Physician Advisor

4 weeks ago


Texarkana, Texas, United States Christus Health Full time
Job Summary

We are seeking a highly skilled Physician Advisor to join our team at Christus Health. As a key member of our Physician Advisory Services team, you will play a critical role in ensuring the quality and efficiency of our healthcare services.

Key Responsibilities
  • Conduct status reviews and secondary case reviews to assess medical necessity and level of care
  • Provide consultation and guidance to medical staff on medical necessity, level of care, and resource utilization
  • Collaborate with care management and healthcare team members to discuss elective cases and make recommendations
  • Interact with medical staff and payer medical directors to discuss patient needs and access to care
  • Develop and present analysis of short-term projects to explain claims and areas of opportunity
  • Assist the System Medical Director in achieving goals related to reducing avoidable length of stay and improving throughput
Requirements
  • MD or DO degree from an accredited medical school
  • Knowledge of CMS and commercial insurance rules and regulations
  • Proven ability to communicate effectively with medical staff, physicians, nurses, and other healthcare professionals
  • Proficient technical skills, including electronic medical record and computer software
  • Ability to understand and advance Christus Health's strategic priorities, commitments, and values

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