Physician Advisor

2 weeks ago


Shrewsbury Massachusetts, United States University of Massachusetts Medical School Full time

Overview:

GENERAL SUMMARY OF POSITION:


Under the general direction of the Medical Director, Director, or designee, the Physician Advisor is responsible for reviewing applicant medical records and making a clinical determination of eligibility for applicants seeking benefits and/or long term care services based on clinical guidelines.

The Physician Advisor also provides clinical guidance reviewers and quality improvement initiatives as appropriate.

Responsibilities:

MAJOR RESPONSIBILITIES:
Responsible for determining whether an individual applying for and/or receiving public assistance benefits/services meets specific clinical and functional criteria outlined in federal and state regulations

Review medical records, approves or denies recommendations made by Registered Nurse Reviewers regarding the status of an applicant or member

Participates in and advises review team regarding the functional capability of an applicant based upon a comprehensive review of all records

Contributes to quality improvement initiatives developed within the program or department

Participates in quality team case reviews

Collaborate with department leadership in the interpretation of all applicable regulations, development of clinical policies and quality evaluations, and provide feedback to clinical staff regarding clinical policies and the outcomes of quality evaluations

Evaluates and develops alternatives to address problems and issues as they arise on a case by case basis

Participates as a member of clinical or case review teams

Responsible for training new Physician Advisors

Performs other duties as assigned.

Qualifications:

REQUIRED QUALIFICATIONS:
Board eligible or certified in area of specialty

Minimum of 5 years of experience in direct patient care

Proven ability to plan and prioritize work in order to meet position objectives or job responsibilities

Excellent problem solving and decision making capabilities
  • Physician Advisor

    2 weeks ago


    Shrewsbury, United States InsideHigherEd Full time

    OverviewGENERAL SUMMARY OF POSITION:  Under the general direction of the Medical Director, Director, or designee, the Physician Advisor is responsible for reviewing applicant medical records and making a clinical determination of eligibility for applicants seeking benefits and/or long term care services based on clinical guidelines.  The Physician Advisor...

  • Medical Director

    3 weeks ago


    Shrewsbury, United States University of Massachusetts Medical School Full time

    Overview: GENERAL SUMMARY OF POSITION: The Medical Director provides clinical leadership for the Disability Evaluation Services (DES) Program. As part of the DES senior leadership team, the Medical Director reviews disability regulations, directs internal clinical procedures and provides consultation to state policy makers. The Medical Director is...


  • Massachusetts, US Healthcare Connections Full time

    Locums Physician Needed in Massachusetts for Outpatient Primary Care We have a client searching for a provider available for locum tenens while they search for a permanent candidate. Details of the assignment are as follows: - Start Date: ASAP through 12/31/2024 - Schedule: M-F 8a-5p (no call) - Patient Census/Volume: 18 ppd - Additional Clinical...


  • Massachusetts, United States Healthcare Connections Full time

    Locums Physician Needed in Massachusetts for Outpatient Primary Care We have a client searching for a provider available for locum tenens while they search for a permanent candidate. Details of the assignment are as follows: - Start Date: ASAP through 12/31/2024 - Schedule: M-F 8a-5p (no call) - Patient Census/Volume: 18 ppd - Additional Clinical...


  • Massachusetts, United States Baystate Health Full time

    Baystate Health, western Massachusetts' premier healthcare provider and home to the University of Massachusetts Chan Medical School - Baystate Health, is seeking Palliative Medicine faculty to join our newly developed Palliative Medicine fellowship program.Practice Highlights: Our current palliative medicine team includes 4 palliative care physicians, 5...


  • Massachusetts, United States Baystate Health Full time

    Baystate Health, western Massachusetts' premier healthcare provider and home to the University of Massachusetts Chan Medical School – Baystate, is seeking a faculty Gastroenterologist to join our organization in western Massachusetts.Position Highlights: Join our integrated Division of Gastroenterology which consists of 13 GIs and 4 advanced practitioners...


  • Massachusetts, United States Baystate Health Full time

    Baystate Health, western Massachusetts' premier healthcare provider and home to the University of Massachusetts Chan Medical School - Baystate Health, is seeking a Gastroenterologist to join our organization in western Massachusetts.Position Highlights – Join our integrated Division of Gastroenterology which consists of 13 GIs and 4 advanced practitioners...


  • Shrewsbury, United States University of Massachusetts Medical School Full time

    Overview: **GENERAL SUMMARY OF POSITION**: *** Under the general direction of the Director of Clinical Services, the Clinical Training Coordinator trains new DES Disability Reviewers to be effective members of review teams. This position will interact with appropriate State agencies as needed in performance of both managerial and clinical roles. The...


