Senior Physician Advisor: Care & Utilization Leadership

White Plains Hospital Inc; City of White Plains (NY); On-site; USD 210,000 - 270,000; Full time

Job summary

White Plains Hospital seeks an experienced Care Management & Utilization Management Physician Advisor to provide physician leadership across Care Management, Utilization Management, and hospital operations. This hospital-wide role ensures appropriate utilization, medical necessity, care progression, and compliant documentation.

The Physician Advisor serves as a trusted resource for physicians and interdisciplinary teams addressing complex clinical and operational issues, partnering with CDI,

Qualifications

• MD or DO degree from an accredited medical school.
• Strong leadership and collaboration skills are essential.
• Experience guiding multidisciplinary teams in hospital settings.

Responsibilities

• Provide physician leadership across Care Management, Utilization Management, CDI, Coding, Quality, Patient Safety, and hospital operations.
• Support admission status, level of care, medical necessity, and continued stay decisions.
• Participate in payer reviews, denials, appeals, and complex case escalations.
• Collaborate with CDI and Coding teams to ensure accurate documentation and coding.
• Drive improvements in care progression, length of stay, transitions of care, and discharge planning.

Skills

Leadership

Communication

Problem-solving

Collaboration

Influence without authority

Education

MD/DO from an accredited medical school

Job description

White Plains Hospital seeks an experienced Care Management & Utilization Management Physician Advisor to provide physician leadership across Care Management, Utilization Management, and hospital operations. This hospital-wide role ensures appropriate utilization, medical necessity, care progression, and compliant documentation.

The Physician Advisor serves as a trusted resource for physicians and interdisciplinary teams addressing complex clinical and operational issues, partnering with CDI,