Physician Advisor

Hartford HealthCare – Integrated Care Partners (ICP) is seeking a dedicated Per Diem Physician Advisor to join their Clinical Resource Management team. In this role, you will partner closely with nurses, attending physicians, and hospital leadership to provide expert physician leadership in utilization management, level-of-care determinations, and regulatory compliance. This is an opportunity to help ensure patients receive the right care at the right time while maintaining the highest standards of clinical excellence. Join Connecticut's most comprehensive integrated health system and help shape the delivery of high-quality, patient-centered care. Practice Info Integrated Care Partners (ICP) is Hartford HealthCare's physician-led clinically integrated network Member of the Clinical Resource Management team Responsibilities Perform second-level physician reviews for level-of-care determinations and appropriate utilization of healthcare resources Respond promptly to requests from Clinical Resource Management nurses for physician review Collaborate with attending physicians to resolve level-of-care questions and address opportunities for appropriate resource utilization Conduct peer-to-peer discussions with insurance payers and provide support for appeals and denial management Maintain current knowledge of regulatory requirements, utilization management standards, and payer guidelines Educate physician colleagues on utilization management best practices and evolving regulatory trends Meet established Physician Advisor coverage requirements for assigned per diem shifts Participate in quality improvement initiatives and perform other duties as assigned Shift & Schedule Per Diem Days/time vary, including weekends and holidays Qualifications Doctor of Medicine or Doctor of Osteopathic Medicine Three to five years of acute experience Five years of relevant experience, acute care or managed care is preferred Valid State of CT Physician License Able to influence, negotiate and educate Ability to understand and interpret patient data, finance and utilization reports Understanding of government and payer coverage criteria and regulatory requirements