Physician Advisor, Case Management & Utilization

Wakemed; Raleigh (NC); On-site; USD 180,000 - 260,000; Full time

Job summary

Wakemed in Raleigh, NC seeks a Physician Advisor to collaborate with medical staff leadership and attending physicians to optimize hospital service use and ensure quality patient care. You will work to ensure appropriate level of care and reduce unnecessary hospital days by removing barriers.

The role involves clinical review of referred cases, engaging with payors, and ensuring compliance with state and federal regulations while supporting efficient utilization of health care services.

Qualifications

• Licensed Medical Physician.
• Board Certification in Area of Practice Required.
• Doctorate of Medicine Required.
• 5 Years Clinical Acute Care Experience Required.

Responsibilities

• Collaborate with medical staff leadership to optimize hospital services for all patients.
• Ensure appropriate length of stay by removing barriers to reduce excess hospital days.
• Monitor use of diagnostic and therapeutic modalities to ensure quality and efficiency.
• Engage with payor representatives to resolve issues while ensuring regulatory compliance.

Education

Doctorate of Medicine

Job description

Wakemed in Raleigh, NC seeks a Physician Advisor to collaborate with medical staff leadership and attending physicians to optimize hospital service use and ensure quality patient care. You will work to ensure appropriate level of care and reduce unnecessary hospital days by removing barriers.

The role involves clinical review of referred cases, engaging with payors, and ensuring compliance with state and federal regulations while supporting efficient utilization of health care services.