Details

• Sign-on bonus: To be discussed

• Department: Physician Advisor - Administration

• Schedule: Full-Time

• Hospital: Ascension Providence Hospital

• Location: Southfield, Michigan

Benefits

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

*Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics.

Responsibilities

Position Highlights:

• Reporting to the Chief Medical Officer and works collaboratively with the Vice President of Case Management.

• Works in collaboration with medical staff, case management and clinical documentation specialists (CDI) to ensure effective use of the hospital's resources toward the delivery of high value, efficient patient care.

• Serves as a liaison and education resource for medical staff and clinical associates to address issues of level of care determination and improvements in clinical documentation to support patient discharge and transitions of care.

• Acts as consultant to and resource for attending physicians regarding their decisions relative to appropriateness of hospitalization, continued stay, and appropriate use of resources to reduce avoidable days.

Responsibilities:

• Responsible for the timely review of medical records of identified patients to assist with the level of care and length of stay determination

• Serves as a liaison between case management/nursing staff and medical staff to eliminate barriers for discharge

• Participates in daily floor rounds to identify areas of opportunity for timely transition of care

• Serves as a Physician leader to facilitate patient movement during high census or bed crises

• Provides feedback to attending and consulting physicians regarding level of care, length of stay, utilization of resources and quality issues

• Collaborates with V.P of Case Management to manage the denial management process. Reviews and offers suggestions related to resources and service management

• Provides education to physicians and other clinicians on regulatory requirements, appropriate utilization of alternate levels of care, community resources and end of life care

• Develops strategy and processes to reduce denials and audits

• Utilizes hospital data sources to identify & analyze patterns of over or under-utilization of services, quality metrics and makes recommendations towards achievement of those goals

• Keeps abreast of regulatory, legal, reimbursement changes, and industry trends

• Creative review and coordination of care delivery in complex cases

Requirements

Licensure / Certification / Registration:

• Physician MD/DO with Prescriptive Authority credentialed from the Michigan Board of Medicine obtained prior to hire date or job transfer date required. Verified by local Credentialing Office.

Education:

• Doctor of Medicine (MD) or Doctor of Osteopathy (DO) or Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) or Doctor of Optometry (OD) or Doctor of Podiatric Medicine (DPM) required.

Additional Preferences

• BC in specialty.

• 2-4 years Case Management/Utilization Review Experience.

Why Join Our Team

Ascension Michigan operates 16 hospitals and more than 300 related healthcare facilities that together employ nearly 23,000 compassionate associates. When you join our care teams, you join a team dedicated to providing spiritually centered, holistic care which sustains and improves the health of the communities we serve throughout Michigan.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRightsSp_10_20.pdf) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf)

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf)