Physician Advisor
About The Position
The Physician Advisor (PA) is a clinical leader responsible for ensuring appropriate patient care, optimizing resource utilization, and maintaining regulatory compliance. The PA conducts medical necessity and utilization reviews, manages denials and appeals, advises providers on patient status and documentation, and collaborates with Care Management and hospital leadership to improve throughput, length of stay, and overall quality outcomes. The Physician Advisor works primarily Monday–Friday, 8:00 AM – 4:00 PM, with occasional off-hours or weekend coverage as needed to support the Utilization Management program.
Responsibilities
- Ensuring appropriate patient care
- Optimizing resource utilization
- Maintaining regulatory compliance
- Conducts medical necessity and utilization reviews
- Manages denials and appeals
- Advises providers on patient status and documentation
- Collaborates with Care Management and hospital leadership to improve throughput, length of stay, and overall quality outcomes
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What This Job Offers
Education Level
No Education Listed
