
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.
- 01MD/DO Physician
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Ensemble
Job details
- Work model
- Completely Remote
- Commitment
- Full Time
- Category
- Healthcare & Telemedicine
- Posted
- Today
AdWake up to a shortlist, not a search results page.
NeverApply scores every new listing against your CV, salary floor and visa. A handful of real matches by morning.
Get your daily matches