Physician Advisor: Utilization & Care Coordination

PAGNY; New York (NY); On-site; USD 241,000 - 290,063; Full time

Benefits offered by this job

Loan forgiveness

CME reimbursement

PTO vacation/sick/holidays

Job summary

Physician Affiliate Group of New York (PAGNY) is adding a Physician Advisor to NYC Health + Hospitals/South Brooklyn Health in Brooklyn, NY. The role combines leadership in utilization management with substantial direct patient care and ongoing hospital collaboration.

Responsibilities include optimizing care levels, coordinating documentation, and ensuring regulatory compliance while reporting to the Chief Medical Officer.

Qualifications

• Board Certification in Internal Medicine or Emergency Medicine.
• Active or Eligible for a NYS license.
• At least 3 years' experience practicing as an Attending Physician.
• Solid foundation, knowledge, and/or experience in utilization and quality management.

Responsibilities

• Lead Utilization Management efforts to optimize level of care, length of stay, supporting documentation, regulatory compliance, hospital coding and denial management.
• Serve as primary liaison for provider practice patterns, over/under utilization of resources, medical necessity, level of care, care progression, length of stay management, denial management, compliance with governmental and private payer regulations, and physician documentation and coding requirements.
• Report directly to the Chief Medical Officer for the facility.
• The position will require at least 50% direct patient care in the medical specialty.

Skills

Board Certification

Active NY license

Attending Physician exp.

Utilization management

Job description

Physician Affiliate Group of New York (PAGNY) is adding a Physician Advisor to NYC Health + Hospitals/South Brooklyn Health in Brooklyn, NY. The role combines leadership in utilization management with substantial direct patient care and ongoing hospital collaboration.

Responsibilities include optimizing care levels, coordinating documentation, and ensuring regulatory compliance while reporting to the Chief Medical Officer.