Per Diem Physician Advisor

At Virtua Health, We Exist For One Reason – To Better Serve You. That Means Being Here For You In All The Moments That Matter, Striving Each Day To Connect You To The Care You Need. Whether That'S Wellness And Prevention, Experienced Specialists, Life-Changing Care, Or Something In-Between – We Are Your Partner In Health Devoted To Building A Healthier Community.  If You Live Or Work In South Jersey, Exceptional Care Is All Around. Our Medical And Surgical Experts Are Among The Best In The Country. We Assembled More Than 14,000 Colleagues, Including Over 2,850 Skilled And Compassionate Doctors, Physician Assistants, And Nurse Practitioners Equipped With The Latest Technologies, Treatments, And Techniques To Provide Exceptional Care Close To Home. A Magnet-Recognized Health System Ranked By U.S. News And World Report, We'Ve Received Multiple Awards For Quality, Safety, And Outstanding Work Environment.In Addition To Five Hospitals, Seven Emergency Departments, Seven Urgent Care Centers, And More Than 280 Other Locations, We'Re Committed To The Well-Being Of The Community. That Means Bringing Life-Changing Resources And Health Services Directly Into Our Communities Through Our Eat Well Food Access Program, Telehealth, Home Health, Rehabilitation, Mobile Screenings, Paramedic Programs, And Convenient Online Scheduling. We'Re Also Affiliated With Penn Medicine For Cancer And Neurosciences, And The Children'S Hospital Of Philadelphia For Pediatrics.

Location:

100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only.

Remote Type:

On-Site

Employment Type:

Employee

Employment Classification:

Per Diem

Time Type:

Part time

Work Shift:

1st Shift (United States of America)

Total Weekly Hours:

0

Additional Locations:

Job Information:

Summary:

Facilitates the Case Management process to assure compliance with CMS, DOH, JCAHO, Managed Care and other healthcare standards.

Monitors compliance in accordance with standards and regulations set by regulatory agencies in relation to quality patient care and reimbursement such as in Observation and Short Stay Projects in addition to Managed Care Organization policy and procedure.

Provides education in consultation with physicians regarding medical management.

Position Responsibilities:

• Effectively communicates with attending and consulting physicians and multidisciplinary team on issues of medical management, documentation, LOS, denial activity and the movement of patient through continuum of care.

• Participate in Medical Management Committee to facilitate review of data and collaboration of plan of action for the resolution and education of identified trends resulting in a negative outcome.

• Prepare data and plan of action for the resolution and education of identified trends for the Quality Council, Medical Executive Committee and Medical Staff Quality Management Committee as appropriate.

• Review of Medicare /Medicaid medical records requiring authorization and/or communication with attending physician.

• Works in collaboration with external resources to effectively manage concurrent and retroactive denials, LOS and compliance activity.

• Participates in medical record audit process with review of patient records and initiates and/or implements appropriate action when indicated.

• Participates in collaboration with Executive Director for Urgent Care program development with creation of: standard operation procedures, job descriptions, quality metrics, G&O's in addition to development of annual budget to enhance Urgent Care Medicine services throughout the care continuum.

• Serves as physician spokesperson for Urgent Care to the internal and external communities.

• Coordinates with VPA for clinical coverage when necessary.

Position Qualifications Required / Experience Required:

1-3 years Case Management/Utilization.

Required Education:

MD/DO degree.

Training/Certifications/Licensure:

Current NJ Medical License.

Hourly Rate: $150.00Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

For more benefits information click here.