Physician Advisor
1 month ago
The Physician Advisor is a key member of the Munson Healthcare team, responsible for providing clinical expertise and guidance to ensure the highest quality patient care and efficient resource utilization.
This role requires a strong foundation in utilization management, case management, clinical documentation integrity, quality improvement, and patient safety.
The ideal candidate will possess a solid understanding of Munson Healthcare operations and administrative standards and policies, as well as strong computer skills and working knowledge of the EMR.
This is a part-time position that functions as a representative of Munson Healthcare, serving as a resource to the Patient Care Management (PCM)/Utilization Management (UM)/Clinical Documentation Integrity (CDI) staff.
Key Responsibilities- Provide timely, clinically, and fiscally effective consultation to PCM/UM/CDI, including concurrent assessment of the clinical situation, determination of next actions, and all necessary follow-up.
- Expedite communications of next actions to utilization review specialists, case managers, social workers, physicians, clinical documentation specialists, and other key people involved in caring for individual patients.
- Assist staff with clinical review of patients and refer cases to peer review when appropriate.
- Assist with level of care and length of stay management in a timely fashion.
- Assist with denial management progress by intervening with payers when necessary.
Munson Healthcare is northern Michigan's largest and leading healthcare system, serving people in 30 counties.
The system is comprised of regional referral center Munson Medical Center and 7 community hospitals, with 694 licensed acute care beds and 212 licensed long-term care beds.
Munson Healthcare provides more than $60 million annually in community education, free, discounted, and unreimbursed healthcare services, healthcare programs, and other community benefits.
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