Physician Advisor: Care Utilization & CDI Leader

Holy Cross Health; Silver Spring (MD); On-site; USD 136,000 - 204,000; Full time

Benefits offered by this job

Benefits

Free parking

Employee discounts

Job summary

Holy Cross Health in Maryland seeks a Physician Advisor to provide expertise in utilization review, LOS management, patient flow, clinical documentation, and CDI. Engages physicians, collaborates with departments, and designs system-wide programs for infection control to support Trinity Health’s mission.

Essential functions include inpatient/observation optimization, collaboration for patient placement and discharge, CDI education, and regulatory compliance.

Qualifications

• Graduate of an accredited medical school.
• Completion of specialty residency (e.g., Internal Medicine, Emergency Medicine).
• Five years recent hospital clinical practice preferred.
• Current active medical staff privileges.
• Board Certified/Eligible Physician licensed in Maryland the applicable states.

Responsibilities

• Inpatient/Observation Clinical Optimization: serve as physician expert for utilization decisions and LOS management.
• Collaboration: support care teams for appropriate patient placement and discharge.
• Clinical Documentation Improvement: provide instructional input and education to medical and CDI staff.
• Regulatory/Accreditation: maintain knowledge of UR LOC and clinical documentation requirements.
• Revenue Excellence: conduct Peer to Peer reviews to assist with appeals and denials.

Skills

Strong clinical acumen

Care management principles

Regulatory knowledge

Documentation accuracy

Interprofessional teamwork

Communication skills

Education

Graduate of an accredited medical school

Completion of specialty residency (e.g., Internal Medicine, Emergency Medicine)

Job description

Holy Cross Health in Maryland seeks a Physician Advisor to provide expertise in utilization review, LOS management, patient flow, clinical documentation, and CDI. Engages physicians, collaborates with departments, and designs system-wide programs for infection control to support Trinity Health’s mission.

Essential functions include inpatient/observation optimization, collaboration for patient placement and discharge, CDI education, and regulatory compliance.