Physician Advisor - UM MSQ

Why BayCare?

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

Summary:

• Charged with meeting the organization's goals and objectives for assuring the effective, efficient utilization of health care services. Is a physician serving the hospital through teaching, consulting, and advising the care management and utilization review departments and the hospital leadership.
• Develop expertise on matters regarding physician practice patterns, over and under-utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding and documentation requirements.
• Works closely with the medical staff leadership, the entire medical staff, including resident physician house staff, all areas of resource management, case management, social services, discharge planning, and utilization management to develop and implement methods to optimize use of hospital services for all patients while also ensuring the quality of care provided.
• This includes working with hospital leadership in developing care management protocols with physicians and others to optimize length of hospital stay and efficient management of resources, insuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance, and monitoring the appropriate use of diagnostic and therapeutic modalities.

Minimum Qualifications:

Education:

• Required - Doctorate - Medical Doctor; Or - Doctorate - Osteopathic Medicine

Credentials:

• Required - Medical Board - License

Experience:

• 5 years Clinical Related
• 1 year Education

Preferred qualifications:

• Member of the American College of Physician Advisors (ACPA), Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP), Physician Advisor Sub-Specialty Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP).

Facility: BayCare Health System, Physician Advisor Services-HSS

Location: St Josephs Main and Childrens

Status: Part Time, Exempt: Yes

Shift Hours: 8:00 AM - 4:00 PM

Weekend Work: None

On Call: No

How often will this team member be working remotely? Hybrid

Equal Opportunity Employer Veterans/Disabled