to you to schedule an interview. Please fill out application and submit resume. If one ...
We will review applications and if we feel as though your application meets our qualifications we will reach out to you to schedule an interview. Please fill out application and submit resume. If one ...
Quick apply
We will review applications and if we feel as though your application meets our qualifications we will reach out to you to schedule an interview. Please fill out application and submit resume. If one ...
Care Management Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details ... Communicate clinical needs, authorizations, and denials to the Utilization Review Nurses and ...
New
Care Management Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details ... Communicate clinical needs, authorizations, and denials to the Utilization Review Nurses and ...
New
Key Details: * Status: Part-time * Schedule : Saturday and Sunday * Shift: 8am-4pm About Grand ... For further information, please review the Know Your Rights notice from the Department of Labor.
Key Details: * Status: Part-time * Schedule : Saturday and Sunday * Shift: 8am-4pm About Grand ... For further information, please review the Know Your Rights notice from the Department of Labor.
Case Manager Temp PT FT Days 8am-4:30pm
Monterey Park, CA · On-site
$35.71 - $40.61/hr
The Case Manager P.T. participates in marketing of the program, obtaining input from the persons service and the ongoing program evaluation, quality improvement and utilization review systems.
Case Manager Temp PT FT Days 8am-4:30pm
Monterey Park, CA · On-site
$35.71 - $40.61/hr
The Case Manager P.T. participates in marketing of the program, obtaining input from the persons service and the ongoing program evaluation, quality improvement and utilization review systems.
Medical Director - Utilization Management (Part Time)
Monterey Park, CA · On-site +1
$250K - $325K/yr
Medical Director - Utilization Management (Part Time) Department: HS - UM Employment Type ... Conduct peer‑to‑peer reviews and outpatient physician education to improve documentation ...
Medical Director - Utilization Management (Part Time)
Monterey Park, CA · On-site +1
$250K - $325K/yr
Medical Director - Utilization Management (Part Time) Department: HS - UM Employment Type ... Conduct peer‑to‑peer reviews and outpatient physician education to improve documentation ...
Rehabilitation Counselor Part-Time (weekend)
Philadelphia, PA · On-site
$54K - $65K/yr
We are seeking a Part-Time (weekend) Rehabilitation Counselor to work in our Behavioral Health ... Review and modify individual service plans to accommodate growth and development. -Ensure the ...
Rehabilitation Counselor Part-Time (weekend)
Philadelphia, PA · On-site
$54K - $65K/yr
We are seeking a Part-Time (weekend) Rehabilitation Counselor to work in our Behavioral Health ... Review and modify individual service plans to accommodate growth and development. -Ensure the ...
Peer Review Nurse
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
We are seeking a Part-Time (weekend) Rehabilitation Counselor to work in our Behavioral Health ... Review and modify individual service plans to accommodate growth and development. -Ensure the ...
Quick apply
We are seeking a Part-Time (weekend) Rehabilitation Counselor to work in our Behavioral Health ... Review and modify individual service plans to accommodate growth and development. -Ensure the ...
HOSPICE REGISTERED NURSE (RN) Part Time Weekend * Apply a working knowledge of nursing theories and ... Attend and participate in IDT meetings and quality review as scheduled by agency. Job Requirements:
HOSPICE REGISTERED NURSE (RN) Part Time Weekend * Apply a working knowledge of nursing theories and ... Attend and participate in IDT meetings and quality review as scheduled by agency. Job Requirements:
HOSPICE REGISTERED NURSE (RN) Part Time Weekend * Apply a working knowledge of nursing theories and ... Attend and participate in IDT meetings and quality review as scheduled by agency. Job Requirements:
HOSPICE REGISTERED NURSE (RN) Part Time Weekend * Apply a working knowledge of nursing theories and ... Attend and participate in IDT meetings and quality review as scheduled by agency. Job Requirements:
Case Manager PRN
Conway, AR · On-site
At least one-year experience in the area of case management/utilization review, preferred Education:UNAVAILABLEEmployment Type: PART_TIME
Case Manager PRN
Conway, AR · On-site
At least one-year experience in the area of case management/utilization review, preferred Education:UNAVAILABLEEmployment Type: PART_TIME
Peer Review Nurse
Madera, CA · On-site
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Quick apply
Peer Review Nurse
Madera, CA · On-site
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Medical Director - Utilization Management (Part Time)
Monterey Park, CA · Remote
$250K - $325K/yr
About the Role The PartTime Medical Director - Utilization Management, Outpatient Services provides ... Conduct peertopeer reviews and outpatient physician education to improve documentation, guideline ...
