Physician Advisor - Erie, Pa

Job description

Company: Allegheny Health Network Job Description: The Allegheny Health Network (AHN) is recruiting a full-time Physician Advisor to join our team located in Erie, PA. General Overview: This job assures the most cost-effective, appropriate use of health care services for patients treated at Allegheny Health Network while correlating patient clinical information with both government and commercial payer utilized regulations and criteria regarding severity of illness, intensity of service, and the appropriateness of the setting for the administration of that care. The Physician Advisor is responsible for level of care reviews and peer-to-peer discussions with payers if denials do arise. The role requires significant collaboration with the hospital’s interdisciplinary care team including Physicians, Case Managers, UM nurses, and the hospital leadership team. The Physician Advisor is an integral part of the Utilization Management Committee and participates in hospital and enterprise-level quality and throughput initiatives. This position reports to the Chief Quality Officer and Medical Director of Physician Advisors. Duties: Qualifications: Minimum: Preferred: - Position requires onsit...