Physician Advisor

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Conduct medical necessity evaluations utilizing MCG and/or InterQual

• Ensure compliance with CMS regulations, including the 2-Midnight Rule and inpatient status assessments

• Collaborate with Case Management, CDI, and physician teams to enhance documentation and patient workflow

• Offer physician education, feedback on documentation, and support for CDI queries

• Perform peer-to-peer reviews

• Aid in denial prevention and the appeals process

• Engage in quality, compliance, and operational enhancement initiatives

• Enhance clinical documentation, utilization practices, and patient outcomes

• Contribute to system-wide initiatives focusing on quality, compliance, and stewardship

⛳️ Requirements

• MD or DO

• Board Certified in Family Medicine, Internal Medicine, or Pediatrics

• Eligible for medical licensure in Virginia

• Previous experience in Utilization Management is preferred

• Familiarity with CMS regulations and MCG/InterQual guidelines

• Strong communication and collaboration abilities

🏝️ Benefits

• Fully remote work setup

• Four on-site meetings each year, with each session lasting one day

• Opportunities for physician leadership

• Collaboration with multidisciplinary teams throughout UVA Health

• Chance to influence system-wide quality, compliance, and stewardship initiatives

• Potential incentive compensation programs available for qualifying positions, including productivity, quality, and non-productivity incentives