PHYSICIAN ADVISOR
2 weeks ago
* The PA attends daily huddles, participates on the utilization management team.
* The PA collaborates with the hospitalist team on a regular basis for assuring safe, effective and efficient care
* The PA maintains current knowledge of federal, state and payer regulatory requirements as well as utilization and quality management.
Education
* Minimum Level of Education Required: Medical Doctorate degree
Additional requirements:
* Type of degree: MD or DO
* Area of study or major: Medicine
* Preferred educational qualifications: N/A
* Position specific testing requirement: CHCQM Phy Adv certification
Licensure/Certification/Registration
* Physician licensed to practice in the state of Ohio
* CHCQM Physician Advisor certification
* Board Certification in some specialty - current or expired
Experience
* Minimum Level of Experience Required: No prior job-related work experience
* Prior job title or occupational experience: Minimum of 5 years of experience in clinical practice
* Prior specific functional responsibilities: Prior experience in Utilization Management
* Preferred experience: Prior experience in Utilization Management
* Other experience requirements: Leadership in practice, programs and projects
Knowledge/Skills
* Utilization management
* Payer practices
* Clinical documentation
* Patient levels of care
* Continuum of Care management
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