Physician Advisor-UM

Samaritan Health Services-posted 14 days ago
Corvallis, OR
5,001-10,000 employees
Administrative and Support Services
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Provides medical consultation and utilization management case review at Samaritan Health Services Hospitals. Acts as a liaison with medical staff and hospital administration regarding admission, discharge, and length of stay and service utilization decisions.

  • MD or DO degree required.
  • Board Certification in the practice specialty required.
  • Unrestricted license to practice medicine in the State of Oregon required.
  • Strong broad based clinical background with five (5) years of medical experience caring for adult patients in a hospital setting required.
  • Experience with computer applications, electronic medical records, other medical programs and electronic medical literature required.
  • Possess the skills and knowledge needed to review clinical documentation regarding human injuries, diseases, and/or behavioral conditions.
  • Ability to recognize symptoms, understand drug properties and interactions and evaluate the treatment planned or provided by other SHS providers.
  • Ability to evaluate information to determine compliance with laws, regulations, or standards in the clinical and utilization management areas of responsibility.
  • Uses clinical and regulatory knowledge to verify compliant process application.
  • Strong business writing skills, including the ability to professionally communicate clinical content in written/typed documentation that is easily understood by the end user.
  • Ability to use a computer for required documentation.
  • Effective written and oral communication skills to explain complex medical and regulatory issues, exchange information between team members, and tactfully discuss and teach utilization management and compliance concepts.
  • Ability to listen and understand complex information and ideas.
  • Influences others to build consensus and gain cooperation.
  • Proactively resolves conflicts in a positive and constructive manner.
  • Three (3) years experience in similar areas of accountability preferred.
  • Experience with hospital Utilization Review, Medicare regulations and health insurance policies preferred.
  • Experience efficiently researching, analyzing and summarizing complex clinical topics preferred.
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