Physician Advisor

The Icahn School of Medicine at Mount Sinai through its affiliation with New York City Health + Hospitals/Queens is seeking a full-time Physician Advisor to assist with the hospital's goals and objectives for ensuring effective use of health care resources. The Physician Advisor serves as the primary physician liaison for issues pertaining to hospital utilization, including matters pertaining to provider practice patterns, over- and under-utilization of resources, medical necessity, levels of care, care progression and length of stay management, denial management, and compliance with governmental and private payer regulations, physician documentation and coding requirements. Join Mount Sinai to be part of an unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare.

Practice Info

• Hospital utilization and resource management setting
• Affiliation with New York City Health + Hospitals/Queens

Responsibilities

• Serve as the primary physician liaison for issues pertaining to hospital utilization, including matters pertaining to provider practice patterns, over- and under-utilization of resources, medical necessity, levels of care, care progression and length of stay management, denial management, and compliance with governmental and private payer regulations, physician documentation and coding requirements
• Collaborate closely with case management and finance departments from across the system to identify opportunities, develop methods and implement solutions to optimize use of hospital and system resources in order to optimize quality of care and financial sustainability
• Work closely with hospital and medical departmental leadership; frontline medical staff, including attending physician staff, house staff, and advanced practice providers; and other hospital staff across all areas of resource management, case management, social services, and discharge planning, to support the development and implementation of protocols, initiatives, and training programs to optimize level of care, length of stay, supporting documentation, regulatory compliance, hospital coding, and denial management

Compensation

• Compensation ranges from $201,000 to $336,000 and will vary based on specialty, experience, and qualifications
• Actual salaries depend on a variety of factors, including experience, specialties, historical productivity, historical collections, and hospital/community need
• The salary range listed is for full-time employment and does not include bonuses / incentive compensation or benefits

Shift & Schedule

• Full-time employment

Requirements

• Candidates must have an MD or DO degree
• Board-Certified in their respective specialty
• Valid New York State License, DEA and Medicaid number
• Must be willing to work clinically in their primary specialty
• A minimum of five years medical practice experience is required
• Possess a solid foundation, knowledge and/or experience in utilization management and quality improvement
• Acquire knowledge of NYC Health + Hospitals' case management operations
• Acquire strong familiarity with MCG and Interqual medical necessity criteria
• Possess strong computer skills, including proficiency in Microsoft Excel, Epic, and Cisco WebEx