Medical Director - Utilization Management (Part Time)
Monterey Park, CA · Remote
$250K - $325K/yr
About the Role The PartTime Medical Director - Utilization Management, Outpatient Services provides ... Conduct peertopeer reviews and outpatient physician education to improve documentation, guideline ...
We are seeking a Part-Time (weekend) Rehabilitation Counselor to work in our Behavioral Health ... Reviewing and modifying individual service plans to accommodate growth and development. * Tracking ...
Quick apply
We are seeking a Part-Time (weekend) Rehabilitation Counselor to work in our Behavioral Health ... Reviewing and modifying individual service plans to accommodate growth and development. * Tracking ...
RN Case Manager - Inpatient Care Coordination
$34.68 - $52.95/hr
... Part Time positions available Work Schedule: Days - 4 days/10 hour or 5 days/8 hours Weekend ... utilization review or case management experience desirable. * National Case Management ...
RN Case Manager - Inpatient Care Coordination
$34.68 - $52.95/hr
... Part Time positions available Work Schedule: Days - 4 days/10 hour or 5 days/8 hours Weekend ... utilization review or case management experience desirable. * National Case Management ...
RN Case Manager - Inpatient Care Coordination
$34.68 - $52.95/hr
... Part Time positions available Work Schedule: Days - 4 days/10 hour or 5 days/8 hours Weekend ... utilization review or case management experience desirable. * National Case Management ...
RN Case Manager - Inpatient Care Coordination
$34.68 - $52.95/hr
... Part Time positions available Work Schedule: Days - 4 days/10 hour or 5 days/8 hours Weekend ... utilization review or case management experience desirable. * National Case Management ...
Rehabilitation Counselor-Part-Time (Weekend)
Philadelphia, PA · On-site
$54K - $65K/yr
We are seeking a Part-Time (weekend) Rehabilitation Counselor to work in our Behavioral Health ... Reviewing and modifying individual service plans to accommodate growth and development. * Tracking ...
Rehabilitation Counselor-Part-Time (Weekend)
Philadelphia, PA · On-site
$54K - $65K/yr
We are seeking a Part-Time (weekend) Rehabilitation Counselor to work in our Behavioral Health ... Reviewing and modifying individual service plans to accommodate growth and development. * Tracking ...
Part Time Weekend Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do part time weekend utilization review jobs pay per hour?
How do I get into a utilization review?
What job makes $10,000 a month without a degree?
What jobs pay $2000 a day?
How to make an extra $2000 a month as a nurse?
What is the difference between Part Time Weekend Utilization Review vs Part Time Weekend Medical Coder?
| Aspect | Part Time Weekend Utilization Review | Part Time Weekend Medical Coder |
|---|---|---|
| Certifications | Utilization Review Certification, Medical License (if applicable) | Certified Professional Coder (CPC), Certified Coding Specialist (CCS) |
| Work Environment | Healthcare facilities, insurance companies, remote options | Hospitals, clinics, remote coding jobs |
| Job Focus | Reviewing medical necessity, authorizing services | Translating medical records into billing codes |
| Industry Usage | Insurance, healthcare management | Medical billing and coding |
Part Time Weekend Utilization Review involves assessing medical necessity and authorizing healthcare services, often requiring specific utilization review certifications. In contrast, Part Time Weekend Medical Coder focuses on translating medical records into billing codes, requiring coding certifications. Both roles are common in healthcare but serve different functions within the industry.
Associate Medical Director, Physician Advisor for Utilization Management
Los Angeles, CA • On-site
Full-time, Part-time
Posted 8 hours ago
Cedars-Sinai rating
8.6
Based on 129 frontline employees who took The Breakroom Quiz
36th of 1,002 rated hospitals
Job description
Overview:
The Associate Medical Director, Physician Advisor supports Utilization Management by providing clinical oversight, education, and guidance on medical necessity, Centers for Medicare and Medicaid Services (CMS) compliance, documentation, and resource utilization. This role partners with medical staff, hospital leadership, and payers to promote appropriate patient status, optimize length of stay, and ensure high-quality, cost-effective care. As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor conducts case reviews and helps drive compliance with regulatory standards while improving clinical and operational efficiency.
