Physician Advisor, Care Progression
$118,320–$189,322 year
On-site · Modesto, California, United States
Job Summary
Part-time Physician Advisor leading utilization management efforts focused on ensuring appropriate level of care, regulatory compliance, and accurate documentation and coding. Serves as a liaison between UM/CM staff, medical staff, and payers to optimize hospital services, with DRG assignment and healthcare reimbursement knowledge. Requires MD or DO with an unrestricted license and 3+ years of relevant experience; role involves collaboration across physicians, nurses, and administrative teams in a 20-hour-per-week schedule in Modesto.
Required Qualifications
- Doctor of Medicine (MD) or Doctor of Osteopathy (DO) with unrestricted medical license in state of residence
- Minimum 3 years of relevant experience
- Strong interpersonal communication and negotiation skills
- Knowledge of Utilization Review, levels of care, and regulatory compliance
- Experience with coding and DRG assignment preferred
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