Physician Advisor

3 weeks ago


Lumberton, North Carolina, United States UNC Health Southeastern Full time
Job Summary

We are seeking a highly skilled Physician Advisor to join our team at UNC Health Southeastern. This is a unique opportunity to leverage your clinical expertise and leadership abilities to drive quality improvement initiatives and optimize patient care.

Key Responsibilities
  • Provide physician leadership and expertise in care coordination, length of stay management, and clinical documentation improvement.
  • Collaborate with care coordination, nursing, and ancillary services departments to meet established goals and objectives.
  • Engage physicians in care coordination, care progression, and quality improvement activities.
  • Review and provide physician perspective on policies related to care coordination, patient access, and clinical documentation improvement.
Requirements
  • Graduate of an accredited medical school.
  • Completion of specialty residency (e.g., Internal Medicine, Emergency Medicine).
  • Five years recent experience in clinical practice in a hospital, with two years administrative background as a physician manager preferred.
  • Board Certified/Eligible Physician licensed in the applicable states, with certification by American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) preferred.
Preferred Qualifications
  • Strong clinical acumen and knowledge of case management principles, processes, and their practical application.
  • Working knowledge of third-party payor guidelines/medical necessity criteria and experience with denials management.
  • Excellent communication and presentation skills, with teaching and coaching skills.
  • Working knowledge of electronic medical record and process improvement methodology.


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