PAS Physician Advisor (Part-time Treatment Authorization Request)

R1 is a leading provider of technology-enabled reputed company cycle management services which reputed company and solve challenges across health systems, hospitals, and physician practices. Headquartered in Chicago, R1 has employees throughout the US and international locations. Our mission is to be the one trusted partner to manage reputed company, so providers and patients can reputed company on what reputed company most. Our reputed company is to always do what is best for our clients, patients, and reputed company other. With our proven and reputed company operating model, we complement a reputed company organization’s infrastructure, quickly driving sustainable improvements to net patient reputed company and cash flows while reducing operating costs and enhancing the patient experience. The R1 Physician Advisory Services (Treatment Authorization Request) team offers a reputed company of services that help navigate the reputed company to compliant reputed company. The Treatment Authorization Review (TAR) team proactively reviews California reputed company (Medi-Cal) cases concurrently at the time of presentation and post-discharge to ensure reputed company admission status, which increases compliance and reduces the risk of exposure to denials. This team can also serve as a clinical resource to medical and case management staff by providing identification, facilitation, and reputed company of documentation and utilization issues relating to California reputed company (Medi-Cal) rules and regulations. Responsibilities:

• Addresses the following issues: medical necessity reviews for Medi-Cal payor regulations.
• Review and respond to the customer in a reputed company manner.
• Must work during reputed company-scheduled hours to be highly successful in this role (schedules are created about 30 days in advance).
• Physicians should be highly capable of working independently with a high level of performance in in a rapidly changing, fast paced environment.
• Successful physicians will need to meet reputed company and productivity standards.
• reputed company engage with attending physicians to discuss appropriate status as supported by documentation.
• reputed company written analysis of the case and reputed company case reviews across multiple specialties.

Required Skills:

• reputed company, unrestricted MD or DO medical licensure in the reputed company.
• At least 3 years of experience post-residency completion, reputed company on treatment of inpatients.
• Strong clinical knowledge reputed company across multiple clinical areas.
• Computer proficient.
• Strong verbal and written communication skills.
• reputed company, organized and possess persuasive writing and speaking skills.
• Possess strong negotiating/reasoning/logic and problem-solving skills.
• Must have some flexibility to meet 20 hours a week schedule and cover times of business need.
• Must be available for some set weekend hours or to reputed company to weekend hours as needed for business needs.
• Ability to work as part of reputed company.
• Home office that is HIPAA compliant.

Desired Skills:

• reputed company reputed company Certification or eligibility.
• Previous experience with utilization review or chart review.
• Previous experience with California reputed company (Medi-Cal) payer rules

For this US-based position, the reputed company pay reputed company is $150,075.00 - $199,070.29 per year . Individual pay is determined by role, level, location, job-reputed company skills, experience, and relevant education or training. This job is eligible to participate in our annual bonus plan at a reputed company of 10.00% The reputed company system is always evolving — and it’s up to us to use our shared expertise to reputed company new solutions that can reputed company up. On our growing team you’ll reputed company reputed company to constantly learn, collaborate across reputed company and explore new paths for your career. Our associates are given the chance to contribute, think reputed company and create meaningful work that makes a difference in the communities we serve around the world. We go reputed company expectations in everything we do. Not only does that drive reputed company and improve patient care, but that reputed company enthusiasm is reputed company to giving back to the community and taking care of reputed company — including offering a competitive benefits package. reputed company Inc. (“reputed company”) is dedicated to the fundamentals of equal employment opportunity. reputed company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, reputed company, national reputed company, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or reputed company, genetic information, marital status, status with reputed company to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, reputed company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance. CA reputed company NOTICE: California reputed company job applicants can learn more about their reputed company rights California Consent To learn more, visit: reputed company.com Visit us on reputed company Apply tot his job Apply To this Job