The Physician Advisor manages clinical escalations, denials, and post-acute referrals while providing real-time support to physicians. They are responsible for reviewing admission appropriateness using MCG criteria and ensuring compliance with utilization management trends.
The Physician Advisor manages escalations related to status designations, denials, and post-acute referrals while providing real-time support to physicians. They also review admission appropriateness using MCG criteria and defend national appeals as required.
Physicians will practice approximately 60% general radiology and 40% subspecialty radiology, utilizing state-of-the-art imaging equipment to diagnose and treat diseases effectively for Kaiser Permanente patients. Responsibilities include communicating critical findings swiftly and efficiently to ordering physicians and participating in peer learning and educational CME conferences.
