CHRISTUS St. Michael hospital is seeking a Physician Advisor to serve in a full-time administrative role, providing teaching, consulting, and advising to the Care Management Department and medical staff. This position focuses on physician practice patterns, documentation, resource utilization, medical necessity, and compliance. The Physician Advisor will also support Care Management and CDI Department initiatives by promoting effective physician documentation to ensure appropriate patient Level of Care, billing status, and DRG assignment.
Practice Info
- Full-time administrative physician role
- Reports directly to the Chief Medical Officer of St. Michael hospital-Texarkana
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 related to regulatory requirements and utilization of alternate levels of care
- Participate in daily IDRs to expedite testing and treatment and promote efficient patient care and appropriate LOC
- Provide guidance/assistance to Emergency Department Physicians and CM staff for correct LOC designation at intake
- Act as a liaison with payers to facilitate approvals and prevent denials or carved-out days
- Provide feedback to physicians in each service on clinical documentation using specific case examples/3M
Compensation
- Competitive compensation
- Relocation assistance
Benefits
- Balanced professional and personal lifestyle
- No state income tax
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