Physician Advisor Lead

Job Details


Nuvance Health, now a part of Northwell Health, an award-winning non-profit health system, is seeking their next Physician Advisor Lead in Danbury, Connecticut!

The Position

• The Physician Advisor will provide clinical leadership and expertise in utilization management, level-of-care(LOC) determinations, and clinical documentation across the organization.
• This physician leader will oversee approximately 10+ FTEs (direct and indirect) including two direct physician reports, and will work closely with medical staff, case management, and revenue cycle teams to ensure appropriate utilization of healthcare resources while maintaining high standards of patient care and regulatory compliance. This individual will provide oversight for other physician advisors for both the centralized denial prevention unit and the local hospitals.
• This role will serve as a key clinical resource for physicians and care teams, providing guidance related to hospitalization appropriateness, level-of-care status, length-of-stay management, and continued stay reviews. The Physician Advisor will support care teams in navigating complex cases and ensuring appropriate patient placement and discharge planning.
• The Physician Advisor will play an important role in supporting the organization's denial prevention and denial management strategies. This includes conducting peer-to-peer reviews with payers, assisting with complex appeals, and providing clinical expertise to overturn denied or downgraded coverage determinations.
• This leader will work closely with utilization management and clinical documentation teams to promote best practices, ensure compliance with regulatory and accreditation standards, and improve documentation integrity across the medical staff.
• The Physician Advisor will also serve as a consultant and mentor to other Physician Advisors and attending physicians, helping to standardize workflows, policies, and approaches related to utilization review, clinical documentation, and payer interactions.
• A key priority for this role will be educating and engaging physicians throughout the organization, strengthening understanding of utilization management processes, regulatory requirements, and documentation expectations.
• The ideal candidate is a collaborative and respected physician leader who can build strong relationships across departments, communicate effectively with both clinical and administrative teams, and support high-quality, efficient patient care.

Requirements

• MD/DO is required.
• Completion of specialty residency (e.g. Internal Medicine)
• Board Certified/Eligible Physician licensed in the applicable states
• American College of Physician Advisors (ACPA) certification preferred
• Minimum of three years of physician advisor experience preferred
• Minimum of five years of Hospitalist and/or Internal Medicine experience is strongly preferred.
• Strong clinical acumen, knowledge of care management/utilization review, third payor guidelines, medical necessity criteria, denials management, clinical documentation requirements
• This position requires relocation to the local area and onsite presence.

Compensation Details

• The base salary range for this position is $280,000 to $300,000 annually. In addition, a leader may be eligible for other benefits, including but not limited to health insurance coverage, retirement benefits, and bonuses. The total compensation for the finalist selected for this role will be determined based on various factors, including but not limited to scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The base salary range listed above is a good faith determination of potential base compensation at the time of this job advertisement and may be modified in the future.

The Organization

• Nuvance Health, (Nuvance), now part of Northwell Health, an innovative, award-winning, non-profit health system, was formed in April 2019 through the merger of two leading health systems, Health Quest and Western Connecticut Health Network. "Nuvance", derived from a combination of the words "new" and "advance," reflects a mission to "continually progress and pursue impossible to enhance the health and well-bring of every person in the communities served."
• The newly created health system was developed to provide communities across New York's Hudson Valley and western Connecticut with more convenient, accessible, and affordable care. Nuvance Health is governed by a 17-member Board of Trustees. With seven hospitals, more than 2,600 aligned physicians, and 11,000 employees, Nuvance Health serves more than 1.5 million residents across western Connecticut and the Hudson River Valley.
• This region benefits from a strong economic base and a stable to growing population. The system's flagship hospitals, Danbury Hospital and Vassar Brothers Medical Center, each benefit from geographic positioning with minimal significant hospital-based service competition, while Norwalk Hospital operates within a highly competitive Fairfield County market. For FY 2021, Nuvance Health generated a breakeven operating margin on revenues of approximately $2.5M, and the system's balance sheet is solid. Leadership is focused on the continuing advancement of system integration to realize benefits of synergy and scale.

The Community

• Danbury, located in Fairfield County, Connecticut, is a vibrant city known for it's history, thriving economy, and proximity to both natural beauty and urban amenities.
• Danbury offers variety of attractions including the Danbury Railway Museum, Tarrywile Park & Mansion, Danbury Fair Mall, and the Danbury Ice Museum.
• Served by a well-regarded public school system, Danbury offers a multitude of educational opportunities including Danbury Public Schools, Western Connecticut State University, and Sacred Heart University. In addition, Danbury is also home to multiple private and charter schools including St. Gregory the Great School.
• Danbury offers a wide variety of family activities including Danbury Library, Danbury Farmer's Market, The Danbury Music Centre, and many annual cultural, music, and food festivals.

Please direct all inquiries, applications, and referrals to:

?Christine Young

Executive Recruiter

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About Company

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.