Part-Time Physician Advisor Needed at Cone Health at Cone Health
Greensboro, NC 27401
About the Job
Cone Health, a not-for-profit health system, in Greensboro, North Carolina, is seeking an experienced part-time FM/IM physician to serve as its Clinical Physician Advisor.
General Requirements:
- 7on/7off, 12 hour shift- Hybrid work schedule (must reside in NC)
- Ensure appropriate denials management and utilization of health system resources.
- Serve as a thought partner and resource to members of the medical staff, clinical staff, utilization management team members, CDI team members, Transitions of Care team members, case managers, and senior leadership.
- Provide regular feedback to physicians and all other stake holders regarding level of care, length of stay, and potential quality issues.
- Provide guidance on individual cases and aggregate level to cultivate efficiency related to patient care delivery providing medical case review, utilization and quality review and submit recommendations, advice and liaison services concerning quality and cost-effective patient care.
- Review cases that indicate a need for issuance of a hospital notice of non-coverage (HINN)/Important Message from Medicare (IM).
- Effectively present information, both formally and informally
- Strong analytic skills, written and verbal communication skills, organizational skills
Qualifications:
Educational/Licensure Requirements: Doctor of Medicine (MD), Doctor of Osteopathy (DO) or equivalent degree and board certified in area(s) of specialty, NC medical license, full unrestricted DEA, Cone Health medical staff membership, and other employment requirements. Required: Physician Advisor Certification, Graduate of Physician Leadership Academy (Cone Health) or equivalent degree with education/preparation in healthcare administration and/or leadership development.
Experience Requirements: Five (5) years of progressive clinical demonstrating clinical skills, quality improvement, utilization management experience and team development. Required: 1-3 years in Quality Improvement; 1-3 years in Utilization Management.
