Physician - Physician Advisor Utilization Management - Corporate

About the role

The Physician Advisor serves at the intersection of clinical operations and utilization management. This role partners with physicians, care management, and hospital leadership to ensure appropriate, efficient, and high-quality patient care across the continuum.

Responsibilities

• Develop and cultivate positive and productive working relationships with other Corewell Health personnel, and promote a culture of safety, teamwork, compassion, collaboration, clarity, curiosity, and courage.
• Demonstrate a commitment to service and distinctive, personalized care with both internal customers (coworkers, fellow employees, hospital staff, etc.) and external customers (patients, family members, referring physicians/specialists, etc.), while striving to exceed customer expectations.
• Achieve operational, financial, and patient satisfaction goals.
• Timely completion of all specific competencies and annual organizational mandates.
• Assess and monitor the medical needs of patients.
• Provide quality medical services to patients in a cost-effective, appropriate manner and ensure coverage of case load at all times.
• Communicate regularly with patients’ families, referring physicians, specialists, nursing staff, and other hospital departments regarding the plan of care and treatment of patients, including within 24 hours of admission, for any major change in a patient’s condition, and within 24 hours prior to discharge.
• Document medical services in the patient’s medical record in a manner consistent with hospital, payor, and regulatory standards.
• Participate in on-call and weekend coverage, as required by the Department.
• Participate in value-based reimbursement programs and quality initiatives, as required by the Department.
• Participate in Quality Improvement (QI)/Quality Assurance (QA) and peer review activities as requested.
• Assist, as requested, in the development of policies and procedures as they relate to medical practice and quality patient care.
• Participate in ongoing process improvement activities through the development/application of clinical paths, process improvement, and other related activities.
• Support patient participation in clinical trials and research projects, assess clinical safety and efficacy data, consistent with Research Institute policies.
• Provide oversight, teaching, and mentorship of fellows, residents, APPs (e.g., physician assistants and advance practice registered nurses), and students and others (as appropriate) providing services to patients, including meaningful participation with the affiliated medical schools as requested.

Qualifications

• Doctorate.
• Licenses - Physician (MD) - State of Michigan Upon Hire required OR License - Osteopathic Physician (DO) - State of Michigan Upon Hire required.
• CRT-DEA Registration - State of Michigan Upon Hire required OR CRT-Basic Life Support (BLS) - AHA American Heart Association 120 Days required OR CRT-Basic Life Support (BLS) - ARC American Red Cross 120 Days required OR CRT-Adv Cardiovascular Life Support (ACLS) - AHA American Heart Association 120 Days required.

Benefits

Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance Traditional and Roth retirement options with service contribution and match savings Eligibility for benefits is determined by employment type and status Primary Location SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd Department Name Utilization Management - Diversified East WB Mkt Employment Type Part time Shift Variable (United States of America) Weekly Scheduled Hours 20 Hours of Work 8 a.m. to 5 p.m. (20 hours) Days Worked Monday to Friday Weekend Frequency Variable weekends