[Hiring] Physician Advisor @Brundage Medical Group LLC

Role Description

The Physician Advisor (PA) will drive quality performance across the organization by communicating with hospital physicians, utilization management, case management, CDI, the denials team, and quality staff. The PA conducts case reviews to ensure compliance, appropriate and accurate clinical documentation, and appropriate utilization of health care services. The PA will meet with hospital personnel and medical staff when needed to provide education and expertise. The PA acts as a consultant and resource for attending physicians regarding:

• Appropriate status
• Utilization of resources
• Need for continued hospitalization
• Compliance concerns
• Tracking and reporting of quality and complications

The PA will also interact with medical directors of third-party payers to discuss:

• Medical necessity
• Utilization of resources
• Appropriate level of care

Qualifications

• MD or DO
• Current, unrestricted medical license in state of residence
• Demonstrated ability to build rapport with medical staff and hospital leadership
• Strong computer skills and working knowledge of EMRs
• 1-3 years of Physician Advisor experience and clinical experience in a hospital-based setting

Requirements

• Expertise in Utilization Management preferred
• Strong interpersonal skills
• Excellent written and verbal communication skills
• Ability to work independently
• Ability to build relationships with key hospital team members

Benefits

• Board Certified / Eligible
• CCDS or CDIP
• CCS
• CHCQM certification (ABQAURP)

Working Conditions and Physical Requirements

Conditions typically associated with an office environment. While performing the essential duties and responsibilities, the employee is regularly required to talk or hear. May be frequently required to sit, stand or walk. Moderate to prolonged reading, typing, and computer work. Ability to perform tasks involving physical activity that may include lifting 25 pounds. Subject to exposure to all environmental hazards associated with healthcare and office work.