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Executive Director MD Physician Advisor

Company: WellStar Health System
Location: Marietta
Posted on: June 20, 2022

Job Description:

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
The Executive Director Physician Advisor reports to and is accountable to the Vice President Medical Outcomes to impact quality, utilization, patient satisfaction and efficiency metrics through Performance Improvement and education initiatives that will enable the facility to achieve its stated goals.
Working in collaboration with the VPMA(s) in the WellStar Health System (WHS), the Physician Advisor (PA) will be involved in the following areas:
1. Utilization Management: The Physician Advisor (PA) will conduct clinical review on cases for commercial payers and medicare advantage plans that are referred by Care Coordination/Case Management staff and/or other health care professionals to assess for appropriateness of care; proper level of care in accordance with hospital objectives for assuring quality patient care and effective, efficient utilization of health care services, and to meet regulatory requirements. Working as a peer to physicians and as a consultant to Care Management and administration, the PA intervenes when practice patterns or behaviors or documentation issues create disparity between pathway standards, intensity of service, severity of illness, patient and family rights, teamwork, or other issues regarding the stewardship of resources for individual patients, diagnostic populations, and the organization as a whole. In the area of Readmissions, the Physician Advisor will help to lead the effort to reduce avoidable readmissions. The Physician Advisor will engage with Physicians, Advanced Practice Professionals, nursing and other ancillary personnel as well as administrative leaders as part of his/her role in Performance Improvement, Resource Utilization and ongoing education on imp8ortant trends in healthcare management.
2. Quality Improvement: In addition to the above duties, the PA will work with the VPMA and the Quality Director or Manager at the hospital on quality improvement initiatives to assist the hospital to achieve its annual goals.
Required Minimum Education: Medical Doctor (MD)/Doctor of Osteopathic Medicine (DO); board certified in specialty of practice. MBA/MHA/MMM or equivalent degree preferred. Health Care Quality & Management Certification, (i.e. ABQAURP or equivalent) preferred but not required.
Required Minimum Licensure/Certification: Must have a valid/current CPR or BLS card from the American Heart Association by the first day of employment. Active MD/DO license with the State of Georgia with no restrictions.
Required Minimum Experience: Minimum of eight -ten (8-10) years of clinical experience. One (1) to three (3) years of experience post residency in Utilization Management experience with focus on clinical documentation, medical necessity assessment, billing and coding acumen, business, strategic planning, financial planning and development.
Required Minimum Skills: The Physician Advisor must be able to communicate and understand verbal and written English language and display a positive attitude (see WellStar's Credo). Organizational skills that enable the individual to react and perform under stress and emergency situations and to manage two to three activities at one time on an ongoing basis. Management skills to effectively lead physicians. Must display the character and disposition to foster physician engagement. Time management skills to meet scheduled and non-scheduled operational deadlines, analytical skills to prepare and manage budget.
We'd like to invite you on a career journey like no other! In return for your contributions, we'll help you make the most of all life's moments - on and off the job. Wellstar Total Rewards is designed to provide for your total well-being, including: Your Wellness, Your Pay, Your Future, Your Joy. We think it's pretty simple - we care for our team members and our team members care for the community.

Make a difference in patients' lives--- and your own! Here, it's more than healthcare - it's CareerCare!

Keywords: WellStar Health System, Marietta , Executive Director MD Physician Advisor, Executive , Marietta, Georgia

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