Specialty Physicians of Illinois, LLC is seeking two experienced Board-Certified Internal Medicine physician to join our hospital as a Physician Advisor.
WHAT WE NEED:
Ideal candidate must have 7+ years of experience as an internal medicine/sub-specialty physician. The Physician Advisor (PA) is expected to advise, educate and assist the local facility/facilities through teaching, consulting, and advising the Case Management (CM) Department, Clinical Documentation Improvement (CDI) Department and the medical staff on matters regarding physician practice patterns, documentation, over- and under-utilization of resources, medical necessity, compliance rules and regulations, collaboration and relationships with payers.
The PA will work collaboratively with the local leadership to address identified issues with practice patterns of specific providers.
WHAT YOU CAN EXPECT:
Promote Franciscan Health/Specialty Physicians of Illinois, LLC. compliance with CMS, State and Payer policy regarding inpatient admissions and observation status, as well as the appropriateness of continued hospital stay.
Work with Director of Clinical Effectiveness and Care Management to facilitate communication between payers and providers regarding benefit coverage issues, denials, utilization review and quality assurance processes. In addition, position requires professional engagement with the Vice President of Medical Affairs, Corporate Lead PA and System Medical Director of Franciscan Health/Specialty Physicians of Illinois, LLC.
Ensure Quality improvement activities comply with all relevant requirements by State /Federal/ Accreditation Body.
Conduct verbal and written review (including peer-to-peer) and appeal of denied or downgraded coverage determinations made by payers at local facility.
Provide feedback to treating physicians (attending and consultants) on appropriate level of care, length of stay, and quality issues. Also seek additional clinical information from the treating physicians (including appropriate documentation of the plan of care to resolve utilization issues or modification to the treatment plan) to ensure adherence to regulatory and compliance requirements.
Reviews medical records of patients referred by the care management team and assist with clinical review for level of care determination, length of stay management, denial management process and determine if MCG criteria or other professionally recognized standards of quality care are met.
Must portray excellent interpersonal and communication skills, with the ability to build consensus; noticeable skills in engaging physicians and finding synergies.
The ability to relate well to a wide variety of individuals. Comfortable working in groups, forming teams of physicians and management, with an ease in working with other diverse groupings.
WHO WE ARE:
Specialty Physicians of Illinois, LLC has assembled an unmatched team of accomplished physicians to provide comprehensive healthcare services to patients of all ages across a broad spectrum of specialties and disciplines. The south and southwest suburbs now has a physician group comprised entirely of doctors that have developed experience and expertise in specific specialties.
In addition to developing clinical expertise in their specialties, Specialty Physicians of Illinois, LLC doctors strongly embrace the philosophy that comfort, compassion and patient satisfaction are key elements of quality care. So, we take our time. We listen. We counsel. We personally attend to our patients through the entirety of their care.
Experienced providers who share our mission of quality, compassionate care and outstanding customer service are encouraged to apply.
WHAT WE OFFER:
At Specialty Physicians of Illinois, LLC we strive to create a flexible and realistic work-life balance for our providers. Full- and part-time opportunities are offered with benefits, which could include:
Competitive compensation, including income guarantee, with bonus incentives
Generous start-up and retention bonuses; relocation allowance
27 days of Allowed Time Off plus five additional paid days for CME with annual stipend
Full benefits package, including health, life, dental, vision and legal insurance
Retirement options, including 403(b), 457(b), 401(a)
Short- and Long-Term Own Occupation Disability
Customized marketing support
Leadership development through board and committee opportunities
Iron Oaks Environmental Center – 40-acre nature preserve offering cross country skiing, trails, ponds, gardens, and more.
Performing Arts Center, Theatres, and the Illinois Philharmonic Orchestra
Internal Number: R-051483
About Franciscan Physician Network
A trusted leader in providing faith-based, integrated health care, Franciscan Alliance brings together the latest technology, innovative procedures and the brightest, most compassionate people to serve our patients in Indiana, Illinois and Michigan. Throughout our 13 hospitals and many medical practices, we offer a number of nationally recognized Centers of Health Care Excellence.For more than 135 years, Franciscan Alliance has stayed true to our founding mission to care for everyone who comes through our doors. We treat our patients with the best possible care by following the guiding ethical values embodied by our founding congregation, the Sisters of St. Francis of Perpetual Adoration. Always mindful of our Christian stewardship to the Roman Catholic Church, we minister with joy, care and compassion according to the ideals of St. Francis of Assisi and our founder, Mother Maria Theresia Bonzel.
Since 1975, the American Association for Physician Leadership has helped physicians develop their leadership skills through education, career development, thought leadership and community building.
Now more than ever, physicians are leaders in their organizations and communities. The American Association for Physician Leadership® maximizes and supports physician leadership through education, community, and influence.