Physician Advisor

13 hours ago

Silver Spring, MD, United States Trinity Health Full time

Physician Advisor at Trinity Health summary:

The Physician Advisor at Holy Cross Health is responsible for optimizing inpatient and observation clinical care by managing utilization, level of care, length of stay, and clinical documentation improvement. This role involves collaboration with care teams and physicians to ensure appropriate patient placement, compliance with regulations, and revenue protection through denial management and appeals. The physician advisor also educates medical staff and supports system-wide infection control and care coordination initiatives.

Holy Cross Health is seeking a full-time Physician Advisor located in Silver Spring, Maryland.

The Physician Advisor provides expertise related to appropriate utilization/level of care (LOC), length of stay (LOS) management, patient flow/throughput management, appropriate clinical documentation, and CDI. Engages physicians in care coordination, care progression, care consistency and CDI activities. Reviews and provides physician perspective for policies that related to care coordination, patient access, CDI. Collaborates with appropriate departments, leaders, and committees to meet established goals for physician participation and compliance with expectations. Designs, implements, and directs system wide programs for Infection Control, Supports the Mission of CHE Trinity Health and Holy Cross Health.

ESSENTIAL FUNCTIONS

• Inpatient/Observation Clinical Optimization: Serves as physician expert and provides support to care team and care coordination staff regarding utilization decisions including screening for appropriateness of hospitalization, LOC status, LOS management, continued stay decisions, clinical review of patients, utilization review activities, resource utilization/management, denial management issues, discharge planning (DP) advise and quality issues. Functions as a consultant and resource to other Physician Advisors and primary (attending) physicians.
• Collaboration: Supports care team to ensure appropriate patient placement, care/discharge/etc. Ensures medical staff have understanding and compliance with applicable areas of expertise.
• Clinical Documentation Improvement: Provides instructional input and education to medical staff and CDI staff.
• Regulatory and Accreditation: Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR) LOC and clinical documentation.
• Revenue Excellence: conduct verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors.

What We Offer:

• Benefits, Free parking, employee discounts.
• Quality of Life: Flexible work schedules to support a healthy work-life balance.
• Advancement: Opportunities for professional growth within the organization
• Location: Holy Cross Health operates two hospitals and four healthcare centers, all within a short driving distance from Washington, DC, and Baltimore, MD.
• Rate of Pay: $98.65 - $147.98

Pay is based on experience, skills and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status

MINIMUM QUALIFICATIONS:

• Graduate of an accredited medical school

• Completion of specialty residency (e.g., Internal Medicine, Emergency Medicine)

• Experience:
• Five years recent experience in clinical practice in a hospital strongly preferred
• Previous experience as a physician advisor preferred
• Experience with participation in medical staff committees preferred
• Current active medical staff privileges

License, Registration or Certification Required:

• Board Certified/Eligible Physician licensed in Maryland the applicable states

Knowledge, Skills and Abilities:

• Strong clinical acumen
• Knowledge of Care Management principles, processes, and their practical application
• Working knowledge of third-party payer guidelines/medical necessity criteria (e.g., knowledge of admission criteria for all levels of care)
• Understanding of approaches to denials management
• Knowledge of clinical, quality, and administrative facets of the healthcare industry
• Familiarity with clinical documentation requirements
• Working knowledge of Centers for Medicare and Medicaid Services rules and regulations, and interest in building this knowledge through experience and partnership with Care Management
• Excellent communication and presentation skills (both written and oral)
• Teaching and coaching skills
• Analytical ability and problem-solving skills
• Working knowledge of electronic medical record
• Knowledge of process improvement methodology
• Demonstrated ability to work effectively within the medical staff structure
• Demonstrated ability to work effectively in an inter-professional team
• Ability to work effectively despite a potentially disruptive environment or peer resistance.
• Willingness and ability to participate in ongoing education recommended by Local management leaders and/or Trinity Health.

Compensation Information:
$98.00 / Hourly - $147.00 / Hourly

Keywords:

physician advisor, clinical documentation improvement, utilization review, length of stay management, care coordination, denial management, patient flow, medical staff education, healthcare compliance, infection control

  • Physician Advisor

    2 weeks ago

    Silver Spring, MD, United States Trinity Health Full time

    Physician Advisor at Trinity Health summary: The Physician Advisor at Holy Cross Health is responsible for optimizing inpatient and observation clinical care by managing utilization, level of care, length of stay, and clinical documentation improvement. This role involves collaboration with care teams and physicians to ensure appropriate patient placement,...

  • Director of Infection Control

    2 weeks ago

    Silver Spring, MD, United States Trinity Health Full time

    Director of Infection Control Employment Type: Full Time, Exempt Position Overview: Designs, implements, and directs system wide programs for Infection Control, Supports the Mission of CHE Trinity Health and Holy Cross Health. Reports to: Reports to the Chief Clinical Officer, Holy Cross Health. Consults with a Physician Advisor to Infection Control and the...

  • Director of Infection Control

    2 weeks ago

    Silver Spring, MD, United States Trinity Health Full time

    Director of Infection Control Employment Type: Full Time, Exempt Position Overview: Designs, implements, and directs system wide programs for Infection Control, Supports the Mission of CHE Trinity Health and Holy Cross Health. Reports to: Reports to the Chief Clinical Officer, Holy Cross Health. Consults with a Physician Advisor to Infection Control and the...

