Supports Utilization Management (UM) and Care Management (CM) by serving as a liaison between these teams, medical staff, and payors
Job Summary
Supports Utilization Management (UM) and Care Management (CM) by serving as a liaison between these teams, medical staff, and payors.
Educates and advises UM, CM, Managed Care, Revenue Cycle, and medical staff while helping improve clinical documentation, patient safety, and quality outcomes.
AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.
Matching Summary
Supports Utilization Management (UM) and Care Management (CM) by serving as a liaison between these teams, medical staff, and payors.
Skills & Requirements
Must-have
Clinical support and validation
Liaison between teams and payors
Educate medical staff on best practices
Improve clinical documentation and outcomes
Secondary inpatient review escalations
Nice-to-have
Build and sustain relationships
Translate ethical and legal requirements
Whole person well-being resources
Extend the Healing Ministry of Christ
Key Requirements
Doctorate [Required]
Graduate of accredited Medical School [Required]
Medical Doctor (MD) [Required]
5+ years of experience in hospital medicine
Strong organization skills
Excellent analytical and problem-solving skills
Effective oral and written communication skills
Understanding of Microsoft Office Products
Ability to work in a matrix-management environment
Demonstrated ability to provide expert medical advice