Physician Advisor

5 days ago

Irving, Texas, United States CHRISTUS Health Full time
About the Role

The Physician Advisor - Care Management & Clinical Documentation Improvement is a key member of the CHRISTUS Health team, responsible for providing clinical expertise and guidance to support the delivery of high-quality patient care. This role requires a strong understanding of clinical documentation, care management, and utilization review principles.

Key Responsibilities
  • Utilization Management Plan: Collaborate with the Director of Care Management to lead the Utilization Review Committee and monitor key metrics for UM, participating in action steps to achieve targets.
  • Physician & Staff Education: Provide education to physicians and other clinicians on regulatory requirements, appropriate billing status, and utilization of alternate levels of care, community resources, and end-of-life care.
  • Care Management: Participate in daily IDRs, take action to expedite testing and treatment to promote efficient patient care and appropriate Level of Care (LOC), and act as a liaison with payers to facilitate approvals and prevent denials or carved-out days when appropriate.
  • Clinical Documentation Integrity: Provide feedback to physicians on clinical documentation using specific case examples and 3M.
Requirements
  • 5 years of clinical experience
  • Licensed physician in the 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
Highlights
  • Balanced professional and personal lifestyle
  • Competitive compensation and benefits
  • Relocation assistance

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