Clinical Utilization Advisor
1 week ago
Job Summary
The Physician Advisor plays a vital role in ensuring high-quality, safe patient care at Premier Health Partners. As a trusted advisor, you will conduct clinical reviews on cases referred by our team to meet regulatory requirements and support efficient utilization of healthcare services.
Key Responsibilities
- Collaborate with our Interdisciplinary Care Management team to review patient cases and determine the most appropriate levels of care.
- Work closely with physicians and other care providers to ensure effective and efficient utilization of healthcare resources.
- Develop and implement strategies to improve patient outcomes and reduce healthcare costs.
Requirements
- Medical Doctorate degree required.
- CHCQM Physician Advisor certification preferred.
- At least 5 years of experience in clinical practice, with a focus on utilization management.
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