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Director Medical Care Management/Physician Advisor

Req #:  98754
Facility:  Christ Medical Center
Department:  Management/Supervisory
City:  Oak Lawn
Posting Budget Status:  Day
Shift Type:  Full Time - Permanent
Posting FTE:  1

 

Advocate Christ Medical Center is part of Advocate Health Care, one of the nation’s leading health care networks. A not-for-profit, 749-bed, premier teaching institution with more than 1,200 affiliated physicians, Christ Medical Center is one of the major referral hospitals in the Midwest for a number of specialties, including cancer care; cardiovascular services; heart, kidney and lung transplantation; neurosciences; orthopedics; and women’s health. The hospital provides emergency care for more than 100,000 patient visits annually and has one of the busiest Level I trauma centers in Illinois.

 

 

Overview

The Physician Advisor, the PHO Medical Director and Director of Care Management are the lead clinicians in partnership for managing the efficiency of care at the organization. The Physician Advisor functions with or by the authorization of the Vice President of Medical Management. Conducts clinical review on cases referred by Care Management staff /Social Work/Utilization management and/or other health care professionals in accordance with the hospitals objectives for assuring quality patient care and effective, efficient utilization of heath care services appropriate level of care, monitoring the appropriate use of diagnostic and therapeutic modalities, and to meet regulatory requirements. Interacts with Medical Staff members, APP Medical Directors and Medical Directors of payers to discuss the needs of patients and alternative levels of care. Acts as consultant and resource to attending physicians regarding their decisions relative to appropriateness of hospitalization, continued stay and use of resources. Acts as consultant and resource to the Medical Staff regarding federal and state utilization and quality regulations.

 

Accountabilities

  1. Care Management
  2. Utilization Management
  3. Medical Oversight and Clinical Documentation Management
  4. Collaboration/Physician Liaison

 

Qualifications

  1. Graduate of an accredited medical school.
  2. Additional education in Quality and Utilization Management through continuing medical education. programs and self-study.
  3. Current Illinois license to practice medicine and eligibility for active membership on the hospital’s medical staff.
  4. Minimum of 5 years recent experience in clinical practice.
  5. Utilization Management experience as a member of the UM oversight committee or past Physician Advisor experience preferred.
  6. Knowledge of National Medical Criteria

 

About Advocate Health Care

 

Advocate Health Care, named among the nation’s Top 5 large health systems based on quality by Truven Analytics, is the largest health system in Illinois and one of the largest health care providers in the Midwest. Advocate operates more than 250 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, the state’s largest emergency and Level I trauma network, one of the area’s largest home health care companies, and the region’s largest medical group. Advocate Health Care has 4 teaching hospitals and is a not-for-profit, mission-based health system affiliated with the Evangelical Lutheran Church in America and the United Church of Christ.


Nearest Major Market: Chicago