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Physician Advisor
Leadership | MO-SSM Health St. Joseph Hospital Lake St. Louis | Lake Saint Louis, MO | Req #: R2276
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The responsibilities and duties of the Physician Advisor shall include but not be limited to the following tasks:
  • Provide education and in-service instruction programs to train employees, physicians, and subcontractors who provide health care services
  • Assist Hospital administrations in developing and defining the clinical program and the scope of services of the program, which include but not limited to, assisting any Medical Staff committee in reviewing and revising applicable rules, regulations, or policies that pertain to the program.
  • Advise and consult with Hospitals, and act as a liaison to Medical Staff committees regarding developing, reviewing, and recommending policies and procedures concerning the general operation of the program.
  • Participate in Hospital's quality improvement programs including efforts to improve performance regarding CMS quality initiatives.
  • Participate, as reasonably requested, in special projects related to the program.
  • Assist Hospitals in meeting its fiscal goals through appropriate cost containment measures.
Physician Duties:
  • Reviews referred medical records and addresses the clinical theory of diagnosis for admission status, continued stay and in coordination of written appeal letters to payors.
  • Daily work with the denials/appeals team in concurrent chart review to assess denials and appropriate levels of care. This service would be coordinated through the Department of Care Coordination.
  • Daily concurrent chart review on an "as needed" basis by the Case Managers to review current treatment plans, identify unnecessary delays in care, and assist the case managers in facilitating care with the health center and functioning as a liaison to the attending physicians in order to provide the highest quality of care in the most efficient manner possible.
  • Participates in CDMP program, and addresses any cases referred by the Clinical Documentation Specialists.
  • Will be an active member of the Medical Staff Utilization Review Committee
  • Makes presentations to key physician(s) and other leadership groups.
  • Willing to learn documentation concepts and abide by clinical guidelines.
  • Stays abreast of changes to pertinent regulations.
  • Should be a well-respected member of the medical staff with broad clinical knowledge who will work in a collaborative team approach with physicians, CDS's, Case Managers, Coders, and Compliance staff. Should have general computer skills and learn to utilize the EPIC electronic health record.
  • Physician Advisor will continue to maintain at minimum courtesy privileges at one of the SSM Health Hospitals and maintain an active State of Missouri Medical License.


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Angela Jones
Angela Jones
Executive Recruiter of Physician & Leadership Talent
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Contact me to learn more about our outstanding opportunities or to apply for a position.
Angela Jones
Angela Jones
Executive Recruiter of Physician & Leadership Talent
LinkedIn

Why SSM Health

At SSM Health, we are driven by a singular Mission: Through our exceptional health care services, we reveal the healing presence of God. It's a higher calling that binds us. Here, we work together, system and providers alike, to heal the body, mind and spirit of our patients. We are united by a shared commitment to serve through faith, humanity, compassionate care and exceptional medicine.

Employment Benefits

  • Health, dental and vision insurance
  • Malpractice insurance
  • Paid time off
  • Retirement savings plan
  • CME stipends and time
  • Adoption reimbursement
  • And more!

Diversity, Inclusion
and Equality

At SSM Health, diversity, inclusion and equality are integral parts of who we are and a reflection of our Mission and values. We believe that workplace diversity is essential to our success. We seek to foster awareness and appreciation of diversity among our patients, employees, physicians, providers, customers and communities.

We are proud to be an Equal Opportunity Employer. Qualified applicants are considered for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity or any other characteristic protected by law.

Quality of Life

Missouri - Eastern

From the famed Gateway Arch in St. Louis to Kansas City, Missouri is one of the most livable states in the country. The metropolitan area features a large variety of neighborhoods and communities. With an affordable housing market, trendy neighborhoods, and the booming economic landscape this one of the most attractive areas for professionals. Smaller cities like Jefferson City, our capital, and Columbia, home of the University of Missouri, offer vibrant communities buzzing with activity, yet free of the hustle and bustle of larger metropolitan areas.

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