Current jobs related to Physician Advisor - Irving, Texas - Christus Health

  • RN Utilization Review II

    2 weeks ago

    Irving, United States Impresiv Health Full time

    Title: RN Utilization Review  Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions....

  • RN Utilization Review II

    3 months ago

    Irving, United States Impresiv Health Full time

    Title: RN Utilization Review Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They...

  • Sr Network Systems Engineer

    3 months ago

    Irving, United States MCKESSON Full time

    McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.What you do at McKesson matters. We foster a culture...

  • SR NETWORK SYSTEMS ENGINEER

    4 weeks ago

    Irving, United States MCKESSON Full time

    McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve ? we care.What you do at McKesson matters. We foster a culture...

  • SR. NETWORK ENGINEER

    4 weeks ago

    Irving, United States MCKESSON Full time

    McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve ? we care.What you do at McKesson matters. We foster a culture...

Physician Advisor

2 months ago

Irving, Texas, United States Christus Health Full time
Job Title: Physician Advisor - Care Management & Clinical Documentation Improvement

About the Role:

The Physician Advisor - Care Management & Clinical Documentation Improvement will play a critical role in ensuring the highest quality patient care and optimal resource utilization at CHRISTUS St. Frances Cabrini Hospital. This full-time administrative physician position will serve as a liaison between the Care Management Department and the medical staff, providing guidance on physician practice patterns, documentation, and utilization of resources.

Key Responsibilities:

  • Participate in daily IDRs to expedite testing and treatment, promoting efficient patient care and appropriate Level of Care (LOC)
  • Provide guidance and assistance to Emergency Department Physicians and Care Management staff to ensure correct LOC designation at intake
  • Act as a liaison with payers to facilitate approvals and prevent denials or carved-out days when appropriate
  • Review cases indicating a need for issuance of a hospital notice of non-coverage determination, discussing the case with the attending physician and facilitating the process for issuance and appeal
  • Document patient care reviews, decisions, and other pertinent information per hospital policy
  • Possess foundational knowledge of InterQual and MCG criteria
  • Participate in Care Management Leadership and staff meetings to help identify and progress toward departmental goals
  • Notify the Care Manager of any conflict of interest in reviewing a particular patient record and assist with identifying a physician to review such record

Requirements:

  • 5 years of clinical experience
  • Licensed physician in the state of residence
  • Board certified in a clinical specialty
  • Preferred certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP)
  • Experience 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

About CHRISTUS Health:

CHRISTUS Health is a Catholic health ministry that provides high-quality, compassionate care to patients and communities across the United States and Latin America. Our mission is to extend the healing ministry of Jesus Christ to those we serve.