Description
Physician Advisor
The Physician Advisor is a key member of Genesis Health System team and is in charge of meeting organizations goals and objectives for assuring the effective, efficient utilization of health care services. To perform, under the responsibility and supervision of the Chief Medical Officer, ultimately serving the hospital through teaching, consulting, and advising the care management and utilization review departments and the hospital leadership. Work with medical staff leadership to develop expertise on matters regarding physician practice patterns, over & under-utilization of resources, medical necessity, levels of care, appropriate physician coding and documentation requirements.
The Physician Advisor works closely with the Medical Staff leadership, Medical Staff (including residents), all areas of resources management, case management, social workers, care coordination nursing staff, and utilization management to develop and implement methods to optimize use of our services for all patients while ensuring that quality of care is provided always. This role includes working with other leadership staff in developing care management protocols with physicians and others to optimize length of stay (LOS) and efficient management of resources, ensuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance, and monitoring the appropriate use of diagnostic and therapeutic modalities.
Essential Job Duties and Accountabilities:
Excellent customer service and interpersonal skills
Able to effectively present information, both formal and informal
Strong analytics
Strong written and verbal communications skills with all levels of internal and external customers.
Strong organizational skills and ability to set priorities and multi-task, demonstrates flexibility, teamwork, and is accustomed to change in the healthcare environment.
Demonstrates ability to drive results and produce outcomes.
Leadership Expectation:
Demonstrates behavior that supports the Genesis Mission, Vision and Values. Participates in required orientation and training related to the Physician Advisor role.
Attend all meeting as requested by Genesis administrative leadership team and include participation in assigned committees.
Upon request, actively participate in committees to develop protocols related to evidence-based medicine and support optimal standards of care.
Responsible for scheduling, assigning, and coordinating the work of all Physician Advisors.
Work involves ensuring that human resource related decisions are compatible with the organizations policies, practices and direction.
Supervisory activities such as hiring, training, assigning, monitoring and assessing work.
Clinical Documentation Improvement Support:
Meets production standards within established time requirements. Work product and performance meets quality standards.
Demonstrates respect and uses positive interpersonal skills with patients, families, voluntary Physicians, leadership, and staff at all times.
Collaborates with Medical Staff Leadership to implement specialized project, initiative a new service, develop new practice standards.
Communication/Collaboration:
Develop a strong system of communication for/with staff for respective departments and services.
Contacts physicians in a timely manner to resolve delays and achieve positive outcomes.
Effectively communicate physician teaching points for immediate and future clinical care studies.
Clinical Effectiveness:
Demonstrates commitment to meeting/exceeding strategic initiatives of Genesis Health System.
Maintains accountability for achieving case management outcomes and fulfills the obligations and responsibilities of the role to support the medical staff in the clinical progression of patient care.
Reviews issues identified by case managers to ensure appropriate follow-up, recommend improvement initiatives as needed, and make referrals to the appropriate department chair as necessary.
Medical Informatics Support:
Collaborates with IT leadership team to ensure the system appropriately supports the physicians ability to provide best practice medicine by creating logical processes and providing the necessary order sets and practice guidelines
Participates in physician education and outreach efforts related to the EHR
Work in collaboration with IT team to be certain that all necessary physicians are trained, and training is appropriate for all physicians.
Functional Performance Standards and Related Measurement Criteria:
Submit monthly record of performance metrics or data as requested to the CMO.
Maintains documentation of the number of interventions and resulting outcomes or decisions.
Documents education sessions for medical staff on trends, practice patterns, or relevant information
Tracks and report appeal and denial results where physician advisor intervention was required.
Requirements for this opportunity include:
Hold and maintain an unrestricted medical license in the state of Iowa
Obtain credentialing privileges at Genesis Health System
Possess a solid foundation, knowledge, and/or experience in the areas of utilization management, quality improvement, and patient safety.
Possess a working knowledge (or develop a working knowledge) of the Genesis organization and case management operations and administrative standards and policies
Strong computer skills and working knowledge of the EHR (or to learn the new EHR if not already familiar)
Familiarity with MCG/Interqual placement status criteria is preferred
Board certification in a clinical specialty
Physician Advisor Sub-specialty certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc.- preferred or willingness to pursue
Board certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred - preferred or willingness to pursue
Ability to build rapport with medical staff and hospital leadership to obtain the buy-in and collaboration necessary to achieve desired outcomes.
RECRUITMENT PACKAGE:
Genesis Health System offers a comprehensive compensation package that includes:
Competitive base salary
Excellent benefits; including health/vision/dental insurances
Paid malpractice, including post-employment tail coverage
CME time & expense allowance
Paid time away from the practice
Two-part retirement savings program with employer matching program
Relocation assistance is available
Please let me know if you would like to be a part of the future of excellent patient care at Genesis
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