Physician Advisor – Exempt

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

📋 Description

• Lead resource and utilization management efforts to ensure the delivery of quality, cost-effective care in suitable settings.

• Collaborate with medical staff leaders, physicians, and resident house staff on resource and utilization management strategies.

• Create and execute methods to enhance hospital service utilization.

• Establish care management protocols in partnership with hospital leaders, physicians, and other stakeholders.

• Guarantee that patients receive care at the appropriate level.

• Assist with documentation, coding enhancements, and compliance efforts.

• Conduct peer-to-peer reviews, short-stay assessments, and extended observation evaluations.

• Provide educational training and resources for medical staff.

• Prepare regular reports for the Board, MEC, and Joint Conference.

• Assess the status of hospitalized patients.

• Review observation patients on a daily basis.

• Foster relationships with medical staff and leadership concerning utilization management topics.

• Participate in utilization management committees as a subject matter expert.

• Aid in managing denials and appeals.

• Collaborate with UR nurses, IA staff, and Case Management to enhance the utilization management process.

• Monitor denial trends and assist the team in addressing payer challenges.

⛳️ Requirements

• MD/DO Physician (required).

• Must be a resident and authorized to work in the United States.

• Experience pertinent to compensation determination.

• Medical licensure is necessary to practice as an MD/DO physician (as indicated by the required physician qualification).

🏝️ Benefits

• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.

• Professional certification relevant to the associate’s field.

• Tuition reimbursement.

• Quarterly and annual incentive programs.

• Work-life flexibility.

• Opportunities for professional development.

• Reasonable accommodations for qualified individuals with disabilities.