Physician Advisor Resume
Not sure how to draft an Physician Advisor resume that will sell your strengths for Physician Advisor jobs? This example should offer all you need.
16 Stiles Street
Pittsburgh, PA15220
(111)-469-9523
m.walker@emailaddress.com
Objective: Seeking employment as a Physician Advisor to fill a position within your organization.
Education:
Bachelor's Degree in Nursing, Bemidji State University, Bemidji, MN
Experience:
Physician Advisor, August 2005 - Present
Executive Health Resources, Inc., Pittsburgh, PA
Conducted peer-to-peer discussions with ordering physicians, physician assistants, and nurse practitioners.
Provided education regarding established guidelines and accepted standards of care.
Recommended options to high-tech imaging.
Documented the pre-certification review.
Participated in meetings to review physician performance.
Ensured compliance and adherence to American Imaging Management protocols, policies, and procedures.
Physician Advisor, May 2000 – July 2005
Raritan Bay Medical Center, Pittsburgh, PA
Evaluated all cases referred by the case managers in accordance with Healthcare Quality Strategies Inc. (HQSI) guidelines to determine appropriateness for acute inpatient admission, continued stay or alternate level of care.
Communicated with physician advisors at the managed care companies to discuss denials and alternate level of care decisions.
Conducted routine interdisciplinary rounds on the patient care units to discuss specific patient issues, problems and concerns with the case managers, social workers and ancillary services.
Reviewed documentation deficiencies.
Participates in family and patient conferences and on the request of case management, social work and the primary care physician.
Reviewed chart with the case management department.
Qualifications:
Huge experience in managed care environment
Good experience of working with Government sponsored programs and utilization review committees
Exceptional knowledge of managed care utilization management approaches and principles
Good understanding or utilization review and discharge planning principles
Wide knowledge of national reimbursement regulations and managed care
Strong interpersonal and clinical judgment skills
Excellent time management and analytical skills
Ability to communicate and educate providers regarding principles of utilization management and quality assurance
