Physician Advisor

The Physician Advisor is a full-time administrative physician role serving CHRISTUS St. Michael hospital and its affiliates through teaching, consulting, and advising the Care Management Department and medical staff. In this position, the PA ensures physician support and execution for Care Management and CDI initiatives by promoting effective documentation and utilization management. The PA reports directly to the Chief Medical Officer of St. Michael hospital-Texarkana and offers a balanced schedule with Monday through Friday hours and no call responsibilities.

Practice Info

• Administrative physician role serving CHRISTUS St. Michael hospital and its affiliates
• Setting involves collaborating with the Care Management Department, CDI Department, and medical staff

Shift & Schedule

• Full-time
• M-F
• No call responsibilities

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 to resolve medical necessity issues prior to claims submission
• Monitor key metrics for UM and participate in action steps to achieve targets in collaboration with the CMO and Director of CM
• Provide education to physicians and other clinicians related to regulatory requirements, appropriate billing status, utilization of alternate levels of care, community resources, and end of life care
• Participate in daily IDRs and take action to expedite testing and treatment to promote efficient patient care and appropriate LOC
• Provide guidance and assistance to Emergency Department Physicians and CM 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

Compensation

• Competitive compensation

Benefits

• Competitive benefits
• No state income tax
• Relocation assistance

Qualifications

• 5 years of clinical experience
• Licensed physician in state of residence
• Board certified in a clinical specialty
• Certified by the American Board of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP) - preferred
• Experienced in clinical practice with an understanding of utilization review
• Served on or chaired a Utilization Management Committee
• Demonstrated cost-efficient practice
• Possess foundational knowledge of InterQual and MCG criteria