Physician Advisor - Medical Director
Hackensack Meridian Health is seeking multiple physician advisors for our hospital Case Management Department at Jersey Shore University Medical Center in Neptune, NJ. 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 and efficient utilization of health care services.
The physician advisor provides physician support and leadership to the utilization and resource management areas of care management including mentoring/coaching Utilization Review Coordinators/Care Coordinators, reviewing cases for medical necessity, collaborating with physicians, house staff, hospitalists in determining appropriate inpatient versus outpatient/observation status, and participating in denial and appeal processes. The physician advisor will act as a member of the Utilization Review Committee, provide assistance to Clinical Documentation Specialists, act as a liaison to EHR/IT systems to support best practice medicine, oversee the function and performance of the observation unit, and proactively educate residents, hospitalists, and attending physicians in preventing denials and determining appropriate levels of care for patients. The physician advisor will also identify and address issues related to throughput, efficiency, length of stay, resource utilization, readmission avoidance, quality, safety, and patient satisfaction primarily through the performance of multi-disciplinary rounds.
This is an administrative position and the successful candidate will form a collaborative partnership with the hospital administration, the medical staff, and the case management department leadership and staff. This partnership will provide a comprehensive clinical resource management program that includes utilization management, progression of care management, social work services, and complex discharge planning.
- Full-Time Medical Director Position
- Robust Benefits and Competitive Compensation Packages
- Board Certified/Board Eligible and Valid NJ License
- Minimum of 5 years of Clinical Practice Experience
- Previous Utilization Management Experience in Acute Care Setting Preferred
- Knowledge of CMS Regulations and Knowledge of Nationally Accepted Guidelines such as MCG and InterQual Preferred
- Excellent Communication and Interpersonal Skills
- Proficient Computer Skills
- Strong Organizational Skills with Ability to Multi-task and Set Priorities.
- Internal Medicine preferred
Hackensack Meridian Health is a leading not-for-profit health care network in New Jersey offering a complete range of medical services, innovative research, and life enhancing care aiming to serve as a national model for changing and simplifying health care delivery. It is an integrated network made up of 17 hospitals, over 200 outpatient facilities, over 6,000 physicians and 28,000 team members.
For immediate consideration, please contact Renee Theobald, Corporate Physician Recruiter at Renee.Theobald@HackensackMeridian.org or (732)751-3597.
Hackensack Meridian Health is a leading not-for-profit health care organization that is the most comprehensive and truly integrated health care network in New Jersey, offering a complete range of medical services, innovative research and life-enhancing care. Hackensack Meridian Health comprises 16 hospitals, including two academic medical centers, two children’s hospitals, two rehabilitation hospitals, and ten community hospitals, physician practices, more than 120 ambulatory care centers, surgery centers, home health services, long-term care and assisted living communities, ambulance services, lifesaving air medical transportation, fitness and wellness centers, rehabilitation centers, and urgent care and after-hours centers. Hackensack Meridian Health has 28,000 team members, more than 6,500 physicians and is a distinguished leader in health care philanthropy, committed to the health and well-being of the communities it serves.
The Network’s notable distinctions include having one of only five major academic medical centers in the nation to receive Healthgrades America’s 50 Best Hospitals Award for five or more consecutive years, the number one hospital in New Jersey as ranked by U.S. News and World Report, consistently achieving Magnet® recognition for nursing excellence from the American Nurses Credentialing Center, recipient of the John M. Eisenberg Award for Patient Safety and Quality from The Joint Commission and the National Quality Forum, a six-time recipient of Fortune’s “100 Best Companies to Work For,” one of the “20 Best Workplaces in Health Care” in the nation, and the number one “Best Place to Work for Women.” Hackensack Meridian Health is a member of AllSpire Health Partners, an interstate consortium of leading health systems, to focus on the sharing of best practices in clinical care and achieving efficiencies.
The hospitals of Hackensack Meridian Health include: academic medical centers - HackensackUMC in Hackensack, Jersey Shore University Medical Center in Neptune; children’s hospitals - Joseph M. Sanzari Children’s Hospital in Hackensack, K. Hovnanian Children’s Hospital in Neptune; community hospitals -Ocean Medical Center in Brick, Riverview Medical Center in Red Bank, HackensackUMC Mountainside in Montclair, Palisades Medical Center in North Bergen, Raritan Bay Medical Center in Perth Amboy, Southern Ocean Medical Center in Manahawkin, Bayshore Community Hospital in Holmdel, Raritan Bay Medical Center in Old Bridge, JFK Medical Center, and HackensackUMC at Pascack Valley in Westwood.
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