CHRISTUS St. Michael hospital is seeking a Physician Advisor for a full-time administrative role. This position involves teaching, consulting, and advising the Care Management Department and medical staff on physician practice patterns, documentation, resource utilization, medical necessity, and compliance. The Physician Advisor will also support Care Management and CDI initiatives to ensure effective physician documentation for patient Level of Care, billing status, and DRG assignment.
Practice Info
- Administrative physician role
- Reports directly to the Chief Medical Officer of St. Michael hospital-Texarkana
- Serves CHRISTUS St. Michael hospital and its affiliates
Responsibilities
- Lead the Utilization Review Committee in collaboration with the Director of CM
- Conduct secondary status reviews for appropriate level of care determination
- Conduct peer-to-peer consults with payor medical directors for denied cases
- Provide education to physicians and other clinicians on regulatory requirements and appropriate billing status
- Participate in daily Interdisciplinary Rounds (IDRs) to expedite testing and treatment
- Provide guidance and assistance to Emergency Department Physicians and CM staff for correct Level of Care designation at intake
- Act as a liaison with payers to facilitate approvals and prevent denials
- Provide feedback to physicians on clinical documentation using specific case examples
Compensation
- Competitive compensation
- No state income tax
Benefits
- Balanced professional and personal lifestyle
- Relocation assistance
Shift & Schedule
- M-F
- No call responsibilities
Requirements
- 5 years of clinical experience
- Licensed physician in state of residence
- Board certified in a clinical specialty
- Experienced in clinical practice with an understanding of utilization review
- Served on or chaired an Utilization Management Committee
- Demonstrated cost-efficient practice
- Certified by the American Board of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP) - preferred
Physician Advisor in Texarkana at CHRISTUS Health
- Other openings
- 64
- Hiring in
- 22 locations
CHRISTUS Health currently has 64 other roles open on LocalWork across 22 locations. If this particular role is not the right fit, their other openings may be.
This position is listed as full time and onsite. It was posted yesterday.