Responsibilities:
This is meant to be a general list of responsibilities, not an exhaustive list. The breadth of responsibilities is large; focus on the individual responsibilities below will vary depending upon evolving organizational priorities. The Associate Medical Director and Physician Advisor will also perform other reasonably related business/job duties as assigned. Cedars-Sinai Medical Center reserves the right to revise job duties and responsibilities as the need arises.
Utilization Management
- Review referred medical records for quality, utilization, patient status, medical necessity, and provision of services.
- Collaborate with Utilization Managers, Care Management, attending and consulting physicians regarding level of care, continued stay, length of stay, alternative levels of care, resource utilization, and complex clinical issues.
- Serve as a liaison between physicians and Utilization Management staff to ensure inpatient hospitalizations meet medical necessity criteria.
- Participate in the hospital Utilization Review Committee and support optimization of utilization management workflows with Physician Advisors and leadership.
- Perform Medicare short-stay reviews for potential Medicare Part B re-billing.
- Serve as the hospital expert on patient status determinations for all payers.
- Recommend additional medical record documentation to support medical necessity.
- Support delivery of Medicare Advanced Beneficiary Notices (ABNs), Hospital-Issued Notices of Noncoverage (HINNs), or other patient notices regarding patient financial responsibility.
Denial Management
- Prepare for and participate in payer medical director peer-to-peer discussions.
- Maintain effective working relationships with payer medical directors.
Quality
- Collaborate on quality, safety, efficiency, and readmission reduction initiatives surrounding Utilization Management
- Support organizational quality improvement efforts requiring clinician involvement.
Education
- Maintain knowledge of current state, federal, and CMS regulations, Quality Improvement Organization (QIO) requirements, and guidelines on utilization review.
- Educate providers on payer and CMS requirements, Inpatient status designations, medical necessity, documentation standards, utilization of hospital services, and alternative levels of care through meetings, presentations, newsletters, and other communications.
- Report practice pattern trends and improvement opportunities.
- Support effective communication with inpatient clinical leadership.
Administrative
- Report to the Cedars-Sinai Medical Center Medical Director of Utilization Management and collaborate with Utilization Management and Revenue Cycle leadership.
- Participate in routine meetings with Utilization Managers to review trends, education, escalation issues, and feedback.
Key Performance Indicators (KPIs)
- Support inpatient secondary reviews without final medical necessity denial.
- Complete patient status escalation reviews within four (4) hours.
- Maintain routine attendance at Utilization Review Committee meetings.
- Complete initial assessment of Medicare short-stay escalations within seven (7) business days.
Requirements:
- Licensed physician (MD/DO/MBBS).
- Holds (or is able to obtain) a medical license in good standing in the State of California.
- At least three (3) years of experience in clinical practice, preferably in an inpatient hospital setting.
- This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
- The position includes shared coverage responsibilities, including some weekends and holidays, on a rotating basis with other Physician Advisors/physicians
- Maintains current knowledge of state, federal, and payor regulatory and contract requirements along with familiarity in quality and utilization management topics via yearly continuing medical education programs and self-study.
- American College of Physician Advisors Certified (ACPA-C) within six (6) months of hire if not already attained (preferred).
- Well versed in the use of InterQual and MCG criteria (preferred)
- Well versed in the use of Epic electronic health record (preferred)
- Exceptional organization and time management skills.
- Demonstrates the skills and competencies necessary to perform the assigned job determined through on-going skills, competency assessments, and performance evaluations.
- Ability to communicate effectively in both oral and written.
- Ability to effectively communicate with physicians and other staff.
- Ability to foster positive relations and work effectively with all disciplines within the hospital setting.
Cedars-Sinai Medical Center is one of the largest and fastest-growing nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses, and thousands of other healthcare professionals, faculty and staff. We are in a highly desirable location in the City of Los Angeles. Competitive salary, benefits and relocation support will be provided.
Our compensation philosophy
We offer competitive total compensation that includes pay, benefits, and other incentive programs for our employees. The total pay range shown above takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This total pay range includes any incentive payments that may be applicable to this role. We also offer a comprehensive faculty benefits package. Pay Range: $250,000-410,000 total cash compensation.
What Cedars-Sinai employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Cedars-Sinai
Sourced by ZipRecruiter
Industry
Hospitals, outpatient health care and health care and social assistance
Company size
10,000+ Employees
Headquarters location
Los Angeles, CA, US