A Board-certified Family Physician with extensive experience in all aspects of Utilization Management, Dr. Alvin Gore has been performing the duties of a Physician Advisor since 2008. Having completed his training in Family Medicine at the Memorial Center in Johnstown, Pennsylvania, he has remained involved in medical education for a number of years as an Assistant Medical Director of Family Medicine Residency Program.
He has been active in training Family Medicine residents and medical students, and has held academic appointments with a number of medical schools.
Dr. Gore had significant experience with both inpatient and outpatient patient management, with a particular interest in Utilization Management aspects of hospital practices. Dr. Gore has added Physician Advisors' responsibilities to his academic position at the hospital, gradually expanding his range of duties. He has become a successful liaison between the CM Department and the medical staff.
Dr. Gore subsequently accepted a full-time position as Director of Utilization Management at St. Joseph's Health in California, where he is currently responsible for the UM performance at two hospital segments of the Health System's Northern California region. He is responsible for all aspects of the Physician Advisor role including: 2nd level reviews, denial management/ALJ hearings, clinical documentation improvement projects, physician education and outreach, various LOS and cost of care reduction projects, as well as development of the local integrated delivery system.