Physician Advisor

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🔥 48 minutes ago

⚔️ Virginia, West Virginia – Remote

⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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University Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

University Health is the only locally owned health system in San Antonio. For more than 100 years, University Health has been here to heal, improve health, train the next generation of medical professionals and ensure the people of San Antonio, Bexar County and South Texas have access to primary and advanced specialty care close to home. Almost 11,000 employees and more than 1,200 physicians provide specialized services, including the region’s only Level I trauma center for both adults and children, and maternal and neonatal intensive care centers designated at the highest levels by the State of Texas. As the region’s only academic health system, University Health is a hub of innovation and discovery, committed to delivering patient-centered, culturally competent, high-quality and compassionate care, based on a strong foundation of outcomes‐based research and innovative teaching.

📋 Description

• Provides regular input into the strategic planning and resource allocation processes of WVU Medicine as it applies to Utilization Management. • Conducts physician education sessions to share data, trends, practice patterns, and other relevant information as requested. • Investigates avoidable delay concerns referred by case management & utilization management staff that affect patients’ outcomes during their hospital stay. • Investigates and studies new developments in medical practice models, regulatory requirements, and third party coverage as assigned by the Chief. • Participates in the development and implementation of new patient care programs, and consideration of hospital/medical staff ventures. • Identifies denial trends and works with the medical staff and hospital administration to resolve the issue. • Reports practice pattern trends and opportunities to service line or department specific meetings at the request of the CMO or hospital leadership. • The Physician Advisor will be required to submit quarterly time sheets verifying successful completion of the number of contractually agreed upon hours to this pursuit. • He/she will be a credentialed member of all system hospitals. • The physician advisor will travel to and be a consulting representative. • He/she will also represent Utilization Management at various hospital assigned committees.

🎯 Requirements

• Doctorate of Medicine from an accredited School of Medicine or Osteopathy and board certified by a board recognized by the American Board of Medical Specialties. • Holds or eligible for Medical licensure in the State of West Virginia. • Minimum 5 years clinical experience in the practice of medicine is preferred.

🏖️ Benefits

• Doctorate of Medicine from an accredited School of Medicine or Osteopathy and board certified by a board recognized by the American Board of Medical Specialties. • Holds or eligible for Medical licensure in the State of West Virginia. • Minimum 5 years clinical experience in the practice of medicine is preferred.