Physician Advisor
1 week ago
Care Management and CDI Physician Advisor Job Summary
The Physician Advisor - Care Management and Clinical Documentation Improvement role at CHRISTUS Health is a unique opportunity for a physician to utilize their expertise in clinical practice and utilization review to lead the Utilization Review Committee and facilitate referrals to the continuum of care.
Responsibilities
• Participate in daily IDRs to expedite testing and treatment, promoting efficient patient care and appropriate LOC designation
• Provide guidance and assistance to Emergency Department Physicians and Care Management staff to ensure correct LOC designation at intake
• Liaise with payers to facilitate approvals and prevent denials or carved out days when appropriate
• Participate in review of long stay patients escalated from Care Management to facilitate the use of the most appropriate LOC
• Document patient care reviews, decisions, and other pertinent information per hospital policy
Requirements
Licensed physician in the state of residence, certified by the American Board of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP) preferred, with experience in clinical practice and understanding of utilization review.
How You'll Make a Difference
As a Physician Advisor - Care Management and Clinical Documentation Improvement at CHRISTUS Health, you will be a key member of the Care Management team, utilizing your expertise to improve patient care and outcomes.
What You'll Need to Succeed
Foundational knowledge of InterQuale criteria, ability to work with physicians and staff to facilitate referrals to the continuum of care, and excellent communication and collaboration skills.
Why Join Our Team
At CHRISTUS Health, we value our employees and offer a supportive and inclusive work environment, opportunities for professional growth and development, and a competitive compensation and benefits package.
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