Family Practice - Geriatrics Physician at Alignment Health summary:
Physician advisor (geriatric-focused) collaborates with medical officers and healthcare services staff to optimize use of institutional and outpatient services while ensuring quality of care. The role performs remote clinical reviews via a web-based portal to assess medical necessity, treatment appropriateness, and compliance. Responsibilities include consultation with case managers, social workers, and utilization managers to implement care-management strategies for older adults.
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:
geriatric physician advisor, clinical utilization review, medical necessity review, care coordination, remote clinical reviewer, case management collaboration, treatment appropriateness, healthcare compliance, outpatient services optimization
