On-site Physician Advisor Position in Suffolk, Virginia
4 weeks ago
City/State Norfolk, VA Overview Work Shift First (Days) (United States of America) Job Summary The Physician Advisor conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Sentara hospital facilities. The Physician Advisor serves an important role in ensuring compliant hospital status/billing for hospital patients and strengthening relationships between Clinical Revenue Cycle, UR, hospital leadership, medical staff, and hospital ICM. The Physician Advisor interfaces directly with the medical staff, providing concurrent communication and education to attending physicians (and their APCs) regarding recommended changes in hospital status, pertinent regulatory requirements and guidance impacting the determination, as well as documentation integrity to support medical necessity of services being delivered. As this role's duties include significant interpersonal and relational aspects in addition to regulatory training and licensing requirements, an active and unrestricted Virginia medical license and board-certified status at the time of hire are required, as well as superb interpersonal and communication skills. Due to the collaborative and highly relational nature of this role, on-site (in person) presence is integral. Coverage at additional sites may be required, including occasional in-person responsibilities. The position reports to the Director of Regional Physician Advisors to Clinical Revenue Cycle. * Perform timely and compliant medical necessity reviews, providing clear documentation of the pertinent details of the case to satisfy regulatory requirements and directly communicating any necessary * Facilitate denials management through review of selected cases, conducting peer to peer discussion with third party payers as appropriate, and assisting with appeals letters * Work closely with hospital leadership, medical staff, and hospital ICM leaders to support system CPIs and initiatives * Attend and participate in Hospital UM committees at designated sites * Complete training and continuing education as deemed necessary * Attend and participate in educational presentations to medical staff, administration, leadership and peers * Additional functions as deemed appropriate and warranted Minimum Requirements: * Completion of Medical doctorate or Doctor of Osteopathy degree from an accredited medical school * Completion of an accredited residency training program * Minimum of 3 years of clinical experience, hospital clinical experience strongly preferred * Active and unrestricted state Virginia medical license * Board certification in specialty required at time of hire * Possess or acquire a working knowledge of CMS regulatory guidance and requirements as they pertain to UR and site of service decisions * Possess a working knowledge of clinical documentation integrity, hospital billing and coding processes and guidelines, case mix index, and DRG assignments * Familiarity with standard published leveling criteria such as MCG/Interqual and ability to apply professional judgment and patient specific variables as may be necessary or justifiable * Familiarity with (Hospital) organization and case management operations * Excellent customer service and interpersonal skills. * Able to effectively present information, both formal and informal * Superb written and verbal communications skills * Ability to set and manage priorities * Demonstrate flexibility, teamwork, and a collaborative leadership style * Strong technical/computer skills and working knowledge of the system's EMR Qualifications: MD - Doctor of Medicine: Doctor Of Osteopathic Medicine (Required), MD - Doctor of Medicine (Required) Doctor of Osteopathic Medicine (DO) - Certification - North Carolina, Doctor of Osteopathic Medicine (DO) - Certification - Other/National, Doctor of Osteopathic Medicine (DO) - Certification - Virginia, Medical Doctor (MD) - Certification - North Carolina, Medical Doctor (MD) - Certification - Other/National, Medical Doctor (MD) - Certification - Virginia Clinical Skills Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application. In support of our mission "to improve health every day," this is a tobacco-free environment.
-
Norfolk, Virginia, United States LocumJobsOnline Full timeAbout the PositionWe are working with CompHealth to find a qualified Hospitalist MD in Suffolk, Virginia.Key HighlightsStable and secure employed position with a top hospital system in the region7-on/7-off day block schedule from 7 am - 7 pm; nocturnists cover nightsHospitalist team has 4 - 5 rounders, an admitter, and APC support during the shiftsOpen ICU,...
-
Norfolk, United States Sentara Medical Group Full timeSentara Medical Group is seeking a full-time **Acute Care NP/PA** to join the **Hospital Medicine Team** at **Sentara Norfolk General Hospital**, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern...
-
Norfolk, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Family Practice MD in Virginia, Virginia, 23450!About The PositionBeaches of Virginia Seeking Family Medicine PhysicianA regionally well-known, privately-owned, independent family practice deeply rooted in southeastern Virginia has moved into a beautiful new 10,000 square...
-
Norfolk, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Family Practice MD in Virginia, Virginia, 23450!About The PositionBeaches of Virginia Seeking Family Medicine PhysicianA regionally well-known, privately-owned, independent family practice deeply rooted in southeastern Virginia has moved into a beautiful new 10,000 square...
-
Norfolk, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Internal Medicine MD in Virginia, Virginia, 23450!About The PositionVirginia Chief Medical Officer Opportunity An exciting opportunity awaits in northern Virginia for an Internal Medicine physician to join staff in an administrative and clinical role serving as the Chief Medical...
-
Norfolk, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Internal Medicine MD in Virginia, Virginia, 23450!About The PositionVirginia Chief Medical Officer Opportunity An exciting opportunity awaits in northern Virginia for an Internal Medicine physician to join staff in an administrative and clinical role serving as the Chief Medical...
