Per Diem Physician Advisor — Clinical Resource Management

Hartford HealthCare; Wethersfield (CT); On-site; USD 129,000 - 221,000; Part time

Job summary

Hartford HealthCare in CT is seeking a Per Diem Physician Advisor to join the Clinical Resource Management team. You will lead physician reviews for level-of-care determinations, support payer interactions, and help ensure appropriate resource utilization while maintaining high patient care standards.

We value collaboration with nurses and attending physicians, regulatory compliance, and ongoing education for colleagues on utilization management trends and best practices in a dynamic health

Qualifications

• Doctor of Medicine or Doctor of Osteopathic Medicine.
• 3–5 years of acute care experience; 5 years preferred.
• Valid State of CT Physician License.

Responsibilities

• Perform second-level physician reviews for level-of-care determinations and appropriate utilization of healthcare resources.
• Respond promptly to requests from Clinical Resource Management nurses for physician review.
• Collaborate with attending physicians to resolve level-of-care questions and address opportunities for appropriate resource utilization.
• Conduct peer-to-peer discussions with insurance payers and provide support for appeals and denial management.
• Maintain current knowledge of regulatory requirements, utilization management standards, and payer guidelines.
• Educate physician colleagues on utilization management best practices and evolving regulatory trends.
• Meet established Physician Advisor coverage requirements for assigned per diem shifts.
• Participate in quality improvement initiatives and perform other duties as assigned.

Skills

Influence

Negotiate

Educate

Education

MD or DO

Job description

Hartford HealthCare in CT is seeking a Per Diem Physician Advisor to join the Clinical Resource Management team. You will lead physician reviews for level-of-care determinations, support payer interactions, and help ensure appropriate resource utilization while maintaining high patient care standards.

We value collaboration with nurses and attending physicians, regulatory compliance, and ongoing education for colleagues on utilization management trends and best practices in a dynamic health