Be an integral part of our healthcare team! We are recruiting an experienced Physician Advisor who will be a liaison between clinical staff, payers, and administrative personnel to conduct clinical reviews on cases to meet regulatory requirements in accordance with our organization’s objectives for assuring quality patient care and effective, efficient utilization of health care services. You will provide valuable guidance to medical necessity of care, assess resource utilization, champion compliance, and improve clinical documentation processes. The Advisor will focus on patient quality and safety, billing status determinations, clinical documentation, patient length of stay, and utilization management. It may also possibly include appeals. Along with employing your clinical and administrative skills, you are also an educator. Paramount to being successful and effective in this role, one must possess and display superior interpersonal skills. You must be diplomatic and adept at finessing relationships particularly when a medical professional’s behavior needs to be altered.
REQUIRED EXPERIENCE:
Please submit your resume/CV to Dorrie.Steinberg@mwhc.com.
This is not a job that supports J1 or H1B Visa candidates. Please, no 3rd party recruiters.
If you’re interested in learning more about this job, fill out our brief form and our physician recruiter will be in touch.