Physician / Administration / Colorado / Permanent / Physician Advisor Denials Management
CommonSpirit Health
Not Specified, CO, USA
Not Specified, CO, USA
- Healthcare
- Full-time
- Physician Advisor
- Utilization Management
- Clinical Case Review
The Utilization Management Physician Advisor conducts clinical case reviews to ensure quality patient care and compliance with regulatory requirements. This remote role supports efficient utilization of healthcare services by collaborating with case management and other healthcare professionals. It requires a medical background with a focus on denial management and utilization review.
Job Summary and Responsibilities Thi s is a remote position The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other health care professionals to meet regulatory requirements and in accordance with the system's objectives for assuring quality patient care and effective and efficient utilization of health care services.




