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Physician Advisor

Company: Association of Clinicians for the Underserved
Location: Fairfax
Posted on: February 26, 2021

Job Description:

Job Description

I nova Fair Oaks is seeking an experienced Physician Advisor to join our team!

The Physician Advisor role is an essential role to the successful operation of the hospital. The role comprises of focus and responsibility of medical necessity(reviews and compliance), denial management, LOS, hospital and peer education and physician empowerment. A PA acts as a liaison between the hospital administration, clinical staff and support staff to ensure that there is consistent compliance and communication. Ultimately accountability for the overall quality of care through appropriate healthcare resource utilization as reflected by meeting the LOS and readmission goals is an essential function of this role. This role will include supporting additional system hospitals as well!

It Is The Role Of The Physician Advisor To

  • Develop team partnerships and drive operational goals
  • perform concurrent and retrospective clinical reviews to determine appropriate admission status Provides clinical review on cases referred by case management staff and/or other health care professionals in accordance with the hospitals objectives for assuring quality patient care and effective, efficient, compliant utilization of health care services
  • Collaborates with case management department and health care team members to discuss selected cases and makes recommendations for care
  • Interact with medical staff members and medical directors of third party payers to discuss the needs of patients and alternative levels of care.
  • Participates in the peer review process; makes suggestions on ways to improve this process.
  • Evaluation of the hospital utilization management program.
  • Maintains current knowledge of federal, state, and payer regulatory and contract requirements.
  • Attends continuing education sessions pertaining to utilization and quality management.
  • Meets with corporate and hospital case management staff as needed.

    Requirements

    Education: Graduate of an accredited medical school. Additional education in quality and utilization management through continuing medical education programs and self-study.

    Certificate/License: Current Commonwealth of Virginia license to practice medicine and eligibility for active membership on the hospital medical staff.

    Experience: Minimum of 5 years recent experience in clinical practice. Utilization management experience as a member of the UM oversight committee or past physician advisor experience preferred.
    Work Site Location
    INOVA FAIR OAKS HOSPITAL
    Work Site Address
    3600 JOSEPH SIEWICK DRIVE
    Work Site City/State
    FAIRFAX, VA
    Schedule
    Monday-Friday
    Shift
    Day
    EEO Tagline
    M/F/Vets/Disabled
    1420 Spring Hill Road
    Suite 600
    McLean, VA 22102

Keywords: Association of Clinicians for the Underserved, San Francisco , Physician Advisor, Healthcare , Fairfax, California

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