Physician Advisor

CHRISTUS St. Michael hospital is seeking a Physician Advisor for a full-time administrative role, focusing on Care Management and Clinical Documentation Improvement. This position involves teaching, consulting, and advising the Care Management Department and medical staff on physician practice patterns, documentation, resource utilization, and compliance. The Physician Advisor will also promote effective physician documentation to support patient Level of Care, billing status, and appropriate DRG assignment.

Practice Info

• Administrative physician role serving CHRISTUS St. Michael hospital and its affiliates
• Reports directly to the Chief Medical Officer of St. Michael hospital-Texarkana

Responsibilities

• Lead the Utilization Review Committee in collaboration with the Director of CM
• Conduct secondary status reviews for appropriate level of care determination
• Conduct peer-to-peer consults with payor medical directors for denied cases
• Provide education to physicians and other clinicians related to regulatory requirements and utilization of alternate levels of care
• Participate in daily IDRs to expedite testing and treatment and promote efficient patient care
• Provide guidance/assistance to Emergency Department Physicians and CM staff for correct LOC designation at intake
• Act as a liaison with payers to facilitate approvals and prevent denials or carved-out days
• Provide feedback to physicians in each service on clinical documentation using specific case examples/3M

Compensation

• Competitive compensation
• Relocation assistance

Benefits

• Balanced professional and personal lifestyle
• No state income tax

Shift & Schedule

• M-F
• No call responsibilities
• Submit monthly time records documenting time actually spent in the provision of responsibilities

Requirements

• 5 years of clinical experience
• Licensed physician in state of residence
• Board certified in a clinical specialty
• Experienced in clinical practice with an understanding of utilization review
• Served on or chaired an Utilization Management Committee
• Demonstrated cost-efficient practice
• Certified by the American Board of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP) - preferred