Per Diem Physician Advisor - Utilization & Care Leadership

Hartford HealthCare; Wethersfield (CT); On-site; USD 120,000 - 180,000; Full time

Job summary

Hartford HealthCare's Integrated Care Partners (ICP) is seeking a Per Diem Physician Advisor to join the Clinical Resource Management team in Connecticut. The role focuses on ensuring appropriate resource utilization and high-quality patient care across Hartford HealthCare’s extensive integrated network.

The Physician Advisor collaborates with nurses, attending physicians, and leadership to drive utilization decisions, regulatory compliance, and payer interactions, while providing education on

Qualifications

• MD or DO required and CT license
• 3–5 years of acute care experience; 5 years in acute care or managed care preferred
• Ability to influence, negotiate and educate with stakeholders

Responsibilities

• Perform second-level reviews for level-of-care determinations and resource utilization
• Respond to requests from Clinical Resource Management nurses for physician review
• Collaborate with attending physicians to resolve level-of-care questions
• Conduct peer-to-peer discussions with payers and support appeals/denials management
• Maintain knowledge of regulatory requirements and payer guidelines
• Educate physician colleagues on utilization best practices and regulatory trends
• Meet per diem shift coverage requirements and participate in quality initiatives

Skills

Utilization management

Clinical leadership

Regulatory knowledge

Payer guidelines

Education & training

Education

Doctor of Medicine

Doctor of Osteopathic Medicine

Job description

Hartford HealthCare's Integrated Care Partners (ICP) is seeking a Per Diem Physician Advisor to join the Clinical Resource Management team in Connecticut. The role focuses on ensuring appropriate resource utilization and high-quality patient care across Hartford HealthCare’s extensive integrated network.

The Physician Advisor collaborates with nurses, attending physicians, and leadership to drive utilization decisions, regulatory compliance, and payer interactions, while providing education on