Physician Advisor Care Coordination

Dignity Health Rancho Cordova , CA 95741

Posted 3 months ago


Dignity Health, one of the nation's largest health care systems, is a 22-state network of more than 9,000 physicians, 63,000 employees, and 400 care centers, including hospitals, urgent and occupational care, imaging and surgery centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved. In FY17, Dignity Health provided $2.6 billion in charitable care and community services. For more information, please visit our website at You can also follow us on Twitter and Facebook.


Position Summary:

The incumbent will be facilitating communication between the Department of Care Coordination, Medical Staff and Administration regarding systems based practice, regulatory and quality considerations in the delivery of medical care .The incumbent advocates for, supports, and enhances the clinical credibility of the Department of Care Coordination's utilization and compliance activities. The incumbent is responsible for the timely prospective, concurrent, peer to peer or retrospective review of resource use in referred cases, with the objective of reducing length of stay, avoidable days, or claim denials .This position also serves as a clinical resource for Care Coordinators by determining the appropriateness of the referrals, applying professional judgment in the context of patient related variables, and consulting with attending physicians, residents and other health professionals as needed in order to clarify issues regarding appropriateness of level of care, care alternatives, and resource utilization. In addition, the incumbent provides education and acts as a resource to medical staff colleagues regarding best practices, the utilization review process, regulatory issues, and the use of clinical guidelines and alternative levels of care. This position chairs and directs the activities of the hospital's Utilization Management Committee.

The incumbent reviews and reports performance measures and makes recommendations to Departments and the Medical Executive Committee regarding opportunities for improvement of patient care, resource utilization and reduction of denials for care provided. The incumbent participates in clinical process redesign and implementation (clinical pathway/algorithm development/standing order sets, clinical program development) .The incumbent performs the duties of this role according to the organizational objectives, hospital policies, standards of practice and Federal and State regulations.

The Physician Advisor plays a critical role in promoting the highest standards of medical care while maintaining the most effective utilization of hospital resources.


Minimum Qualifications:

  • Current California MD license required

  • Five (5) years of clinical practice experience required

  • Strong clinical judgment and technical abilities required

  • Strong collaboration skills with other physicians required

  • Excellent interpersonal and communication skills required

  • Knowledgeable in basic principles of utilization management and quality assessment required

  • Availability and willingness to become an active member of the medical staff and join or lead various medical committees required

Preferred Qualifications:

  • Excellent communication skills and clinical knowledge preferred

  • Ability to interact with multiple other physicians in a collaborative and positive way in order to improve the quality of patient care preferred

  • Highly organized and ability to interact with multidisciplinary groups for the benefits of the patients preferred

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Care Coordination Program Manager