  • Director of Infection Control

    4 days ago

    Silver Spring, MD, United States Trinity Health Full time

    Director of Infection Control Employment Type: Full Time, Exempt Position Overview: Designs, implements, and directs system wide programs for Infection Control, Supports the Mission of CHE Trinity Health and Holy Cross Health. Reports to: Reports to the Chief Clinical Officer, Holy Cross Health. Consults with a Physician Advisor to Infection Control and the...

  • Director of Infection Control

    17 hours ago

    Silver Spring, MD, United States Trinity Health Full time

    Director of Infection Control Employment Type: Full Time, Exempt Position Overview: Designs, implements, and directs system wide programs for Infection Control, Supports the Mission of CHE Trinity Health and Holy Cross Health. Reports to: Reports to the Chief Clinical Officer, Holy Cross Health. Consults with a Physician Advisor to Infection Control and the...

  • Director of Infection Control

    17 hours ago

    Silver Spring, MD, United States Trinity Health Full time

    Director of Infection Control Employment Type: Full Time, Exempt Position Overview: Designs, implements, and directs system wide programs for Infection Control, Supports the Mission of CHE Trinity Health and Holy Cross Health. Reports to: Reports to the Chief Clinical Officer, Holy Cross Health. Consults with a Physician Advisor to Infection Control and the...

  • Physician Advisor

    4 weeks ago

    Silver Spring, United States Trinity Health Full time

    Holy Cross Health is seeking a full-time Physician Advisor located in Silver Spring, Maryland. The Physician Advisor provides expertise related to appropriate utilization/level of care (LOC), length of stay (LOS) management, patient flow/throughput management, appropriate clinical documentation, and CDI. Engages physicians in care coordination, care...

  • Hospitalist Nocturnist APP

    3 weeks ago

    Silver Spring, United States US Acute Care Solutions Full time

    Join to apply for the Hospitalist Nocturnist APP (Physician Assistant / Nurse Practitioner) role at US Acute Care SolutionsContinue with Google Continue with Google5 months ago Be among the first 25 applicantsJoin to apply for the Hospitalist Nocturnist APP (Physician Assistant / Nurse Practitioner) role at US Acute Care SolutionsA cohesive team of 12...

  • Infection Control Associate

    1 week ago

    Silver Spring, Maryland, United States Trinity Health Full time $60,000 - $90,000 per year

    Employment Type:Full timeShift:Description:Position is located at the Holy Cross Hospital Silver Spring CampusGeneral Summary: Participates in the administration of the Infection Control, and the Accreditation and Regulatory Programs to include all the facilities included in Holy Cross Health. Under the direction of the Director of Infection Control, assists...

  • Travel Occupational Therapist

    2 weeks ago

    Silver Spring, United States GHR Healthcare - Allied Health & Therapy Remote Work Freelance Full time

    GHR Healthcare - Allied Health & Therapy is seeking a travel Occupational Therapist for a travel job in Silver Spring, Maryland.Job Description & RequirementsSpecialty: Occupational TherapistDiscipline: TherapyStart Date: 01/12/2026Duration: 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelOccupational Therapist (OT) – Home Health Travel...

  • Senior Executive Communications Specialist

    3 weeks ago

    Silver Spring, United States Children's National Medical Center Full time

    DescriptionThe Senior Executive Communications Specialist is a dynamic strategist and skilled storyteller who drives the voice and visibility of the CEO of Children’s National Hospital. This role is key in positioning the CEO as a national leader in pediatric health, a trusted advocate for children and families, and a visionary organizational leader.Key...

  • Senior Executive Communications Specialist

    4 weeks ago

    Silver Spring, United States Children's National Hospital Full time

    The Senior Executive Communications Specialist is a dynamic strategist and skilled storyteller who drives the voice and visibility of the CEO of Children's National Hospital. This role is key in positioning the CEO as a national leader in pediatric health, a trusted advocate for children and families, and a visionary organizational leader. Reporting to the...

  • Senior Executive Communications Specialist

    4 weeks ago

    Silver Spring, United States Children's National Health System Full time

    Description The Senior Executive Communications Specialist is a dynamic strategist and skilled storyteller who drives the voice and visibility of the CEO of Children's National Hospital. This role is key in positioning the CEO as a national leader in pediatric health, a trusted advocate for children and families, and a visionary organizational leader....

  • Occupational Therapy Assistant

    22 hours ago

    Spring House, United States Rehab Advisors Full time

    Occupational Therapy Assistant - Per DiemMust be a Certified Occupational Therapy Assistant (COTA) to apply Employment Type:Per Diem Setting: Skilled Nursing Facility | Long-Term Care Exciting opportunity withRehab Advisors in-house management client! Join a leading therapy organization with 30+ years of excellence in care and team development. Why You'll...

  • New Outpatient Clinic in Accelerated St. Louis Suburb

    2 weeks ago

    Weldon Spring, United States BJC Full time

    Additional Information About the Role BJC Medical Group is seeking a Family Medicine Physician to join a brand-new clinic in Winghaven/ O'Fallon , Missouri, just 30 minutes west of St. Louis. BJC Medical Group is a physician-led organization, with a robust onboarding program, collegial environment, and outstanding retention. Community Highlights: Family...

  • New Outpatient Clinic in Accelerated St. Louis Suburb

    4 days ago

    Weldon Spring, United States BJC Full time

    Additional Information About the Role BJC Medical Group is seeking a Family Medicine Physician to join a brand-new clinic in Winghaven/ O'Fallon , Missouri, just 30 minutes west of St. Louis. BJC Medical Group is a physician-led organization, with a robust onboarding program, collegial environment, and outstanding retention. Community Highlights: Family...