Physician Advisor Lead – Utilization & Denials

AMN Healthcare; Danbury (CT); On-site; USD 280,000 - 300,000; Full time

Benefits offered by this job

Health insurance

Retirement benefits

Bonuses

Job summary

A leading healthcare organization in Danbury, Connecticut is seeking a Physician Advisor Lead to provide clinical leadership in utilization management and enhance patient care. This role involves overseeing a team of physician advisors, guiding hospitalization processes, and ensuring compliance with regulatory standards. Ideal candidates should have an MD/DO, experience in internal medicine, and strong collaboration skills. The position offers a competitive salary ranging from $280,000 to $300,000 annually, along with benefits including health insurance and retirement plans.

Qualifications

• Minimum three years of physician advisor experience preferred.
• Minimum five years of Hospitalist and/or Internal Medicine experience strongly preferred.
• Strong clinical acumen and knowledge of care management/utilization review.

Responsibilities

• Oversee clinical leadership and expertise in utilization management.
• Guide hospitalization appropriateness and discharge planning.
• Support denial management strategies and conduct peer reviews.

Skills

Clinical leadership

Utilization management

Collaboration

Clinical documentation

Patient care

Education

MD/DO degree

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

Board Certified/Eligible

ACPA certification preferred

Job description

A leading healthcare organization in Danbury, Connecticut is seeking a Physician Advisor Lead to provide clinical leadership in utilization management and enhance patient care. This role involves overseeing a team of physician advisors, guiding hospitalization processes, and ensuring compliance with regulatory standards. Ideal candidates should have an MD/DO, experience in internal medicine, and strong collaboration skills. The position offers a competitive salary ranging from $280,000 to $300,000 annually, along with benefits including health insurance and retirement plans.