-
Locum Physician
4 days ago
Norfolk, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Neurology MD in Virginia, Virginia, 23450!About The Position Locums Hospitalist-Neuro Needed in Virginia We have a client searching for a provider available for locum tenens while they search for a permanent candidate. Details of the assignment are as follows: Schedule: 8 hour...
-
Locum Physician
1 week ago
Norfolk, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Hospitalist MD in Virginia, Virginia, 23450!About The Position Locums Hospitalist-Neuro Needed in Virginia We have a client searching for a provider available for locum tenens while they search for a permanent candidate. Details of the assignment are as follows: Schedule: 8 hour...
-
NP/PA Hospitalist opening in Virginia
2 days ago
Norfolk, United States Archway Physician Recruitment Full timeNP/PA Hospitalist opening in Virginia - Located in Norfolk, VA - Full-time, permanent position - Employed - 100% Nights - Schedule 7p-7a - Primary focus: floor calls and low acuity admissions - Physician on call 24-7 - 10K Commencement Bonus and 5K Retention Bonus following years 2 and 3 - Benefit Highlights - Comprehensive Benefits...
-
Travel Physical Therapist
1 month ago
Norfolk, United States AlliedTravelCareers Full timeAlliedTravelCareers is working with CompHealth to find a qualified Physical Therapist (PT) in Suffolk, Virginia, 23432!Pay Information$1,820 to $3,413 per weekAbout The PositionSuffolk, VA for 13 week outpatient coverage. Candidates must have outpatient experience to be considered. The exact schedule is TBD, however 36 hours/week are guaranteed. Inquire to...
-
Norfolk, Virginia, United States Sentara Health Full timeOverview:Become a vital part of a prestigious heart center located in a picturesque coastal region of Virginia as a full-time Electrophysiologist. This position offers a unique chance to integrate into a well-established and progressive cardiology team as cardiovascular services expand.Position Details:Collaborate with a supportive team of 9...
-
Norfolk, Virginia, United States Sentara Medical Group Full timeSentara Medical Group is seeking a full-time Acute Care NP/PA to join the Hospital Medicine Team at Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia...
-
Full Time Med-Peds Physician
3 months ago
Norfolk, Virginia, United States Enterprise Medical Recruiting Full timeThis primary care group that was founded in 1991 is adding Med/Ped physicians to its team of 120 primary care physicians. This opportunity is located in Norfolk, Virginia.Practice6 locations growing to 7 in Suffolk, Norfolk, Chesapeake, and Virginia BeachAdding 2 full-time physicians12-hour shiftsUsually working 7 shifts every 2 weeksLeading compensation...
-
Full Time Internal Medicine Physician
1 month ago
Norfolk, Virginia, United States Enterprise Medical Recruiting Full timeThis primary care group that was founded in 1991 is adding Internal Medicine physicians to its team of 120 primary care physicians. This opportunity is located in Norfolk, Virginia.Practice6 locations growing to 7 in Suffolk, Norfolk, Chesapeake, and Virginia BeachAdding 2 full-time physicians12-hour shiftsUsually working 7 shifts every 2 weeksLeading...
-
Norfolk, United States Moonlighting Solutions, LLC Full timeWe are seeking cardiologists for overnight and weekend coverage for a large healthcare system in beautiful coastal Virginia with flexible, self-schedule, no procedures and no on-site requirement. Advanced cardiology fellows are welcome to apply.Feel free to reply to this email or schedule a time to speak with a member of the MLS team for more...
-
Locum Physician
7 days ago
Norfolk, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Otolaryngology MD in Virginia, Virginia, 23450!About The PositionLocums Otolaryngologist Needed in Virginia We have a client searching for a provider available for locum tenens while they search for a permanent candidate. Details of the assignment are as follows: - Start/End...
-
Norfolk, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Family Practice MD in Virginia, Virginia, 23450!About The PositionFamily Medicine Outpatient position in a lake community in VIRGINIA!An exciting opportunity awaits a Family Medicine physician in a small, family friendly lake community in southern Virginia! Join an experienced team...
-
Electrophysiology Position in Coastal Virginia
2 weeks ago
Norfolk, Virginia, United States Sentara Health Full timePosition Overview:We are seeking a dedicated Electrophysiologist to become part of a prestigious heart center located in a picturesque coastal region. This role offers a unique chance to collaborate with a well-established and progressive cardiology team as we expand our cardiovascular services.Key Responsibilities:Work alongside a collaborative group of 9...
-
Psychiatrist - Norfolk, Virginia
2 months ago
Norfolk, United States Vivo HealthStaff Full timeVivo HealthStaff is recruiting a Child and Adolescent Psychiatry fellowship-trained Physician for a full-time on-site position at a residential treatment facility in the Norfolk, Virginia metropolitan area. Details: • Full-time, on-site position. • Role focuses on Residential Treatment programs. • Minimal weekend call and weeknight call required. •...
-
Norfolk, United States CompHealth Full timeA regional healthcare system has primary care physician needs for an outpatient practice in Norfolk. The clinic is open Monday through Friday from 8 am - 5:30 pm, and you can work (4) 10-hour days. Clinics have both imaging and lab services onsite. The group is hiring board-certified physicians or board-eligible residents. You will see an average of 10 - 12...
