Physician Advisor

Position Purpose/Summary Purpose: Provides physician leadership and expertise related to care coordination, length of stay (LOS)/Ievel of care (LOC) management, care variation management, patient flow/throughput management, ancillary service utilization (e.g., lab and radiology) and clinical documentation improvement (COl) Policy-Setting Responsibilities: Responsible for reviewing and providing physician perspective for policies that relate to care coordination, care progression, patient access, care variation management and COl Decision-Making Authority: Responsible for collaborating with the care coordination, nursing, patient access, ancillary services and COl departments to meet established goals and for leading physician participation and compliance with responsibilities Supervisory Responsibility: Responsible for engaging physicians in care coordination, care progression, patient access, care variation management and COl activities Applicant Skills/Background 1. Minimum Educational Training Required: Graduate of an accredited medical school Completion of specialty residency (e.g., Internal Medicine, Emergency Medicine) 2. Experience: Five years recent experience in clinical practice in a hospital strongly preferred Two years administrative background as physician manager preferred Previous experience as a physician advisor preferred Experience leading large-scale change efforts preferred Experience in academic medicine, if applicable 3. License, Registration or Certification Required : Board Certified/Eligible Physician licensed in the applicable states Certification by American Board of Quality Assurance Utilization Review Physicians (ABQAURP) preferred 4. Knowledge, Skills and Abilities: Strong clinical acumen Knowledge of case management principles, processes, and their practical application preferred Working knowledge of third-party payor guidelines/medical necessity criteria (e.g. , knowledge of admission criteria for all levels of care) Experience with denials management Knowledge of clinical, quality, and administrative facets of the healthcare industry Familiarity with clinical documentation requirements Working knowledge of Centers for Medicare and Medicaid Services rules and regulations, and interest in building this knowledge through experience and partnership with Case Management Excellent communication and presentation skills (both written and oral) Teaching and coaching skills Analytical ability and problem-solving skills Working knowledge of electronic medical record Knowledge of process improvement methodology #

Position Purpose/Summary

* Purpose: Provides physician leadership and expertise related to care coordination, length of stay (LOS)/Ievel of care (LOC) management, care variation management, patient flow/throughput management, ancillary service utilization (e.g., lab and radiology) and clinical documentation improvement (COl)
* Policy-Setting Responsibilities: Responsible for reviewing and providing physician perspective for policies that relate to care coordination, care progression, patient access, care variation management and COl
* Decision-Making Authority: Responsible for collaborating with the care coordination, nursing, patient access, ancillary services and COl departments to meet established goals and for leading physician participation and compliance with responsibilities
* Supervisory Responsibility: Responsible for engaging physicians in care coordination, care progression, patient access, care variation management and COl activities

Applicant Skills/Background

1. Minimum Educational Training Required:

* Graduate of an accredited medical school
* Completion of specialty residency (e.g., Internal Medicine, Emergency Medicine)

2. Experience:

* Five years recent experience in clinical practice in a hospital strongly preferred
* Two years administrative background as physician manager preferred
* Previous experience as a physician advisor preferred
* Experience leading large-scale change efforts preferred
* Experience in academic medicine, if applicable

3. License, Registration or Certification Required :

* Board Certified/Eligible Physician licensed in the applicable states
* Certification by American Board of Quality Assurance
* Utilization Review Physicians (ABQAURP) preferred

4. Knowledge, Skills and Abilities:

* Strong clinical acumen
* Knowledge of case management principles, processes, and their practical application preferred
* Working knowledge of third-party payor guidelines/medical necessity criteria (e.g. , knowledge of admission criteria for all levels of care)
* Experience with denials management
* Knowledge of clinical, quality, and administrative facets of the healthcare industry
* Familiarity with clinical documentation requirements
* Working knowledge of Centers for Medicare and Medicaid Services rules and regulations, and interest in building this knowledge through experience and partnership with Case Management
* Excellent communication and presentation skills (both written and oral)
* Teaching and coaching skills
* Analytical ability and problem-solving skills
* Working knowledge of electronic medical record
* Knowledge of process improvement methodology