  • Massachusetts, United States Baystate Health Full time

    Baystate Health, western Massachusetts' premier healthcare provider and home to the University of Massachusetts Chan Medical School – Baystate, is seeking an academically-oriented clinician or PhD investigator to join the faculty of the Division of Health and Behavior within the Department of Healthcare Delivery and Population Sciences.Position Highlights:...


  • Shrewsbury, United States University of Massachusetts Medical School Full time

    Overview: GENERAL SUMMARY OF POSITION: Under the general direction of the Director of Clinical Services, the Clinical Training Coordinator trains new DES Disability Reviewers to be effective members of review teams. This position will interact with appropriate State agencies as needed in performance of both managerial and clinical roles. The Clinical...


  • Shrewsbury, United States InsideHigherEd Full time

    OverviewGENERAL SUMMARY OF POSITION:  Under the general direction of the Director of Clinical Services, the Clinical Training Coordinator trains new DES Disability Reviewers to be effective members of review teams. This position will interact with appropriate State agencies as needed in performance of both managerial and clinical roles. The Clinical...


  • Massachusetts, United States Baystate Health Full time

    Baystate Health, western Massachusetts' premier healthcare provider and home to the University of Massachusetts Chan Medical School - Baystate Health, is seeking a Gastroenterologist to join our organization in western Massachusetts.Position Highlights: Join our integrated Division of Gastroenterology which consists of 13 GIs and 4 advanced practitioners who...


  • Massachusetts, US Healthcare Connections Full time

    Locums Pediatrician Opportunity in Massachusetts We are currently searching for a Pediatrician licensed in MA who is looking for an outpatient locum tenens opportunity. This is a great direct client of ours located 1hr from Boston who will move quickly to review your CV and schedule an interview! Details of this assignment are as follows: - ASAP - ongoing ...


  • Massachusetts, United States Healthcare Connections Full time

    Locums Pediatrician Opportunity in Massachusetts We are currently searching for a Pediatrician licensed in MA who is looking for an outpatient locum tenens opportunity. This is a great direct client of ours located 1hr from Boston who will move quickly to review your CV and schedule an interview! Details of this assignment are as follows: - ASAP - ongoing ...


  • Shrewsbury, United States University of Massachusetts Medical School Full time

    Overview: ***: Under the general supervision of the Clinical Manager or designee, this position provides direct administrative support and services necessary for the completion of professional medical responsibilities and functions for DES’ skilled professional medical personnel (SPMP), i.e. DES Physician and Psychologist Advisors, Disability and Appeals...


  • Massachusetts, United States Healthcare Connections Full time

    Start Date: ASAPLocums Physician Needed in Massachusetts for Outpatient Primary Care We have a client searching for a provider available for locum tenens while they search for a permanent candidate.  Details of the assignment are as follows: - Start Date: ASAP through 12/31/2024 - Schedule: M-F 8a-5p (no call) - Patient Census/Volume: 18 ppd -...


  • Massachusetts, United States Healthcare Connections Full time

    Start Date:ASAPLocums Physician Needed in Massachusetts for Outpatient Primary Care We have a client searching for a provider available for locum tenens while they search for a permanent candidate.Details of the assignment are as follows: Start Date:ASAP through 12/31/2024 Schedule: M-F 8a5p (no call) Patient Census/Volume: 18 ppd Additional Clinical...


  • Shrewsbury, United States University of Massachusetts Full time

    Overview POSITION SUMMARY: Under the general supervision of the Clinical Manager or designee, this position provides direct administrative support and services necessary for the completion of professional medical responsibilities and functions for DES’ skilled professional medical personnel (SPMP), DES Physician and Psychologist Advisors,...


  • Shrewsbury, Massachusetts, United States University of Massachusetts Full time

    Overview POSITION SUMMARY: Under the general supervision of the Clinical Manager or designee, this position provides direct administrative support and services necessary for the completion of professional medical responsibilities and functions for DES' skilled professional medical personnel (SPMP), DES Physician and Psychologist Advisors, Disability...


  • Shrewsbury, Massachusetts, United States Nutrafol Full time

    #KeepGrowing with NutrafolCome grow with us. We're a growing company. Everything we do, we do to help people grow into the best version of themselves.As the pioneers of hair wellness, we create natural, clinically effective solutions for hair growth and provide support for people at every step of their hair journey. Our multi-factorial approach targets the...