Deaconess is seeking a Physician Advisor. The primary responsibility of this position will be to conduct clinical reviews on cases referred by case management staff and/or other health care professionals to meet regulatory requirements and in accordance with the Deaconess Health System objectives for assuring quality patient care and effective, efficient utilization of health care services.
Doctor of Medicine or Doctor of Osteopathy degree from an approved College of Medicine/Osteopathy. 5 years’ experience as a physician. Administrative experience on medical Staff and Hospital Committees or administrative roles, preferred. Experience as a Physician Advisor in the acute care setting and/or the payer environment, preferred. Education and experience in the areas of medical management, outcomes management, and quality improvement/patient safety, preferred. Working knowledge of admission and discharge criteria such as InterQual and Milliman, along with a solid foundation in MS-DRG, APR, DRG, AP-DRG systems and ICD-10-CM are preferred. Board Certified/Eligible physician licensed for the practice of medicine in the State of Indiana. Certification by American Board of Quality Assurance & Utilization review Physicians (ABQAURP), preferred.