3 physician advisor jobs found

About this Job: General Summary of Position Participates in the continuous systematic monitoring of all MedStar Family Choice participating provider processes and outcomes; directs problem focused studies; implements and maintains department objectives to ensure compliance of NCQA accreditation Federal/State regulations licensing or reviewing agency requirements; liaison for Quality Improvement Committees. The ideal candidate should be a critical thinker with practical experience in patient care public health quality improvement and the assessment of quality improvement initiatives as well as writing for diverse audiences and can independently assess which data management and statistical strategies when needed to optimally report outcomes. Background with HEDIS & Excel is strongly desired. The candidate should also have the ability to assess medical records and make determinations on clinical criteria with policies and procedures.We recruit retain and advance associates...

About the Job Physician Advisor - MedStar Multisite MedStar Health is seeking a Physician Advisor to join our team in a hybrid role supporting hospitals across the MedStar Health System. The Physician Advisor is an essential part of the team, using medical expertise to optimize resource use, reduce length of stay, and prevent clinical denials. Their work ensures patients receive appropriate, timely care. In this role, you'll: Review patient status, medical necessity, and level of care Lead clinical denial interventions, denial root cause determinations and upstream process improvement initiatives Engage in concurrent and retrospective denials management and peer to peer discussions with payers Drive length of stay improvements in close collaboration with case management and hospital stakeholders Provide education to physicians and other clinicians related to regulatory requirements, appropriate utilization of hospital services, community...

About the Job Daytime Hospitalist - MedStar St. Mary's Hospital We are offering up to $30,000 in signing and retention incentives for this role! We are seeking a full-time day hospitalist physician at MedStar St. Mary's Hospital, located in Leonardtown, Maryland. MedStar Health offers a uniquely rewarding career in a major marketplace. Shape your future in health care in the kind of setting that's right for you and your practice. Become a part of an organization that welcomes your experience, input, and leadership-as a clinician and healthcare expert. General Summary of Position Provides internal medicine care 24 hours per day 7 days per week in all areas of the hospital including but not limited to management of inpatient referrals from primary care physicians (PCP) and the Primary Care Center (PCC) Emergency Department (ED) admissions and consultations inpatient internal medicine care and inpatient medical consultation on other adult patients....