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Physician Advisor - Utilization Management

Company

Sutter Health

Location

Sacramento, United States

Type

Full-time

We are so glad you are interested in joining Sutter Health!

**Organization:**

SHSO-Sutter Health System Office-Valley

**Position Overview:**

The Physician Advisor (PA) is a key member of the hospital's leadership team charged with meeting the organization's goals and objectives for ensuring the effective, efficient utilization of health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care progression, denial management and compliance with governmental regulations and conditions of participation and commercial insurance contracts. The PA is responsible for establishing, maintaining and strengthening the relationship with System Enterprise and the hospital to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely with the medical st...

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