Physician Advisor partners with clinical resource management nurses, attending physicians, and hospital leadership to support appropriate utilization of healthcare resources and accurate level-of-care decisions.
Key Responsibilities
- Perform physician reviews to support clinical decision-making and appropriate care placement.
- Collaborate on payer discussions and resolve utilization-related concerns.
- Support appeals processes with clinical documentation and physician input.
- Ensure regulatory compliance in utilization management and related processes.
- Provide physician education to promote consistent, evidence-based utilization practices.
- Drive quality improvement initiatives tied to utilization outcomes and care appropriateness.
Required Skills/Qualifications
- Physician-level expertise in clinical decision-making and patient care.
- Strong collaboration and communication with multidisciplinary clinical and leadership teams.
- Knowledge of utilization management, payer review processes, and appeals support.
- Understanding of healthcare regulations and compliance expectations.
- Ability to educate and influence practice while supporting quality improvement efforts.
Per Diem Physician Advisor in wethersfield at Unknown Company
This position is listed as full time and onsite.