Job Description
Summary
The Physician Advisor (PA) has responsibility for providing medical staff leadership to the Utilization Management Committee ( UMC ) and functions of the Case Management (CM) and Health Information Management (HIM)/Clinical Documentation Improvement Departments. The PA leads and promotes processes for patients to receive medically necessary and high quality care throughout the continuum of care. The PA also assists in reducing the financial risks associated with denials that are due to providing medically unnecessary or preventable services and extended length of stays.
Additionally, the Physician Advisor provides ongoing education and in-service instruction programs for the Hospital's medical staff (including residents and fellows in academic medical centers), nursing and ancillary personnel related to coding/clinical documentation improvement, compliance, utilization management and quality issues. Further, the PA conducts and documents reviews and for cost and length of stay (LOS) outliers as referred by the non-physician reviewers. He/she conducts medical necessity reviews for cases not referred to an outsourced physician advisor company.
Qualifications
Education
Required : Doctor of Medicine Degree (M.D.) or Doctor of Osteopathic Medicine Degree (D.O.).
Preferred : Additional advanced degree in Business and/or Health Care Administration
Experience
Required: 2 years in a physician leadership role.
Preferred: Utilization Management and hospital committee chair. Demonstrated ability to work in a collegial role with members of the medical staff and to engage in education to hospital medical staff. Prefer successfully conducted physician to physician discussions with payers.
Certifications
Required : Current State MD or DO License and an ABMS (American Board of Medical Specialties) Certification.
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Qualifications
Education:
Required: Doctor of Medicine Degree (M.D.) or Doctor of Osteopathic Medicine Degree (D.O.). Preferred: Advanced degree in Business and/or Health Care Administration.
Experience:
Required: 2 years in a physician leadership role.
Preferred: Utilization Management and hospital committee chair. Demonstrated ability to work in a collegial role with members of the medical staff and to engage in education to hospital medical staff. Prefer successfully conducted physician to physician discussions with payers.
Certifications:
Required: Current State MD or DO License and an ABMS (American Board of Medical Specialties) Certification.
Physical Demands:
About Us
Who We Are
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.
About the Team
Careers at Tenet
At Tenet Healthcare, the heart of what we do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients. Everyone contributes to these moments, whether providing care directly or supporting those who do.
As an organization, we provide employees with resources, tools and support to serve our patients and customers in the best way possible. We also take care of one another, helping team members further develop their career pathways and maximize their potential.