View All Jobs 5302
Executive Director, MD Physician Advisor PRN - Remote Eligible
Conduct clinical reviews to ensure appropriate care and resource utilization across Wellstar facilities.
Remote
3 weeks ago
Wellstar Health System, Inc.
Wellstar Health System, Inc. is a non-profit healthcare organization providing comprehensive care in Marietta, GA.
639 Similar Jobs at Wellstar Health System, Inc.
✨ About The Role
- The Executive Director, MD Physician Advisor will report to the Lead Executive Director of Physician Advisor.
- This role involves conducting clinical reviews for various payer types to assess the appropriateness of care.
- The Physician Advisor will work closely with the Utilization Management team to ensure efficient resource utilization.
- Responsibilities include assisting with level of care management and denial management processes.
- The position requires participation in off-hour schedules to support the Utilization Management team.
âš¡ Requirements
- The ideal candidate will have a Doctorate in Medicine or Osteopathic Medicine.
- Experience in utilization management and clinical review is essential for success in this role.
- Strong communication skills are necessary to provide real-time feedback to physicians and case managers.
- The candidate should be able to work collaboratively with various healthcare professionals to ensure quality patient care.
- A background in managing denial processes and understanding regulatory requirements is important.
About Wellstar Health System, Inc.
Wellstar Health System, Inc. is a non-profit healthcare organization providing comprehensive care in Marietta, GA.