Transform Healthcare as a Remote Physician Advisor - Utilization Management

Join our innovative team and drive success in a remote-based position, offering a competitive salary package and opportunities for growth and development. As a skilled and motivated Physician Advisor, you will provide medical leadership, ensure compliance with regulatory guidelines, and contribute to the strategic plans of our organization. With a strong focus on teamwork, quality improvement, and patient care, this part-time role is ideal for a dedicated professional seeking a challenging and rewarding experience.

Job Summary

As a Physician Advisor - Utilization Management, you will play a crucial role in our team, providing medical expertise, guiding utilization management activities, and promoting professional development of our staff. Your responsibilities will include:

• Participating in peer-to-peer discussions with medical directors and providing subject matter expert guidance on utilization management activities
• Collaborating with IT to ensure logical processes, best practices, and compliance with CMS regulations
• Promoting professional development of UM staff, focusing on compliant patient status assignments and consistent use of primary screening criteria
• Working with Revenue Integrity to reduce denial and appeal burdens and increase revenue
• Assisting with development and driving improvement initiatives, including providing feedback to medical staff and serving on strategic committees

Requirements

• Minimum 5 years of clinical practice in field of specialty or previous work as a Physician Advisor
• M.D. or D.O. degree, completion of an approved residency and fellowship program (if applicable)
• Licensed to practice in the State of Tennessee
• Board Certification in practice specialty, with willingness to obtain CHCQM and CHCQM-PHYADV certifications

What We Offer

• Competitive salary package, commensurate with experience
• Opportunities for growth and development in a dynamic and innovative organization
• Remote-based position, offering flexibility and work-life balance
• Collaborative and supportive team environment, focused on quality patient care and improvement

Apply Now and Take the First Step Towards a Rewarding Career

Don't miss this exciting opportunity to join our team and make a meaningful impact in healthcare. Apply now and discover a career that offers challenge, growth, and fulfillment.