Physician Utilization & Readmissions Advisor

4610 West Georgia Medical Center, Inc.; United States; Presencial; USD 190 000 - 280 000; Tempo integral

Resumo da oferta

Wellstar Health System seeks a Physician Advisor to partner with the Chief Medical Officer and Care Coordination to optimize quality, utilization, patient satisfaction and efficiency across WHS facilities.

The role requires a Doctorate in Medicine (MD/DO), 8–10 years of clinical experience, and 1–3 years in Utilization Management focusing on medical necessity and billing. An MBA or health administration degree is preferred.

Qualificações

• MD/DO required.
• 8–10 years clinical experience required.
• 1–3 years in Utilization Management focusing on medical necessity, billing and coding.
• MBA/Health Administration preferred.

Responsabilidades

• Provide timely consultation to ensure fiscally responsible and efficient utilization of resources.
• Lead readmission reduction initiatives in collaboration with care teams.
• Review medical records to substantiate medical necessity and appropriate level of care.
• Collaborate with Care Coordination and Quality teams to improve throughput and patient safety.

Conhecimentos

Clinical documentation

Medical necessity

Regulatory knowledge

Leadership

Budget management

Communication

Formação académica

Doctorate in Medicine (MD/DO)

MBA/Health Administration (preferred)

Descrição da oferta de emprego

Wellstar Health System seeks a Physician Advisor to partner with the Chief Medical Officer and Care Coordination to optimize quality, utilization, patient satisfaction and efficiency across WHS facilities.

The role requires a Doctorate in Medicine (MD/DO), 8–10 years of clinical experience, and 1–3 years in Utilization Management focusing on medical necessity and billing. An MBA or health administration degree is preferred.