Physician Advisor

2 weeks ago


Irving, Texas, United States CHRISTUS Health Full time

Job Summary:

The Physician Advisor is a key member of the Care Management team at CHRISTUS Health, responsible for providing clinical expertise and guidance to ensure optimal patient care and resource utilization. This full-time administrative physician role requires a strong understanding of clinical practice patterns, documentation, and regulatory requirements.

Responsibilities:

  • Lead the Utilization Review Committee in collaboration with the Director of Care Management
  • Monitor key metrics for Utilization Management and participate in action steps to achieve targets
  • Provide education to physicians and other clinicians on regulatory requirements, appropriate billing status, and utilization of alternate levels of care
  • Facilitate referrals to the continuum of care and mentor physicians on payer requirements
  • Participate in daily IDRs and take action to expedite testing and treatment to promote efficient patient care and appropriate LOC
  • Act as a liaison with payers to facilitate approvals and prevent denials or carved-out days when appropriate
  • Document patient care reviews, decisions, and other pertinent information per hospital policy

Requirements:

  • 5 years of clinical experience
  • Licensed physician in state of residence
  • Board certified in a clinical specialty
  • Certified by the American Board of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP) - preferred
  • Experienced in clinical practice with an understanding of utilization review
  • Served on or chaired an Utilization Management Committee
  • Demonstrated cost-efficient practice

Benefits:

  • Competitive compensation and benefits
  • Relocation assistance
  • Year-round outdoor activities include golfing, hunting, fishing, camping, hiking, and boating
  • Excellent public and private schools

About CHRISTUS Health:

CHRISTUS Health is a Catholic health system committed to delivering high-quality, compassionate care to our patients and communities.


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