Physician, Advisor for Case Management

WakeMed Health & Hospitals; Raleigh (NC); In loco; USD 180.000 - 260.000; Tempo pieno

Descrizione del lavoro

Wakemed in Raleigh, NC seeks a Physician Advisor to collaborate with medical staff leadership and attending physicians to optimize hospital service use and ensure quality patient care. You will work to ensure appropriate level of care and reduce unnecessary hospital days by removing barriers.

The role involves clinical review of referred cases, engaging with payors, and ensuring compliance with state and federal regulations while supporting efficient utilization of health care services.

Competenze

• Licensed Medical Physician.
• Board Certification in Area of Practice Required.
• Doctorate of Medicine Required.
• 5 Years Clinical Acute Care Experience Required.

Mansioni

• Collaborate with medical staff leadership to optimize hospital services for all patients.
• Ensure appropriate length of stay by removing barriers to reduce excess hospital days.
• Monitor use of diagnostic and therapeutic modalities to ensure quality and efficiency.
• Engage with payor representatives to resolve issues while ensuring regulatory compliance.

Formazione

Doctorate of Medicine

Descrizione del lavoro

Overview

The Physician, Advisor collaborates with the medical staff leadership, the attending medical staff, the full-time hospital-based physicians, and the departments of Case Management, Clinical Analysis and Nursing to develop and implement methods to optimize use of hospital services for all patients while also ensuring that quality of care is provided. This includes working with physicians and others to ensure appropriate length of hospital stay by removing barriers that create excess hospital days. Ensures patients are in the appropriate level of care, and monitoring the appropriate use of diagnostic and therapeutic modalities. In this manner, the Physician, Advisor assists the organization in achieving the desired resource management and quality goals. Physician Advisors also engage with payor representatives to resolve issues; these processes are conducted ensuring state and federal regulatory requirements are understood and met. The Physician, Advisor conducts clinical review on cases referred by case management staff and/or other health care professionals in accordance with the hospital's objectives for assuring quality patient care and effective, efficient utilization of health care services in accordance with all regulatory guidelines.

Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.

EOE

Licensure

Licensed Medical Physician Required Board Certification in Area of Practice Required

Education

Doctorate Medicine Required

Experience

5 Years Clinical Acute Care Experience Required