Posted Under: Alexandria, Louisiana jobs in Healthcare; Healthcare jobs
Posted On: 2019-10-11 00:00:00
POSITION SUMMARYThe Physician Advisor reviews clinical cases referred by case management staff or other health care professionals to meet regulatory requirements and in accordance with the hospitals objectives for assuring quality patient care and efficient utilization of health care services. The Physician Advisor meets with case management and health care team members, including attending physicians and specialist, to discuss selected cases and make recommendations for care. The Physician Advisor also interacts with medical directors of third party payers to discuss the needs of the patients and alternative levels of care. The Physician Advisor acts as a consultant to and resource for attending physicians relative to the appropriateness of hospitalization, continued stay, and use of resources, as well as federal and state utilization and quality regulations. The Physician Advisor needs to have strong computer skills and working knowledge of electronic medical records, and ability to work as a part of a team.
- Graduate of an accredited medical school. Education in Quality and Utilization Management through CME or self-study.
- Minimum of 5 years recent experience in clinical practice. Utilization management experience as member of a utilization management committee or prior experience as a physician advisor is preferred.
- Medical License in the state of Louisiana is preferred. Board certified or Board eligible in their specialty.