Physician Utilization & Care Optimization Advisor

Mount Sinai; New York (NY); On-site; USD 201,000 - 336,000; Full time

Job summary

The Icahn School of Medicine at Mount Sinai through its affiliation with New York City Health + Hospitals/Queens is seeking a full-time Physician Advisor to assist with the hospital’s goals and objectives for ensuring effective use of health care resources.

The Physician Advisor serves as the primary physician liaison for issues pertaining to hospital utilization, including matters pertaining to provider practice patterns, over- and under-utilization of resources, medical necessity, levels of

Qualifications

• Must have an MD or DO and be Board-Certified.
• Must hold a valid New York State License, DEA and Medicaid numbers.
• Willing to work clinically in primary specialty.
• Minimum of five years medical practice experience.

Responsibilities

• Collaborate with case management and finance to optimize resource use.
• Develop protocols and training to optimize level of care and length of stay.
• Support regulatory compliance, hospital coding, and denial management across departments.

Skills

Utilization management

Quality improvement

Microsoft Excel

Epic

Cisco WebEx

Education

MD or DO degree

Board-Certified

New York State License

DEA number

Medicaid number

Tools

MCG

Interqual

Job description

The Icahn School of Medicine at Mount Sinai through its affiliation with New York City Health + Hospitals/Queens is seeking a full-time Physician Advisor to assist with the hospital’s goals and objectives for ensuring effective use of health care resources.

The Physician Advisor serves as the primary physician liaison for issues pertaining to hospital utilization, including matters pertaining to provider practice patterns, over- and under-utilization of resources, medical necessity, levels of