Physician Advisor for Case Management Services
@ McLeod HealthPhysician Advisor for Case Management Services
About the job
McLeod Health, a non-profit system with a 565-bed hospital, seeks a Physician Advisor for case management to provide clinical leadership and improve care quality.
Requirements
- BC/BE in relevant specialty
- Experience in case management
- Knowledge of payer guidelines
- Leadership skills
Qualifications
- Medical license
- Excellent communication skills
- Team-oriented
- Experience with EPIC EMR
Full job description
Physician Advisor for Case Management Services - Florence
McLeod Health is seeking a BC/BE Physician Advisor for Case Management Services at our flagship 565-bed tertiary care center.
Responsibilities include, but are not limited to:
* Monday-Friday, on-site with no-call
* Provide clinical leadership and expert guidance to the case management and utilization review teams
* Educate and collaborate with medical staff on documentation, length of stay, level of care and resource utilization
* Serve as liaison between hospital and payer medical directors to resolve clinical and reimbursement issues
* Participate in quality improvement initiatives around readmission rates, mortality and compliance
* Review admissions, discharges and transfers for medical necessity per CMS and payer guidelines
* Support policy development and drive evidence-based care pathways
What to expect:
* Competitive compensation, Full Benefits, Retirement, Sign on Bonus, Relocation Allowance, CME Days, CME Allowance and Paid Malpractice
* Position qualifies for PSLF (Public Service Loan Forgiveness)
* EPIC EMR
* A Physician-led non-profit system that supports leadership and development growth with the McLeod Health Leadership Academy