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Robert Wood Johnson University Hospital Hamilton, a part of the RWJ Barnabas Health System is an award-winning healthcare facility in the Central NJ area representing many medical specialties; all sharing a common commitment to excellence. When you join RWJ Barnabas Health, you will be working with dedicated professionals, caring co-workers, the most advanced technology and a culture of empowerment. If you are passionate about delivering excellence in healthcare every day and desire an open, supportive environment that can help you realize your own personal career goals, we want to hear from you today. We are currently searching for a Physician Advisor. The Physician Advisor is a key member of the healthcare organization's leadership team and is charged with meeting the organization's goals and objectives for assuring the effective, efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, consulting, and advising the care management and utilization review departments and the hospital leadership. The Physician Advisor shall develop expertise on matters regarding physician practice patterns, over and under-utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding and documentation requirements. The Physician Advisor works closely with the medical staff leadership, the entire medical staff, all areas of resource management, case management, social services, discharge planning, and utilization management to develop and implement methods to optimize use of hospital services for all patients while also ensuring the quality of care provided. This includes working with hospital leadership in developing care management protocols with physicians and others to optimize length of hospital stay and efficient management of resources, insuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance, and monitoring the appropriate use of diagnostic and therapeutic modalities.
The Physician Advisor reports directly to the: Chief Medical Officer. Minimum Education and Requirements