Physician, Advisor for Case Management
About The Position
The Physician, Advisor collaborates with medical staff leadership, attending medical staff, full-time hospital-based physicians, and the departments of Case Management, Clinical Analysis, and Nursing to develop and implement methods that optimize hospital service use while ensuring quality care. The role works with physicians and others to support appropriate hospital length of stay by removing barriers that contribute to excess hospital days. It ensures patients are assigned to the appropriate level of care and monitors the appropriate use of diagnostic and therapeutic modalities. The Physician Advisor supports the organization in meeting resource management and quality goals and engages with payor representatives to resolve issues while ensuring state and federal regulatory requirements are understood and met. The role conducts clinical reviews of cases referred by case management staff and/or other health care professionals, consistent with hospital objectives for quality patient care and effective, efficient use of health care services and applicable regulatory guidelines. WakeMed Health & Hospitals has served the Wake County community since 1961. Its mission is to improve the health and well-being of the community through outstanding and compassionate care.
Requirements
- Licensed medical physician.
- Board certification in area of practice.
- Doctorate in Medicine.
- Five years of clinical acute care experience.
Responsibilities
- Collaborate with medical staff leadership, attending medical staff, hospital-based physicians, and Case Management, Clinical Analysis, and Nursing departments to optimize the use of hospital services while maintaining quality of care.
- Work with physicians and others to ensure appropriate hospital length of stay by removing barriers that create excess hospital days.
- Ensure patients are placed at the appropriate level of care.
- Monitor appropriate use of diagnostic and therapeutic modalities.
- Engage with payor representatives to resolve issues while ensuring state and federal regulatory requirements are understood and met.
- Conduct clinical reviews of cases referred by case management staff and/or other health care professionals in accordance with hospital quality, utilization, and regulatory objectives.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Ph.D. or professional degree