Dignity Health

Posted 2 months ago

VIEW JOBS 11/11/2018 12:00:00 AM 2019-02-09T00:00 Overview Mission: Dignity Health and Sponsoring congregations are committed to furthering the healing ministry of Jesus. Resources are dedicated to: delivering compassionate, high-quality, affordable health services; serving and advocating for our sisters and brothers who are poor and disenfranchised; and collaborating with others in the community to improve the quality of life. Responsibilities Under the direction of the Director of Operations, the Program Manager provides confidential administrative, secretarial and project management assistance for Care Coordination Enterprise. The incumbent in this position represents Care Coordination Enterprise and assumes a team leadership role when necessary. This position will assist the Director of Operations for Care Coordination Enterprise, Sr. Director Acute Care, and Sr. Director Post-Acute Care for administrative and project needs. The Program Manager will work closely with Care Coordination Enterprise leadership on projects to prepare comprehensive action plans, coordinating tasks, schedules, along with administrative duties. The primary responsibilities will include preparing reports and presentations, meeting minutes, managing invoices, coordinating projects, calendars, and meetings. This role needs to be extremely efficient, organized, resourceful, and flexible. Strong interpersonal skills, decision making skills, verbal and written communication skills, and attention to detail are important skills to possess in this role. Accountabilities: * Demonstrates the ability to complete required written and/or computer assignments/projects within the identified time frames. * Composes and drafts written correspondence, reports, special projects and technical materials for department staff. * Records and transcribes minutes and memoranda from verbal discussion. * Assists with long term projects by monitoring and tracking action steps and updating plans. * Edits, proof reads and distributes materials for department staff. * Receives, screens and handles telephone calls and mail; responds to contacts and inquiries as appropriate. * Refers correspondence/telephone calls to other members of management as appropriate. Points out issues requiring action. * Schedules and maintains calendar as required. * Coordinate meetings, events, activities, retreats, etc. Arrange for meeting location and any necessary equipment and food needs * Ensures agendas and supporting materials are collected and distributed prior to the meetings. * Prepares presentation materials; confirms attendance; reserves meeting rooms and meals; schedules and assigns employee/guest presentations; and completes meeting minutes in a timely manner. * Accountability includes preparation and distribution of agenda packets, minutes and all backup materials to each meeting participant. * Committees meet at different locations within Dignity Health, requiring this position to travel. * Complete expenses through Concur accurately in a timely manner that follows the Travel and Expense policy. * Maintains subject and confidential department files. * Performs other duties that may be assigned, or necessary to ensure all work and arrangements are complete, accurate, and in compliance with procedures. Reporting Relationship: Reports directly to Director Operations, Care Coordination Specifications: Experience * This position requires six years of increasingly responsible program management. * Minimum of 4 years' experience in a program management, support, or project coordinator role. Comprehensive knowledge of healthcare and/or care coordination preferred. Qualifications Reporting Relationship: Reports directly to Director Operations, Care Coordination Specifications: Experience * This position requires six years of increasingly responsible program management. * Minimum of 4 years' experience in a program management, support, or project coordinator role. * Comprehensive knowledge of healthcare and/or care coordination preferred. Education * Associate Bachelors' degree required or working toward completion and completed within two years. Special Knowledge, Skills * Advanced Microsoft Office skills (Outlook, Word, Excel, PowerPoint, Visio), with the ability to become familiar with other programs and software. * 60wpm accurate typing. * Proficiency and effective collaboration and communication skills and exceptional interpersonal skills. * Strong organizational, project management and problem-solving skills with impeccable multi-tasking abilities. * Proficiency in file management, transcription, and other administrative procedures. * Knowledge of medical terminology Ability to: * Maintain excellent skills in the area of interpersonal relations. Must be able to develop and maintain cooperative working relationships. Must maintain daily contact with a variety of audiences requiring a positive and courteous attitude * Function independently and effectively with minimal supervision, demonstrating initiative, responsibility and good judgment. * Independently manage, organize, set priorities and execute workload efficiently in a timely fashion in a highly stressful environment with multiple demands, changing priorities and frequent interruptions. * Remain calm and effective under stress. * Anticipate problems and act proactively and independently by using the team concept. * Transcribe dictation and compose letters and memos. * Prepare professional quality visual aids for oral presentations. * Effectively manages and coordinates a variety of projects, many of which are sensitive/confidential within established time frames. * Maintain calendars for appointments and meetings. * Interact with a variety of people in a calming, courteous, tactful, and diplomatic manner displaying and demonstrating a positive, caring attitude, exemplifying the values of Dignity Health. * Maintain professional appearance and behavior while creating a cordial, hospitable atmosphere. * Demonstrate proper telephone etiquette. * Maintain accurate records, prioritize work and follow through independently on projects with frequent interruptions. * Handle requests, which require detailed knowledge of department policies and procedures. * Give attention to detail and excellence within all areas of responsibility. * Demonstrate excellent listening skills. * Consistently exhibits a polished and professional image. Travel * Minimal Travel (approx.. 25% of time) Dignity Health Rancho Cordova CA

Physician Advisor Care Coordination

Dignity Health