Physician Advisor-UM

Samaritan Health Services • Corvallis, OR

76d

About The Position

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.

Requirements

• 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.

Nice To Haves

• 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.

What This Job Offers

• Industry: Administrative and Support Services
• Education Level: Ph.D. or professional degree
• Number of Employees: 5,001-10,000 employees