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Location

La Jolla, CA | United States

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Job description

DESCRIPTION

UCSD Health is searching for a data-driven, collaborative, and innovative Physician Advisor who will also serve as the Program Director for the Physician Advisor team at UC San Diego Health. The Physician Advisor will partner with other physicians, care managers and members of the inter-professional team to ensure that care is being delivered in the appropriate setting, at the appropriate time and offer facilitation/resolution to issues related to the appropriate utilization of health system resources. The Physician Advisor will work at the individual case level, the aggregate level and will be facile with the EHR. They will contribute to development of optimal hospital flow, safe transitions of care and the overall mission of UC San Diego Health. In order to manage utilization effectively, the PAs will fully understand the complexities of billing and coding and also assist in resolution of charity care and clinical overrides requests. These positions directly report up through the ACMO of Inpatient Care.

Additional responsibilities for the role includes:

• In compliance with CMS, provide second level review for Care Managers by providing guidance on admission status and ongoing care utilizing guidelines, medical decision making and best practice

• Serve as resource, liaison, and provides guidance to other physicians regarding admission status, appropriate utilization of hospital resources, transition of patients with barriers to discharge

• Provide leadership of utilization management functions

• Serve as an expert on clinical criteria (Milliman / InterQual / other guidelines)

• Act as a liaison to medical staff

• Support patient flow

• Perform chart audits

• Provide coaching and education to physicians regarding clinical documentation

• Work collaboratively with the inter-professional team within the University of California and outside agencies to achieve desired outcomes

• Provide education to medical staff on topics relating to utilization management, compliance, and accurate and specific medical record documentation

• Responsible for the Physician Advisor schedule; operational structure; and identifying, monitoring, and reporting out on key performance indicators (KPIs) for the program

• Partners with ACMO of Inpatient Care and other health system leaders to develop and deploy the strategic plan for the program; responsible for evolving the PA program, as appropriate, to meet enterprise needs

MINIMUM QUALIFICATIONS

• Must be a CA licensed M.D./D.O. or will obtain CA M.D./D.O. licensure within 6 months of hire

• A minimum of five (5) years in medical practice, exclusive of post-graduate training

• Board Certification in primary clinical specialty

• BART or BLS at time of hire with commitment to get BART w/in 6 months ofhire date

PREFERRED QUALIFICATIONS

• Previous experience working within an Academic Medical Center

• Previous experience leading a physician advisor program

SPECIAL CONDITIONS

• Employment is subject to a criminal background check and pre-employment physical

Pay Transparency Act

Annual Full Pay Range: $0 - $0 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $0.00 - $0.00

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

About University of California San Diego

UC San Diego is an academic powerhouse and economic engine, recognized as one of the top 8 public universities by U.S. News and World Report. Innovation is central to who we are and what we do. Here, students learn that knowledge isn't just acquired in the classroom - life is their laboratory. UC San Diego's rich academic portfolio includes six undergraduate colleges, five academic divisions and five graduate and professional schools. The university's award-winning scholars are experts at the forefront of their fields with an impressive track record for achieving scientific, medical and technological breakthroughs.

Connections working at University of California San Diego

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Job tags

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Salary