Physician Advisor

7 days ago


Los Angeles, California, United States MLK Community Healthcare Full time
Job Summary

MLK Community Healthcare is seeking a highly skilled Physician Advisor to join our team in Utilization Management. As a key member of our care coordination team, you will play a critical role in ensuring the efficient and effective use of healthcare resources.

Key Responsibilities
  • Collaborate with Care Management Team: Work closely with our care management team to identify opportunities for improvement in patient care and resource utilization.
  • Conduct Clinical Reviews: Conduct thorough clinical reviews of patient cases to ensure that care is aligned with regulatory requirements and hospital objectives.
  • Develop and Implement Utilization Management Strategies: Develop and implement strategies to improve patient outcomes and reduce unnecessary hospitalizations.
  • Provide Education and Training: Provide education and training to medical staff on best practices in utilization management and care coordination.
  • Participate in Quality Improvement Initiatives: Participate in quality improvement initiatives to identify areas for improvement and implement changes to enhance patient care and resource utilization.
Requirements
  • Education: Completed MD or DO accredited residency program.
  • Qualifications/Experience: Four (4) years in the healthcare setting and in a managed care environment with Hospitalist experience preferred. Minimum of five (5) years of clinical practice experience following the completion of residency or fellowship training.
  • Special Skills/Knowledge: Ability to prioritize and resolve critical issues efficiently and effectively. Strong quantitative, analytical and technical skills relating to data management, analysis and presentation. Strong PC / Microsoft application skills including Word, Advanced Excel, and PowerPoint.


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