Physician Advisor Opportunity

Employer
Trinity Health
Location
Pontiac, Michigan
Posted
Apr 26, 2021
Closes
Apr 26, 2022
Ref
2089822
Specialty
General Practice
Hours
Full Time
Position Type
Permanent
OPPORTUNITY HIGHLIGHTS

St. Joseph Mercy Oakland (SJMO) has an excellent full time employment opportunity for a Board Certified Physician Advisor located in Pontiac, Michigan. We will consider candidates that would prefer to work remotely for this opportunity.

The Physician Advisor will assure effective and efficient delivery of quality medical care
consistent with federal, state, and regulatory statute standards for utilization review
management and documentation. The advisor will work with Trinity Health System office
and Regional Health Ministry leadership to identify opportunities to improve care and
documentation as well as minimize clinical denials by providing the physician perspective
on utilization review to achieve physician adoption of best practices and documentation
requirements.

The Physician Advisor will serve as a liaison between the departments of Quality
Management, Outcomes Management, Clinical Documentation Improvement, the Medical
Staff, Insurers and RHM senior leadership. This opportunity will also be responsible for
providing guidance and education to physicians on utilization review regulatory changes as
well as documentation requirements to support coding, accurate reimbursement, quality
and outcomes measurement and medical necessity for the services provide.

The qualified candidate will have the following experience/certifications and education:
  • Must possess either a Doctor of Medicine, Doctor of Osteopathic Medicine.
  • Unrestricted current license to practice medicine in the Michigan.
  • Board certification in clinical area of expertise.
  • Must have five or more years of clinical practice experience.
  • Membership on the Medical staff and “privileged to write orders to clarify patient status.”
  • Excellent interpersonal skills with ability to build collaborative working relationships with medical staff, clinical staff, finance and compliance.
  • Excellent written and oral communication skills; ability to write clearly and succinctly in a variety of communication settings and styles.
  • Possess an understanding and working knowledge of current health care regulation, accreditation and licensure requirements for physicians and facilities.
  • Ability to demonstrate a comprehensive knowledge of a broad range of medical/surgical diagnoses, treatment modalities, therapeutic services and intervention techniques.
  • Demonstrate a working knowledge of Quality Management, Utilization Management, documentation processes and program structure.
  • Ability and willingness to effectively approach physicians on issues related to quality, documentation and utilization as needed.
  • Ability to make sound decisions based on criteria of Medicare/Medicaid, other payers and/or other utilization/reimbursement agencies regarding medical necessity and the quality, appropriateness and efficacy of patient care.
  • Personal presence that is characterized by a sense of honesty, integrity, and caring as well as the ability to inspire and to motivate others to promote the philoso

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