MedStar Health
Physician Advisor - MedStar Washington Hospital Center and MedStar Georgetown Un
MedStar Health, Washington, District of Columbia, us, 20022
Overview
Physician Advisor – MedStar Washington Hospital Center and MedStar Georgetown University Hospital in Washington, DC. This hybrid role supports both facilities. The Physician Advisor uses medical expertise to optimize resource use, reduce length of stay, and prevent clinical denials, ensuring patients receive appropriate, timely care. Responsibilities
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 resources, and alternative level of care Participate in Interdisciplinary Rounds (IDR) with the healthcare team as indicated Ensure regulatory compliance of Utilization Management and Discharge planning processes What you can expect at MedStar Health
A competitive salary Medical, dental, and vision insurance Paid malpractice insurance Paid Time Off Retirement plan Education/Training
Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) – Board Certification required (Internal Medicine or Emergency Medicine preferred) Preferred: Additional certification in healthcare administration, business, or physician advisory Experience
Minimum 5 years of direct clinical practice required; hospital-based experience preferred Previous experience as physician advisor preferred Strong knowledge of case management, utilization review, regulatory standards, denials management, observation medicine, and length of stay Familiarity with MCG and InterQual clinical criteria Licensure/Certification
Current medical license in the practicing state Board Certified Preferred: ACPA-C or ABQUARP certification in Physician Advisory (or willingness to obtain within 1 year of hire) To learn more or apply, please contact Samantha Waddell at Samantha.H.Seo@MedStar.Net. This position has a hiring range of $250,000 - $350,000.
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Physician Advisor – MedStar Washington Hospital Center and MedStar Georgetown University Hospital in Washington, DC. This hybrid role supports both facilities. The Physician Advisor uses medical expertise to optimize resource use, reduce length of stay, and prevent clinical denials, ensuring patients receive appropriate, timely care. Responsibilities
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 resources, and alternative level of care Participate in Interdisciplinary Rounds (IDR) with the healthcare team as indicated Ensure regulatory compliance of Utilization Management and Discharge planning processes What you can expect at MedStar Health
A competitive salary Medical, dental, and vision insurance Paid malpractice insurance Paid Time Off Retirement plan Education/Training
Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) – Board Certification required (Internal Medicine or Emergency Medicine preferred) Preferred: Additional certification in healthcare administration, business, or physician advisory Experience
Minimum 5 years of direct clinical practice required; hospital-based experience preferred Previous experience as physician advisor preferred Strong knowledge of case management, utilization review, regulatory standards, denials management, observation medicine, and length of stay Familiarity with MCG and InterQual clinical criteria Licensure/Certification
Current medical license in the practicing state Board Certified Preferred: ACPA-C or ABQUARP certification in Physician Advisory (or willingness to obtain within 1 year of hire) To learn more or apply, please contact Samantha Waddell at Samantha.H.Seo@MedStar.Net. This position has a hiring range of $250,000 - $350,000.
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