Physician Advisor, Care Management & Utilization

White Plains Hospital Inc; City of White Plains (NY); Presencial; USD 190.000 - 230.000; Jornada completa

Descripción de la vacante

White Plains Hospital in White Plains, NY is seeking an experienced Care Management & Utilization Management Physician Advisor to lead across Care Management, Utilization Management, CDI, Coding, Quality, and patient safety. The role focuses on ensuring appropriate utilization, medical necessity, and high-quality, efficient care, with physician engagement across disciplines.

The Physician Advisor will guide clinical documentation integrity, support discharge planning, and collaborate with

Formación

• MD or DO from an accredited medical school.
• Current, unrestricted New York State medical license.
• Board certification in a medical specialty.
• Minimum of 10 years of clinical practice with progressive physician leadership experience.
• Significant hospital-based or inpatient clinical experience preferred.
• Experience in Physician Advisory, Care Management, Utilization Management, CDI, Coding, Quality, Patient Safety, or hospital operations preferred.

Responsabilidades

• Provide physician leadership and clinical guidance across Care Management, Utilization Management, CDI, Coding, Quality, Patient Safety, and hospital operations.
• Support admission status, inpatient vs observation, level of care, medical necessity, and continued stay decisions.
• Participate in payer peer-to-peer reviews, denials, appeals, and complex case escalations.
• Collaborate with CDI and Coding teams to support documentation and coding.
• Improve care progression, length of stay, transitions of care, and discharge planning.
• Identify opportunities to improve quality, patient safety, outcomes, readmissions, and utilization.
• Educate and engage physicians regarding documentation, utilization, medical necessity, regulatory requirements, and evidence-based practice.
• Lead and participate in multidisciplinary performance-improvement, quality, and physician engagement initiatives.

Conocimientos

Leadership

Communication

Collaboration

Problem-solving

Conflict resolution

Influence

Educación

MD/DO from an accredited medical school

New York State medical license

Board certification in medical specialty

Descripción del empleo

White Plains Hospital in White Plains, NY is seeking an experienced Care Management & Utilization Management Physician Advisor to lead across Care Management, Utilization Management, CDI, Coding, Quality, and patient safety. The role focuses on ensuring appropriate utilization, medical necessity, and high-quality, efficient care, with physician engagement across disciplines.

The Physician Advisor will guide clinical documentation integrity, support discharge planning, and collaborate with