Physician Advisor

Ensemble

Completely RemoteFull TimeHealthcare & Telemedicine
Posted Today

Job description

Responsibilities

  • Provide leadership for managing resource and utilization to deliver quality cost-effective care
  • Perform status determinations for hospitalized patients
  • Conduct peer-to-peer reviews with payors' medical directors
  • Perform short inpatient stay reviews and daily observation patient reviews
  • Build relationships with medical staff and leadership to secure buy-in for utilization management issues
  • Attend UM Committees as a subject matter expert
  • Assist with denials and appeals as appropriate
  • Educate medical staff on UM topics
  • Partner with UR nurses, IA staff, and Case Management to improve the UM process
  • Track denial trends to assist the team evolve to meet new payor challenges

Requirements

  • MD/DO Physician (Required)

Benefits

  • Comprehensive benefits package including healthcare, time off, and retirement
  • Professional certification support
  • Tuition reimbursement
  • Quarterly and annual incentive programs

Skills & tools

Utilization ManagementRevenue Cycle

What the team is looking for

Use this list as a quick fit check before you apply.

  1. 01MD/DO Physician
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