Daytime Physician Advisor PRN

Daytime Prn Physician AdvisorFranciscan Health Crown Point is seeking an experienced Board-Certified Internal Medicine physician to join our hospital as a Daytime PRN Physician Advisor.Ideal candidate must have 7+ years of experience as an internal medicine/sub-specialty physician. The Physician Advisor (PA) is expected to advise, educate and assist the local facility/facilities through teaching, consulting, and advising the Case Management (CM) Department, Clinical Documentation Improvement (CDI) Department and the medical staff on matters regarding physician practice patterns, documentation, over- and under-utilization of resources, medical necessity, compliance rules and regulations, collaboration and relationships with payers. The PA will work collaboratively with the local leadership to address identified issues with practice patterns of specific providers.Promote Franciscan Crown Point compliance with CMS, State and Payer policy regarding inpatient admissions and observation status, as well as the appropriateness of continued hospital stay.Work with Director of Clinical Effectiveness and Care Management to facilitate communication between payers and providers regarding benefit coverage issues, denials, utilization review and quality assurance processes.Ensure Quality improvement activities comply with all relevant requirements by State /Federal/ Accreditation Body.Conduct verbal and written review (including peer-to-peer) and appeal of denied or downgraded coverage determinations made by payers at local facility.Provide feedback to treating physicians (attending and consultants) on appropriate level of care, length of stay, and quality issues. Also seek additional clinical information from the treating physicians (including appropriate documentation of the plan of care to resolve utilization issues or modification to the treatment plan) to ensure adherence to regulatory and compliance requirements.Reviews medical records of patients referred by the care management team and assist with clinical review for level of care determination, length of stay management, denial management process and determine if MCG criteria or other professionally recognized standards of quality care are met.Must portray excellent interpersonal and communication skills, with the ability to build consensus; noticeable skills in engaging physicians and finding synergies.The ability to relate well to a wide variety of individuals. Comfortable working in groups, forming teams of physicians and management, with an ease in working with other diverse groupings.Franciscan Health is a non-profit health care system with primary and specialty care physician groups located throughout Indiana. Franciscan is known for our mission of caring. Our values of Respect for Life; Fidelity to Our Mission; Compassionate Concern; Joyful Service; and Christian Stewardship extend to our employees and patients.With 12 hospitals, Franciscan Health is one of the largest Catholic health care organizations in the Midwest. Franciscan Health includes over 1,000 employed physicians and advanced practice providers. Franciscan providers enjoy a team approach to care. Of our 260+ locations, many are nationally recognized Centers of Health Care Excellence.Indiana was recently ranked the #2 Best State to Practice Medicine, reflecting the supportive environment our physicians experience every day, including competitive compensation, a favorable malpractice climate, and an affordable cost of living. It's an ideal place to build a rewarding, sustainable career while serving communities that truly value their caregivers.At Franciscan Physician Network we strive to create a flexible and realistic work-life balance for our providers. Full- and part-time opportunities are offered with benefits, which could include:Competitive compensationPaid malpracticeCrown Point in Lake County, Indiana is a desirable community in which to live and work. Northwest Indiana has a reasonable cost of living, is family-friendly with award-winning schools. Crown Point has a hometown atmosphere, with its historic downtown square, numerous unique shops, parks, golf courses, and other scenic locales. Crown Point is in close proximity to Chicago, Lake Michigan beaches, area waterparks, and much more. Whether you are living on the lake or inland, Crown Point offers a little piece of paradise for each individual.Lake County Fairgrounds hosts a large variety of festivals and entertainment throughout the yearCrown Point Farmer's MarketMultiple golf coursesLemon Lake County ParkShort- and Long-Term Own Occupation DisabilityCustomized marketing supportLeadership development through board and committee opportunitiesIt is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity.