Executive Director MD Physician Advisor
Company: WellStar Health System
Location: Marietta
Posted on: June 20, 2022
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Job Description:
Overview
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.
Responsibilities
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.
Qualifications
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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