Physician Advisor - Jefferson Health

Jefferson Health

Philadelphia, Pennsylvania, United States
Peer to peer reviews
Backend appeals
Discharge planning consultation
Provides consultation on the level of care, utilization of resources, discharge issues and options, timeliness and appropriateness of care, payment denials, and other issues

Job Summary

  • Provides consultation on the level of care, utilization of resources, discharge issues and options, timeliness and appropriateness of care, payment denials, and other issues.
  • Reviews clinical information on patients to determine the appropriate status and performs Peer to Peer (P2P) reviews to attempt to overturn denials from Payors.
  • Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Matching Summary

Provides consultation on the level of care, utilization of resources, discharge issues and options, timeliness and appropriateness of care, payment denials, and other issues.

Skills & Requirements

Must-have

  • Peer to Peer reviews
  • Backend appeals
  • Discharge planning consultation
  • Level of care determination

Nice-to-have

  • Values differences
  • Customer focus
  • Manages conflicts
  • Instills trust
  • Action orientation
  • Communicates effectively
  • Collaborates
  • Interpersonal savvy
  • Ensures accountability
  • Self-development
  • Optimizes work processes
  • Cultivates innovation
  • Tech savvy
  • Demonstrates self-awareness
  • Nimble learning
  • Being resilient

Key Requirements

  • Medical Degree (MD/DO or equivalent)
  • Five (5) years delivering direct patient care
  • PA Medical License Upon Hire

Work Rights

Not specified

Tailored Resume

Cover Letter