- The PA attends daily huddles, participates on the utilization management team.
- The PA collaborates with the hospitalist team on a regular basis for assuring safe, effective and efficient care
- The PA maintains current knowledge of federal, state and payer regulatory requirements as well as utilization and quality management.
- Minimum Level of Education Required: Medical Doctorate degree
- Type of degree: MD or DO
- Area of study or major: Medicine
- Preferred educational qualifications: N/A
- Position specific testing requirement: CHCQM Phy Adv certification
- Physician licensed to practice in the state of Ohio
- CHCQM Physician Advisor certification
- Board Certification in some specialty – current or expired
- Minimum Level of Experience Required: No prior job-related work experience
- Prior job title or occupational experience: Minimum of 5 years of experience in clinical practice
- Prior specific functional responsibilities: Prior experience in Utilization Management
- Preferred experience: Prior experience in Utilization Management
- Other experience requirements: Leadership in practice, programs and projects
- Utilization management
- Payer practices
- Clinical documentation
- Patient levels of care
- Continuum of Care management
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Advanced Practice Provider
1 week ago
LiveWell Choice, LLC Dayton, United StatesLiveWell Choice, a subsidiary of Longevity Health, is growing and looking to hire an Advanced Practice Provider - Nurse Practitioner or Physician Assistant - Dayton, OH. · General Information: An Advanced Practice Provider - Nurse Practitioner or Physician Assistant are licensed ...
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Advanced Practice Provider Clinical Manager
12 hours ago
LiveWell Choice, LLC Dayton, United StatesLiveWell Choice, a subsidiary of Longevity Health, is growing and looking to hire an Advanced Practice Provider Clinical Manager - Dayton, OH. · General Purpose: The individual holding this position is required to support and demonstrate their commitment to the Longevity Health ...
physician advisor - Dayton, United States - Premier Health Partners
Description
The Physician Advisor (PA) conducts clinical review on all cases referred by the ICM, CDI staff and CSI staff (or other health care professionals) for the purpose of meeting regulatory requirements in accordance with the hospitals objectives for assuring high quality, safe patient care along the care continuum. The PA works in collaboratively with ICM/CSI/care providers to assure effective and efficient utilization of health care services. The PA meets with ICM and CSI staff on a regular basis to discuss select cases, review status determination and make recommendations for follow up. The PA interacts regularly with medical staff and APPs for review of patient care, supporting documentation, discharge plans and appropriate levels of care. The PA acts as a consultant and resource for medical staff, ICM, CSI, CDI and other care providers. The PA provides education to physicians and other clinicians related to regulatory requirements, appropriate utilization, alternative levels of care, community resources, and the overall continuum of care. As needed the PA interacts with medical directors of third party payers to discuss the needs of patients and appropriate levels of care. The PA supports medical staff and APPs through serving as a resource for clinical documentation.
Education
Additional requirements:
Licensure/Certification/Registration
Experience
Knowledge/Skills
