[Hiring] Physician Advisor @Med-Metrix

Role Description

The Physician Advisor performs case reviews of all case types in a knowledgeable and conscientious manner to achieve the highest degree of compliance. The Physician Advisor works closely with the Client’s medical staff leadership, the entire medical staff, including resident physician house staff, all areas of resource management, case management, social services, discharge planning, and utilization management to recommend methods to optimize use of hospital services for all patients. This includes:

• Identifying opportunities to optimize length of hospital stay and efficient management of resources.
• Ensuring patients are in the appropriate level of care.
• Supporting documentation, coding improvements, and compliance.
• Monitoring the appropriate use of diagnostic and therapeutic modalities.

Qualifications

• Board Certified and licensed to practice medicine in the US or 3+ years active clinical experience in the US.
• 3+ years working as a Physician Advisor performing Level of care reviews as well as Peer to Peer Reviews.
• Basic technical skills with Hospital EMRs, Microsoft Office, and Teams a must.
• Hold and maintain an unrestricted medical license and Board Certification.
• Possess or acquires a solid foundation, knowledge, and/or experience in the areas of utilization management, quality improvement, and patient safety.
• Possess a working knowledge of (Hospital) organization & case management operations and administrative standards and policies.
• Familiarity with MCG/InterQual placement status criteria is preferred.
• Member of the American College of Physician Advisors (ACPA) preferred.
• Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred.
• Physician Advisor Sub-Specialty Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred.
• Excellent customer service and interpersonal skills and the utmost professionalism is required.
• Able to effectively present information, both formal and informal.
• Strong analytical skills.
• 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.
• Demonstrates initiative as well as basic independent trouble-shooting skills.

Requirements

• Availability to provide a minimum of 16 shifts per month, each shift lasting 6-8 hours, including 4 weekend shifts per month.
• Physical Demands: Occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals, and telephones; extend arms; kneel; talk and hear.
• Mental Demands: Must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Company Description

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.