Physician Advisor, Utilization Management

Corewell Health is expanding its Utilization Management team and is seeking a collaborative and clinically driven Physician Advisor to support our East Region. Position Overview The Physician Advisor serves at the intersection of clinical operations and utilization management. Physician Advisors are responsible for the diagnosis, prevention, and treatment of the health problems presented by the patients. This role partners with physicians, care management, and hospital leadership to ensure appropriate, efficient, and high-quality patient care across the continuum. Essential Functions Develop and cultivate positive and productive working relationships with other Corewell Health personnel, and promote a culture of safety, teamwork, compassion, collaboration, clarity, curiosity, and courage. Demonstrate a commitment to service and distinctive, personalized care with both internal customers (coworkers, fellow employees, hospital staff, etc.) and external customers (patients, family members, referring physicians/specialists, etc.), while striving to exceed customer expectations. Assist in meeting operational, financial, and patient satisfaction goals. Timely completion of all specific competencies and annual organizational mandatories. Assess and monitors the medical needs of patients. Provide quality medical services to patients in a cost effective, appropriate manner and ensure coverage of case load at all times. Communicate regularly with patients’ families, referring physicians, specialists, nursing staff and other hospital departments regarding the plan of care and treatment of patients, including within 24 hours of admission, for any major change in a patient’s condition, and within 24 hours prior to discharge. Document medical services in the patient’s medical record in a manner consistent with hospital, payor, and regulatory standards. Participate in on-call and weekend coverage, as required by the Department. Participate in value-based reimbursement programs and quality initiatives, as required by the Department. Participate in Quality Improvement (QI) / Quality Assurance (QA) and peer review activities as requested. Assist, as requested, in the development of policies and procedures as they related to medical practice and quality patient care. Participate in ongoing process improvement activities through the development/application of clinical paths, process improvement, and other related activities. Support patient participation in clinical trials and research projects, assess clinical safety and efficacy data, consistent with Research Institute policies. Provide oversight, teaching, and mentorship of fellows, residents, APPs (e.g., physician assistants and advance practice registered nurses), and students and others (as appropriate) providing services to patients, including meaningful participation with the affiliated medical schools as requested. Qualifications Doctorate. Required License -Physician (MD) - State of Michigan Upon Hire required Or License -Osteopathic Physician (DO) - State of Michigan Upon Hire required DEA Registration - State of Michigan Upon Hire required Basic Life Support (BLS) - AHA American Heart Association 120 Days required Or Basic Life Support (BLS) - ARC American Red Cross 120 Days require Adv Cardiovascular Life Support (ACLS) - AHA American Heart Association 120 Days required About Corewell Health Our new name signals our bold commitment to health and wellness. At our core, we are here to help people be well so they can live their healthiest life possible. Through health care and health coverage, we create more value. Through compassion, collaboration, clarity, curiosity, and courage, we make anything and everything possible. Through our people, we care for the whole person with respect, dignity, and love. Everyone deserves opportunities and resources for better health. Everyone deserves our relentless pursuit to innovate and always do better. Everyone deserves to have a community be a great place to live, work, learn and play. We believe health and well-being should be within reach for all. We believe the system to support the entire health and wellness journey starts with prevention. We believe that together we will make a difference. Together, we are here to make health better for everyone. Together, we are Corewell Health. #J-18808-Ljbffr