Physician Advisor for Utilization Management

4 days ago


Columbia, Missouri, United States Lexington Medical Center Full time
Physician Advisor, Utilization Management

Lexington Medical Center is seeking a highly skilled Physician Advisor to join our team in Columbia, SC. As a key member of our healthcare organization, you will play a vital role in shaping the future of healthcare delivery through effective resource utilization, exceptional patient care, and evidence-based practices.

Key Responsibilities:
  • Develop and implement processes to optimize length of hospital stay and efficient management of resources
  • Champion best practices in utilization management, ensuring patients are at the appropriate level of care
  • Support documentation improvement initiatives to prevent payer denials
  • Monitor and ensure compliance with internal policies and applicable standards and regulations
  • Collaborate with medical staff and leadership to support clinical documentation improvement efforts
  • Conduct peer-to-peer reviews with payers to mitigate denials
  • Identify denial trends and work with the medical staff and hospital administration to implement processes to mitigate these
  • Participate in medical staff meetings to champion utilization management initiatives
  • Chair the Utilization Management Committee
Benefits:
  • Competitive salary and benefits package
  • Relocation assistance and sign-on bonus opportunities
  • Annual CME allowance
  • Tail coverage for medical malpractice
  • Employer-paid short- and long-term disability (after 90 days)
  • Healthcare FSA
  • Daycare FSA
  • 529 college savings plans
  • Adoption assistance
  • Dependent life insurance
  • On-site child care center
  • Public Service Loan Forgiveness (PSLF) employer
  • Health Directions gym membership
  • Employee discounts and services

Columbia, SC, offers an unexpected mix of tradition and tomorrow. Pairing a diverse food and drink scene with shopping, festivals, and family-friendly attractions, Columbia has something for everyone. On the banks of the Congaree River, Columbia boasts a wide variety of outdoor recreation activities, a premier international art museum, an award-winning children's museum, a zoo, and garden, plus Division 1 sports make Columbia, South Carolina, an ideal place to live, work, and play.



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