Physician Advisor
3 hours ago
We are seeking a highly skilled Physician Advisor to join our team at MLK Community Healthcare. As a Physician Advisor, you will play a critical role in ensuring the efficient and effective use of healthcare resources while maintaining high-quality patient care.
Key Responsibilities- Collaborate with the Senior Director of Care Management to balance advocacy and support for patients, families, practitioners, and professional staff.
- Conduct clinical reviews on cases referred by care management staff and/or other healthcare professionals to meet regulatory requirements and ensure quality patient care.
- Assist care management staff with patient transfer needs to alternative levels of care when required.
- Exhibit excellent and timely follow-up of communication amongst patients, families, care managers, physicians, and payors.
- Use information from the current utilization management software program as needed for decision-making related to patient admission or observation status.
- Collaborate with care management for cases that do not meet the current utilization management software program for admission criteria and document discussions with physicians as needed.
- Facilitate peer-to-peer discussion and clinical documentation opportunities.
- Assist when necessary in mediation amongst different departments, teams, or individuals involved with the patient's episode of care.
- Assist medical and professional staff with education regarding DRG LOS, denials, clinical documentation, practice guidelines within the EMR, and any regulatory changes.
- Maintain current physician advisor knowledge of regulatory and practice changes.
- Completed MD or DO accredited residency program.
- Four (4) years in the healthcare setting and in a managed care environment with Hospitalist experience preferred.
- Minimum of five (5) years of clinical practice experience following the completion of residency or fellowship training.
- Experience identifying best practices, clinical utilization, and care management preferred.
- Active and unrestricted License to practice medicine in the State of California.
- Board certified in a specialty approved by the American Board of Medical Specialties (ABMS).
- Is actively working in a patient care role as a hospitalist, emergency medicine physician, intensivist, anesthesiologist, surgical or medical specialist at MLK Community Hospital.
- Ability to prioritize and resolve critical issues efficiently and effectively.
- Strong quantitative, analytical, and technical skills relating to data management, analysis, and presentation.
- Strong PC/Microsoft application skills including Word, Advanced Excel, and PowerPoint.
- Strong oral and written communication skills.
- Ability to deliver presentations to a wide variety of audiences.
- Ability to effectively plan and facilitate meetings and workgroups.
- Excellent organizational skills and attention to detail, ability to work independently, manage multiple tasks and projects, meet deadlines, and manage to schedule.
- High degree of initiative along with ability to act as a team player.
- Ability to develop effective relationships with a broad array of people (different levels of management and clinical experts).
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