Physician Advisor UR and CDI-Utilization Management

Veterans in Healthcare; Little Rock (AR); On-site; USD 190,000 - 230,000; Full time

Job summary

The Physician Advisor at Baptist Health-BHMC-Little Rock serves on the leadership team to optimize the effective and efficient utilization of health care services. The physician collaborates with the CDI and Utilization Review teams, teaching and advising hospital leaders on medical necessity, levels of care, and denials management.

This full-time daytime role requires an unrestricted medical license in Arkansas, active hospital staff membership, and strong EMR skills.

Qualifications

• Unrestricted medical license in the state.
• Membership in the hospital medical staff.
• Solid foundation in utilization management, quality improvement and patient safety.

Responsibilities

• Advise on physician practice patterns, resource utilization, and medical necessity.
• Lead teaching, consulting, and advising the CDI and Utilization Review departments and hospital leadership.
• Ensure compliance with governmental and payer regulations and proper coding and documentation.

Skills

Utilization management

Quality improvement

Patient safety

Tools

EMR

Job description

Physician Advisor UR and CDI-Utilization Management

Job ID: 62488

Location: BHMC-Little Rock

Job Type: Physician, Full Time

Job Details

• Department: Utilization Management
• Shift: Day
• Working Hours: 8-5P

Summary

The Physician Advisor is a key member of the healthcare organization’s leadership team and is charged with meeting the organization’s goals and objectives for assuring the effective, efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, consulting, and advising the Clinical Documentation Improvement and Utilization Review departments and the hospital leadership. The Physician Advisor shall develop expertise on matters regarding physician practice patterns, over and under-utilization of resources, medical necessity, levels of care, denial management, compliance with governmental and private payer regulations, appropriate physician coding and documentation requirements.

Other Information

• Hold and maintain an unrestricted medical license in the state of (location).
• Meet the requirements (and become a member) of the Hospital medical staff
• Possess or acquires a solid foundation, knowledge, and/or experience in the areas of utilization management, quality improvement, and patient safety.
• Possess a working knowledge of (Hospital) organization & case management operations and administrative standards and policies.
• Strong computer skills and working knowledge of the EMR.
• Familiarity with MCG/Interqual placement status criteria is preferred.
  This job will be authorized 80.00 hours bi-weekly.

Today, Baptist Health is Arkansas' most comprehensive healthcare organization with more than 250 points of access that include 11 hospitals, urgent care centers, a senior living community, and over 100 primary and specialty care clinics in Arkansas and eastern Oklahoma.