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Physician Advisor

2 months 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 role requires a strong understanding of clinical documentation, utilization review, and quality improvement principles.

Key Responsibilities
  • Collaborate with the Director of Care Management to lead the Utilization Review Committee and monitor key metrics for UM 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.
Requirements
  • 5 years of clinical experience
  • Licensed physician in state of residence
  • Board certified in a clinical specialty
  • Preferred: Certified by the American Board of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP)
Highlights
  • Competitive compensation and benefits
  • Relocation assistance
  • Opportunity to work with a dynamic team at Christus Health