Team Collaboration:

Together, collaborate to provide expert guidance and drive better outcomes. Our physician advisors operate across multiple states, including Arizona, California, Florida, Kentucky, Nevada, and West Virginia, collaborating with partner hospitals to improve services and outcomes. The team leads utilization management (UM) efforts, clinical documentation improvement (CDI), education, and regulatory compliance. Our role is to drive performance improvements in length of stay, readmissions, and documentation.

Qualifications:

MD or DO licensure within the state of employment. Experience in Utilization Management, compliance, and clinical documentation preferred. Strong leadership, education, and collaboration skills. Board Certification (base specialty) recognized by ABMS or ABQAURP. Education on the application of medical necessity criteria within three months of hire. Three years of post-residency experience as a physician advisor preferred.

Scheduling:

Monday - Friday, providing a healthy work-life balance.

Key Responsibilities:

Provide leadership and oversight of advisory services. Serve as a visible physician leader and advocate for improved regulatory compliance, improved documentation, and improved utilization of hospital resources. Provide support to address and reduce payer denials. Develop action plans on performance improvement opportunities. Provide one-on-one as well as group education to the medical staff. Provide timely and effective consultation to case management, CDI specialists, physicians, and other staff at the hospital with documented determinations and observations.

Rewards and Compensation:

Total yearly compensation is up to $325K, commensurate with experience Health benefits, CME allowance, PTO, and 401 (k). 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