Role Description
Ascension in Austin, TX is looking for a PRN (Remote) Physician Advisor to join our team. We are looking for a Physician with at least 5 years of recent work experience in a hospital setting (Adult Medicine Hospitalist experience preferred), preferably with some Physician Advisory/Utilization Management work experience. If you are ready to join a talented group of physicians apply today!
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Call structure: no call
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Employed position within a nonprofit health system
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Current/Active Texas license preferred
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Board Certified or Board Eligible Physician
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Review medical records of identified patients to assist with the level of care determination.
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Assist and manage the denial management process with peer-to-peer discussions and appeal reviews.
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Provide education to physicians and other clinicians on regulatory requirements, appropriate utilization of alternate levels of care, community resources, clinical documentation improvement, coding, quality and/or compliance processes.
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Develop strategy and processes to reduce denials and audits.
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Utilize hospital data sources to identify & analyze patterns of over or under-utilization of services, quality metrics and collaborate with appropriate stakeholders to help achieve those goals.
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Review and offer suggestions related to resources and service management.
Qualifications
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Licensure / Certification / Registration: Physician MD/DO credentialed from the Texas Medical Board obtained prior to hire date or job transfer date required.
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Education: Doctor of Medicine (MD) or Doctor of Osteopathy (DO) or Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) or Doctor of Optometry (OD) or Doctor of Podiatric Medicine (DPM) required.
Requirements
Benefits
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Paid time off (PTO)
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Various health insurance options & wellness plans
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Retirement benefits including employer match plans
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Long-term & short-term disability
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Employee assistance programs (EAP)
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Parental leave & adoption assistance
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Tuition reimbursement
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Ways to give back to your community