Job Description

Cone Health , a not-for-profit health system, in Greensboro, North Carolina, is seeking an experienced Clinical Physician Advisor.

General Requirements:  

• M-F, 8am-5pm
• Fully remote. Must reside in AL, FL, GA, KY, NC, SC, TN, VA, or WV. 
• Ensure appropriate denials management and utilization of health system resources.
• Serve as a thought partner and resource to members of the medical staff, clinical staff, utilization management team members, CDI team members, Transitions of Care team members, case managers, and senior leadership.
• Provide regular feedback to physicians and all other stake holders regarding level of care, length of stay, and potential quality issues.
• Provide guidance on individual cases and aggregate level to cultivate efficiency related to patient care delivery providing medical case review, utilization and quality review and submit recommendations, advice and liaison services concerning quality and cost-effective patient care.
• Review cases that indicate a need for issuance of a hospital notice of non-coverage (HINN)/Important Message from Medicare (IM).
• Effectively present information, both formally and informally
• Strong analytic skills, written and verbal communication skills, organizational skills

Qualifications:

Educational/Licensure Requirements: Doctor of Medicine (MD), Doctor of Osteopathy (DO) or equivalent degree and board certified in Family Medicine or Internal Medicine , NC medical license, full unrestricted DEA, Cone Health medical staff membership, and other employment requirements. Required: Physician Advisor Certification, Graduate of Physician Leadership Academy (Cone Health) or equivalent degree with education/preparation in healthcare administration and/or leadership development.

Experience Requirements: Five (5) years of progressive clinical demonstrating clinical skills, quality improvement, utilization management experience and team development. Required: 1-3 years in Quality Improvement; 1-3 years in Utilization Management.

World Class Care :

Cone Health is a not-for-profit 5 hospital system with 1100+ beds. We achieve top decile performance and quality through our Physician Engagement .

A Place to Call Home:

Greensboro and the surrounding North Carolina communities are centrally located in what’s known as the “Triad of NC”. Greensboro is one of the best places to live and play in NC… where you can get to know your neighbors and a place to call home. There are outstanding schools, wonderful cultural events, great sports, golf, eclectic dining, and more. The 4-season climate will inspire you to enjoy the outdoors year-round! For great travel, we have 3 airports (2 have international flights) that service our areas and for weekend getaways, it is an easy drive to the Blue Ridge Mountains and the Carolina coast. For more community information, please visit: Greensboro Life / Greensboro Professionals / Greensboro

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