Clinical Utilization Advisor

1 week ago


Dayton, Ohio, United States Premier Health Partners Full time

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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