Physician Advisor Hospital Full Time Days

Summary

The Physician Advisor (PA) has responsibility for providing medical staff leadership to the Utilization Management Committee ( UMC ) and functions of the Case Management (CM) and Health Information Management (HIM)/Clinical Documentation Improvement Departments. The PA leads and promotes processes for patients to receive medically necessary and high quality care throughout the continuum of care. The PA also assists in reducing the financial risks associated with denials that are due to providing medically unnecessary or preventable services and extended length of stays.

Additionally, the Physician Advisor provides ongoing education and in-service instruction programs for the Hospital's medical staff (including residents and fellows in academic medical centers), nursing and ancillary personnel related to coding/clinical documentation improvement, compliance, utilization management and quality issues. Further, the PA conducts and documents reviews and for cost and length of stay (LOS) outliers as referred by the non-physician reviewers. He/she conducts medical necessity reviews for cases not referred to an outsourced physician advisor company.

Qualifications

Education

Required: Doctor of Medicine Degree (M.D.) or Doctor of Osteopathic Medicine Degree (D.O.).

Preferred: Additional advanced degree in Business and/or Health Care Administration

Experience

Required: 2 years in a physician leadership role.

Preferred: Utilization Management and hospital committee chair.

Demonstrated ability to work in a collegial role with members of the medical staff and to engage in education to hospital medical staff. Prefer successfully conducted physician to physician discussions with payers.

Certifications

Required: Current State MD or DO License and an ABMS (American Board of Medical Specialties) Certification.

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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