Internal Medicine Physician at Alignment Health summary:
An Internal Medicine Physician Advisor collaborates with medical leadership and care teams to optimize use of inpatient and outpatient services while ensuring quality of care. The role conducts remote clinical reviews via a web-based portal to assess medical necessity, treatment appropriateness, and compliance. It supports utilization management and care coordination alongside case managers, social workers, and utilization managers.
The Physician Advisor works with Senior Medical Officers, Regional Medical Officers, Extensivists, the Healthcare Services Team (Case managers, Social Workers, Utilization Managers) to develop and implement methods to optimize use of Institutional and Outpatient services for all patients while also ensuring the quality of care provided. Through remote access to our web-based Portal, physician advisors will complete clinical reviews for medical necessity, treatment appropriateness and compliance.
Keywords:
Physician advisor, Internal medicine, Utilization management, Medical necessity review, Clinical review, Care coordination, Quality of care, Telemedicine review, Utilization management, Physician remote reviews
