Physician Advisor, Care Progression, Alta Bates Summit Medical Center

We are so glad you are interested in joining Sutter Health!

Organization:

Position Overview:

Job Description :

EDUCATION:

• Doctorate: Graduate of an accredited medical school

CERTIFICATION & LICENSURE:

• MD-Doctor of Medicine OR DO-Doctor of Osteopathy • Unrestricted medical license in state of residence

TYPICAL EXPERIENCE:

• 3 years of recent relevant experience.

SKILLS AND KNOWLEDGE:

• Excellent interpersonal communication and negotiation skills. • A broad knowledge base of health care delivery and case management within a managed care environment. • Comprehensive knowledge of Utilization Review, levels of care, and observation status. • Some awareness of healthcare reimbursement systems: Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Patient Processing Service (PPS),Centers for Medicare and Medicaid Services (GR) Grouper (CMS) preferred. • Post-acute levels of care such as Home Health, Hospice, Advance Illness Management (AIM), and Palliative Care. Skilled Nursing Facility (SNF), Long Term Acute Care (LTAC), B&C, Sub-acute, Acute rehab. • Proficient Knowledge of coding and DRG assignment process preferred. • Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners. • Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families. • Demonstrates commitment to service excellence in all patient, family and employee interactions and in performing all job responsibilities. • Functions in a manner to promote quality patient care and assure a positive patient experience. • Excellent verbal and written communication skills. • Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities. • Intermediate computer skills. • Ability to promote teamwork and to effectively function in teams. • Ability to interact effectively with key internal and external constituents using collaboration, and customer service skills that promote excellence in the patient experience.

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Employee Status:

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.