Physician Advisor for Utilization & Quality Improvement

4010 Wellstar Spalding Regional Hospital, Inc.; United States; On-site; USD 150,000 - 230,000; Full time

Job summary

Wellstar Spalding Regional Hospital, Inc. seeks a Physician Advisor to influence quality, utilization and efficiency through performance improvement initiatives.

You will collaborate with VPMA and hospital leaders to optimize patient care and resource use, leading education and improvement efforts across departments. Requirements include MD/DO, board certification, and significant utilization management experience.

Qualifications

• Doctorate of Medicine or Doctorate of Osteopathic Medicine required.
• Board certification in specialty of practice; Health Care Quality & Management certification preferred.
• 1+ year of Utilization Management experience; strong documentation and coding knowledge.

Responsibilities

• Provide timely clinical consultation to ensure fiscally responsible resource use.
• Lead Readmission reduction initiatives with hospital leadership.
• Review medical necessity and appropriate level of care; support care coordination and documentation.

Skills

English proficiency

Leadership of physicians

Time management

Budget management

Education

MD/DO

MBA/Health Admin (preferred)

Job description

Wellstar Spalding Regional Hospital, Inc. seeks a Physician Advisor to influence quality, utilization and efficiency through performance improvement initiatives.

You will collaborate with VPMA and hospital leaders to optimize patient care and resource use, leading education and improvement efforts across departments. Requirements include MD/DO, board certification, and significant utilization management experience.