Dignity Health Physician Advisor Care Coordination in SACRAMENTO, California
Established in 1973,is a full-service community hospital committed to providing excellence in health care for residents living in Sacramento's southern suburbs, including Laguna, Elk Grove and Galt. For additional information about Methodist Hospital, please visit us at methodistsacramento.org. Methodist Hospital is part of Dignity Health- a 21-state network of 9,000 physicians, 59,000 employees and more than 400 care centers, including hospitals, urgent and occupational care, imaging centers, home health and primary care clinics. In the Sacramento area, Dignity Health operates Mercy General Hospital, Mercy Hospital of Folsom, Mercy San Juan Medical Center, Methodist Hospital, Sierra Nevada Memorial Hospital, Woodland Memorial Hospital and Mercy Medical Group (a service of Dignity Health Medical Foundation). Dignity Health is committed to delivering compassionate, high-quality, affordable health care services with special attention to the poor and underserved.
The position’s emphasis is on facilitating communication between the Department of Care Coordination, Medical Staff and Administration regarding systems based practice, regulatory and quality considerations in the delivery of medical care .The Physician Advisor advocates for, supports, and enhances the clinical credibility of the Department of Care Coordination’s utilization and compliance activities. The Physician Advisor is responsible for the timely prospective, concurrent, peer to peer or retrospective review of resource use in referred cases, with the objective of reducing length of stay, avoidable days, or claim denials .
This position also serves as a clinical resource for Care Coordinators by determining the appropriateness of the referrals, applying professional judgment in the context of patient related variables, and consulting with attending physicians, residents and other health professionals as needed in order to clarify issues regarding appropriateness of level of care, care alternatives, and resource utilization. The Physician Advisor provides education and acts as a resource to medical staff colleagues regarding best practices, the utilization review process, regulatory issues, use of clinical guidelines and alternative levels of care. This position chairs and directs the activities of the hospital’s Utilization Management Committee.
The Physician Advisor reviews and reports performance measures and makes recommendations to Departments and the Medical Executive Committee regarding opportunities for improvement of patient care, resource utilization and reduction of denials for care provided. The Physician Advisor participates in clinical process redesign and implementation (clinical pathway/algorithm development/standing order sets, clinical program development) .The Physician Advisor performs the duties of this role according to the organizational objectives, hospital policies, standards of practice and Federal and State regulations.
The Physician Advisor plays a critical role in promoting the highest standards of medical care while maintaining the most effective utilization of hospital resources.
Licensed physician with minimum of 5 years clinical practice experience.
Strong clinical judgment and technical abilities.
Strong collaboration skills with other physicians.
Excellent interpersonal and communication skills.
Knowledgeable in basic principles of utilization management and quality assessment.
Availability and willingness to become an active member of the medical staff and join or lead various medical committees.
Excellent Communication skills and clinical knowledge
Ability to interact with multiple other physicians in a collaborative and positive way in order to improve the quality of patient care.
Highly organized and able to interact with multidisciplinary groups for the benefits of the patients
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Job ID 2017-38110
Employment Type Full Time
Department Hospital Administration
Hours / Pay Period 80
Facility Methodist Hospital Sacramento
Standard Hours Monday through Friday 8am to 5pm