Physician Advisor, Utilization Management & Compliance

Samaritan Health Services; Corvallis (OR); On-site; USD 200,000 - 260,000; Full time

Job summary

Samaritan Health Services Hospitals seeks an experienced physician to lead utilization management reviews. The role involves medical consultation, admission and discharge decisions, and coordinating with hospital leadership to optimize patient care and length of stay.

Candidates must hold an MD/DO, be board certified, have Oregon licensure, and at least five years of hospital-based adult care experience. Knowledge of EMR systems and medical literature is preferred.

Qualifications

• MD or DO degree required.
• Board Certification required.
• Unrestricted license to practice medicine in the State of Oregon required.
• Strong broad based clinical background with five (5) years of medical experience caring for adult patients in a hospital setting required.
• Three (3) years experience in similar areas of accountability preferred.
• Experience with computer applications, electronic medical records, other medical programs and electronic medical literature required.
• Experience with hospital Utilization Review, Medicare regulations and health insurance policies preferred.
• Experience efficiently researching, analyzing and summarizing complex clinical topics preferred.

Responsibilities

• Provides medical consultation and utilization management case review.
• Acts as a liaison with medical staff and hospital administration regarding admission, discharge, and length of stay and service utilization decisions.

Skills

Medicine

Compliance

Business Writing

Communication

Conflict resolution

Education

MD/DO degree

Board Certification

Oregon Medical License

Tools

EMR systems

Medical literature databases

Job description

Samaritan Health Services Hospitals seeks an experienced physician to lead utilization management reviews. The role involves medical consultation, admission and discharge decisions, and coordinating with hospital leadership to optimize patient care and length of stay.

Candidates must hold an MD/DO, be board certified, have Oregon licensure, and at least five years of hospital-based adult care experience. Knowledge of EMR systems and medical literature is preferred.