Physician Advisor

LifeBridge Health; Randallstown (MD); On-site; USD 186,000 - 298,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Wellness programs and mental health支持

403(b) retirement plan with employer 3

Pension and life and disability保险

Tuition reimbursement

Generous paid time off

Fitness discounts

Free on-site parking

Job summary

LifeBridge Health is seeking a Physician Advisor to champion high-quality admissions and transitions of care across the care continuum. The role provides education, administrative support, and liaison between care management, medical leadership, and physician staff to ensure efficient use of clinical resources.

The Physician Advisor collaborates with care managers and providers, reviews charts, and communicates trends to physicians and stakeholders to reduce delays and extend lengths of stay.

Qualifications

• 5-7 years of experience

Responsibilities

• Acts as a clinical resource to Care Management.
• Provides clinical knowledge to guide care management assessment, planning and interventions.
• Advises hospital administration and medical staff on payer, quality or utilization issues.
• Collaborates with leadership to develop strategies to reduce avoidable readmissions.
• Participates in hospital-wide quality improvement initiatives.
• Conducts administrative duties to support care management.
• Performs concurrent chart reviews to determine appropriate utilization and treatment plans.

Job description

The Physician Advisor, in partnership with Care Management leadership, acts as a champion of high-quality admissions and all transitions of care across the continuum. The Physician Advisor acts as an advisor, educator and administrative support to Care management and the Care Transitions Program. The Advisor also serves as a liaison between these programs, the hospital's medical leadership and physician staff. The advisor communicates and provides data to physicians, care managers, nurses and other clinical staff related to the efficient and effective utilization of clinical resources. The advisor serves as a liaison to third party payers concerning matters related to utilization review, care coordination and transitions of care planning.

• Serves as clinical resource to the department of Care Management.
• Provides clinical knowledge and expertise to guide care management assessment, planning and interventions.
• Serves as an advisor to hospital administration, the Medical Executive Committee and ad hoc committees concerning payer, quality or utilization issues.
• Collaborates with Care Management, administrative and medical staff leadership and the clinical healthcare team to develop strategies to manage avoidable readmissions.
• Actively involved in hospital-wide quality improvement initiatives.
• Conducts administrative duties to support effective care management of patients.
• Conducts concurrent chart reviews of electronic and paper records to determine appropriate utilization and treatment plan for cases identified as delays and for long stay complex medical cases. Identifies trends that lead to increased denied days or extended lengths of stay.
• Attends regular and ad-hoc meetings with Care management and medical staff leadership to review trends in physician practice.
• Assist in the development of strategies for intervention and improvement.
• Meets on a regular basis with Care Management leadership to strategize and prioritize program and organizational needs.
• In collaboration with the Director of Care Management, sets the agenda for Utilization management and/or Denials Management Committees.
• Educates medical staff on evidence based best practices, appropriate utilization of clinical resources and alternative levels of patient care.
• Rounds on patient care units to address clinical management issues. Educates the interdisciplinary team and providers.
• Supports medical staff leadership in driving evidence-based medicines and other organization-wide physician initiatives.
• Facilitates collaboration between care managers and medical staff.

Qualifications and Requirements

• 5-7 years of experience

Pay Range (Salaried): $89.51 to $143.22, based on experience

• Medical, dental, and vision coverage starting the first of the month after hire, plus wellness programs and mental health support 403(b) retirement plan with employer match, pension, and life and disability insurance
• Tuition reimbursement toward advanced degrees and specialty certifications
• Generous paid time off, fitness discounts, and free on-site parking

About Northwest Hospital

Northwest Hospital is a full-service community hospital in Baltimore County serving Randallstown, Pikesville, Owings Mills, and beyond. As part of LifeBridge Health - one of the region's most comprehensive healthcare systems - Northwest delivers compassionate, high-quality care close to home, with a mission to improve the health of the communities we serve, and to take care of the people who take care of patients.