Physician Advisor

Physician Affiliate Group of New York, P.C. (PAGNY); New York (NY); On-site; USD 200,000 - 300,000; Full time

Job summary

Physician Affiliate Group of New York (PAGNY) is hiring a Physician Advisor at NYC Health + Hospitals/South Brooklyn Health. The Physician Advisor will serve a crucial role in the Utilization Management team to ensure the facility meets its goals and maintains high healthcare standards.

This position is highly engaged with patient care as it requires at least 50% direct interaction, while also overseeing documentation, compliance, and coding within the health system.

Qualifications

• Key member of the Utilization Management team.
• Requires at least 50% direct patient care in the medical specialty.

Responsibilities

• Lead efforts to optimize level of care and regulatory compliance.
• Liaison for provider practice patterns and denial management.
• Report directly to the Chief Medical Officer.

Job description

Physician Affiliate Group of New York (PAGNY) is adding a Physician Advisor to the group at NYC Health + Hospitals/South Brooklyn Health. South Brooklyn Health is a redesigned health care campus featuring the new 11-floor Ruth Bader Ginsburg Hospital which provides emergency care, modern labor and delivery suites, and state-of-the-art surgical services. The new Health & Wellness Institute offers outpatient services from primary and preventive care, to specialty services for children and adults, all designed to keep our community healthy. The hospital maintains a strong academic affiliation with SUNY Downstate Health Sciences University and NYIT College of Osteopathic Medicine to maintain its high standards of healthcare delivery.

The mission of NYC Health + Hospitals is to extend equally to all New Yorkers, regardless of the ability to pay, comprehensive health services of the highest quality in an atmosphere of humane care, dignity, and respect. Their Values are built on a foundation of social and racial equity and has established the ICARE standards for all staff.

NYC Health + Hospitals is the nation’s largest municipal health care delivery system in the United States. Dedicated to providing the highest quality health care services to all New Yorkers with compassion, dignity and respect, and regardless of immigration status or ability to pay.

Opportunity Details

• Serve as a key member of the Utilization Management team, leading efforts to meet the facility's goals to optimize level of care, length of stay, supporting documentation, regulatory compliance, hospital coding and denial management.
• Serve as primary liaison for matters concerning provider practice patterns, over/under utilization of resources, medical necessity, level of care, care progression, length of stay management, denial management, compliance with governmental and private payer regulations, and physician documentation and coding requirements.
• Report directly to the Chief Medical Officer for the facility.
• The position will require at least 50% direct patient care in the medical specialty.