Physician Advisor

5 months ago

Lumberton, United States UNC Health Southeastern Full time
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

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