SarasotaFLRecruiter Since 2001
the smart solution for Sarasota jobs

Physician - Administration - Management - Physician Advisor, Integrated Case Management - Florida

Company: First Physicians Group
Location: Sarasota
Posted on: August 4, 2022

Job Description:

Sarasota Memorial Health Care System, a multi-hospital system with an 895-bed regional medical center and 110 bed community hospital, is among the largest acute care public health systems in Florida. With more than 8,000 staff and 750 volunteers, it is one of Sarasota County--------s largest employers. A community hospital founded in 1925, Sarasota Memorial is governed by a nine-member elected Sarasota County Public Hospital Board. We are a full-service health system, with specialized expertise in heart, vascular, cancer, and neuroscience services, as well as a network of outpatient centers, long-term care and rehabilitation among its many programs. Sarasota Memorial is the only provider of Level II trauma services, obstetrical services and Level III neonatal intensive care in Sarasota County. Job Summary This dynamic full-time Physician Advisor provides 1) physician administrative support and leadership to the utilization and resource management areas of Integrated Case Management including mentoring/coaching Care Coordinators, Utilization Review staff, and Social Workers, 2) reviewing cases for medical necessity, 3) daily multi-disciplinary rounds, 4) collaborating with hospitalists, physicians, and house staff in determining appropriate inpatient versus outpatient/observation status, and providing feed-back on documentation improvement opportunities 5) participating in third-party payor denial, appeal, and peer-to-peer processes.
Identifying and benchmarking standards of best practice related to throughput, efficiency, length of stay, resource utilization, high quality admissions, readmission avoidance, and transitions of care across the continuum is an organizational standard.
The physician advisor will consider compliance with regulatory and payor requirements, policy and organizational goals, and quality patient outcomes when performing patient reviews.
This position will be an active member of the Utilization Review Committee. Benefits As an employee of the Sarasota Memorial Health Care System you will be offered health, dental, vision, life, disability, paid time off, 403B, and CME.
Relocation expenses are available. Required Qualifications MD or DO from an accredited school of medicineBoard CertificationActive Florida Medical LicenseQualified as a provider under Medicare and MedicaidCurrent medical staff privileges or the ability to be credentialed for staff privileges at any Sarasota Memorial Health Care System hospitalA minimum of three (3) years of hospital acute care experience with exposure to utilization management and documentation initiativesA minimum of one (1) year of leadership experienceExperience in case management, care coordination, and utilization managementMaintains current knowledge of federal, state, and payor regulatory and contract requirementsDemonstrated teamwork, performance analysis, presentation, facilitation, planning, and communication skills.Ability to maintain positive rapport with hospital and departmental leadership, case management staff, and physicians Preferred Qualifications Internal Medicine or Family MedicinePrevious experience as a physician advisorExperience in managed care contracting and familiarity with Medicare and managed care reimbursement policies Preferred License and Certifications ABQAURP (American Board of Quality Assurance and Utilization Review Physicians), with a physician advisor sub-specialty Please contact Joelle Hennesey, Director of Physician Recruitment,
to learn more about this opportunity. PandoLogic. Keywords: Administrative Physician, Location: Sarasota, FL - 34239

Keywords: First Physicians Group, Sarasota , Physician - Administration - Management - Physician Advisor, Integrated Case Management - Florida, Executive , Sarasota, Florida

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Sarasota RSS job feeds