Remote Physician Advisor
Physician Advisor On-Call
The Physician Advisor performs case reviews of all case types in a knowledgeable and conscientious manner to achieve the highest degree of compliance. The Physician Advisor works closely with the Client’s medical staff leadership, the entire medical staff, including resident physician house staff, all areas of resource management, case management, social services, discharge planning, and utilization management to recommend methods to optimize use of hospital services for all patients while also ensuring the quality of care . This includes identifying opportunities to optimize length of hospital stay and efficient management of resources, insuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance, and monitoring the appropriate use of diagnostic and therapeutic modalities.
Link:
https://recruiting.paylocity.com/Recruiting/Jobs/Details/785296
Remote Physician Advisor - Weekends
Physician Advisor On-Call
The Physician Advisor performs case reviews of all case types in a knowledgeable and conscientious manner to achieve the highest degree of compliance. The Physician Advisor works closely with the Client’s medical staff leadership, the entire medical staff, including resident physician house staff, all areas of resource management, case management, social services, discharge planning, and utilization management to recommend methods to optimize use of hospital services for all patients while also ensuring the quality of care . This includes identifying opportunities to optimize length of hospital stay and efficient management of resources, insuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance, and monitoring the appropriate use of diagnostic and therapeutic modalities.
Link:
https://recruiting.paylocity.com/Recruiting/Jobs/Details/785301
Remote Peer-to-Peer Physician Advisor
Physician Advisor On-Call
The Physician Advisor performs case reviews of all case types in a knowledgeable and conscientious manner to achieve the highest degree of compliance. The Physician Advisor works closely with the Client’s medical staff leadership, the entire medical staff, including resident physician house staff, all areas of resource management, case management, social services, discharge planning, and utilization management to recommend methods to optimize use of hospital services for all patients. This includes identifying opportunities to optimize length of hospital stay and efficient management of resources, insuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance, and monitoring the appropriate use of diagnostic and therapeutic modalities.
Link:
https://recruiting.paylocity.com/Recruiting/Jobs/Details/862091
Remote Physician Advisor Level 1
CommonSpirit Health
Responsibilities:
Conducts medical record review in appropriate cases for medical necessity of hospital admission, continued hospital stay, adequacy of discharge planning and quality care management.
Understand the intricacies of the Medicare Hospital Outpatient and Inpatient Prospective Payment Systems to make clinical determinations on severity of illness, acuity, risk of morbidity/mortality; and communicate with treating physicians in cooperation with the utilization team and health information staff.
Understand the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS-DRG, and APR-DRG.
Contacts Case and Utilization Management Teams: Makes telephonic/electronic contacts with case and utilization management to discuss clinical aspects of hospital encounters, as well as, medical necessity and appropriate status determinations.
Contacts Attending Physicians: Makes telephonic/electronic contacts with Attending Physicians to discuss clinical aspects of hospital encounters, as well as, medical necessity and appropriate status determinations. Discussion may also include education for improved clinical documentation, in addition to governmental and commercial guidelines.
Conducts Peer to Peer discussions with payers as needed.
Required:
MD or DO
Minimum of 1 year of experience as a Physician Advisor.
Minimum of 5 years of clinical practice experience.
Unrestricted license in field of practice in one or more states.
Broad knowledge base with trust and respect of medical staff physicians.
In-depth knowledge of CMS regulations, including understanding of the 2-midnight rule.
Education in quality and utilization management through continuing medical education programs and self-study.
Knowledge of and practical use of good business English, spelling, arithmetic, practices and the ability to communicate effectively using written and verbal skills.
Preferred:
Experience performing Peer to Peer Reviews
Link:
https://bit.ly/35HBSxY
Full time onsite Physician Advisor
BayCare Health System
Full-time full-service facility-based Physician Advisor in a progressive Physician Advisor program in beautiful Florida. Competitive benefits and emphasis on professional development
Link:
None
Remote Physician Advisor Level 2
CommonSpirit Health
Responsibilities
Conducts medical record review for medical necessity of inpatient admission, need for continued hospital stay, adequacy of discharge planning and quality care management.
Understand ICD-9-CM, ICD-10-CM/PCS, MS-DRG, APR-DRG, the Medicare Hospital Outpatient and Inpatient Prospective Payment Systems to make medical determinations on severity of illness, acuity, risk of mortality, and communicate with treating physicians
Serve as a liaison between the national care management team, medical staff, and medical executives to encourage physician cooperation and understanding of documentation importance
Assist in communications of internal physician advisor services in the hospital newsletters and other communication vehicles to further educate the medical staff
Communicate feedback on program results to facility leadership
Provides feedback and education to the Care Management and Clinical Documentation Departments
Attends and participates in facility committee meetings
Contacts Attending Physicians: Makes face-to-face and telephonic/electronic contacts
Conducts Peer to Peer discussions with payers as needed: Acts as a liaison and coordinator with operations for physicians. Works with the Care Management Director and staff to facilitate client profiles, clinical service utilization and support for revenue management activities.
Required
MD or DO required
Minimum 3 years of experience as a Physician Advisor
Minimum 5 years of experience in Clinical Practice
Experience performing Peer to Peer Reviews
Experience submitting written and verbal appeals
Unrestricted license in field of practice in one or more states.
In-depth knowledge of CMS regulations, including understanding of the 2-midnight rule.
Education in quality and utilization management through continuing medical education programs and self-study.
Link:
https://bit.ly/35HBSxY
Physician Advisor - Onsite
CHRISTUS Good Shepherd Health System
Description:
Summary:
The Physician Advisor-Care Management and Clinical Documentation Improvement (PACM) is an administrative physician role serving CHRISTUS Good Shepherd Medical Center and its affiliates through teaching, consulting, and advising both the Care Management Department and the medical staff on matters regarding physician practice patterns, documentation, over- and under-utilization of resources, medical necessity, compliance rules and regulations, collaboration and relationships with payers, and the community. The PACM also ensures physician support and execution for the Care Management and CDI Departments’ initiatives by promoting effective and efficient physician documentation to support the patient’s Level of Care (LOC), billing status, and appropriateness of Medicare Severity-Diagnosis Related Group (MS-DRG)/DRG assignment
Requirements:
-Licensed physician in state of residence
-Certified by the American Board of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP) - preferred
-Experienced in clinical practice with understanding of utilization review
-Served on or chaired a Utilization Management committee
-Demonstrated cost efficient practice
Recruiter Contact Information:
Lorie Seals
Email:
Lorie.seals@christushealth.org
Link:
None
Chief Physician Advisor, On-site
Roper St. Francis Healthcare
Utilization Management Chief Physician Advisor in a four hospital system (adult care). Our prior PA retired last week. The open position will be posted soon. If you are interested please email me (Beth Wolf MD, CDI Physician Advisor at RSFH) and I will pass your interest on to my VP of Acute Care.
Link:
None
