Company

Rochester Regional HealthSee more

addressAddressRochester, NY
type Form of workFull Time
salary Salary$250,000 to $300,000 / Year
CategoryRetail

Job description

Rochester Regional Health, located in Upstate NY, is seeking a practicing provider interested in joining our Physician Advisor program. The Physician Advisor (PAd) plays an important role in ensuring physician support and execution of for Utilization Management and Documentation strategies and processes. Physician advisors conduct second-level medical necessity reviews for patient cases that do not meet first-level screening criteria or do not have a documented expectation of length of stay. They also provide recommendations on inpatient admissions, outpatient and observation services, or cases not deemed appropriate for hospital-level services.
 
Key Responsibilities:
  1. Coding and Documentation Improvement (CDI) and Denial and Appeal (D&A) Management
  2. Level of Care (LOC) and Medical Necessity Management
  3. Develop and maintain skills in the areas of CDI, coding, LOC regulations, D&A processes, and other areas depending on the evolving strategies of the PAd and UMD programs.
Minimum Qualifications
  • Medical Provider Licensed and practicing in NYS (MD, DO, NP, PA, or equivalent)
  • Practice clinical medicine at least 20% of time
  • Demonstrated skills and interest in CDI and/or LOC management
  • High level of collaboration and inter-disciplinary skills needed to accomplish complex activities
  • Ability to influence, negotiate and motivate collaborators
  • Must be able to positively communicate and work with professionals at all levels of the organization
  • Able to play a dynamic role with ability to adapt to constant change as the organizations needs change.
 
Community Description
Rochester was ranked the 3rd best place to live in New York and as the 26th best place to live among the 150 most populous metro areas in the United States. The area features excellent public and private schools, and offers an affordable cost of living with a variety of housing options. As the third-largest city in New York State, Rochester offers diverse cultural including the Rochester Philharmonic Orchestra, GeVa Theater Center, Rochester International Jazz Festival, as well as easy access to Manhattan, Boston, Washington, DC and Philadelphia. The area also offers recreational opportunities year-round with the Finger Lakes, the Adirondacks, and surrounding ski-resorts and state parks. Greater Rochester also boasts a thriving food, brewery, and winery culture, exceptional college and universities and is one of the top golf destinations in America.

About Rochester Regional Health

Rochester Regional Health is an integrated health services organization serving the people of Western New York, the Finger Lakes and beyond. The system provides care from 150 locations, including five hospitals, more than 100 primary and specialty practices, rehabilitation centers and ambulatory campuses, innovative senior services, facilities and independent housing, a wide range of behavioral health services, and ACM Medical Laboratory, a global leader in patient and clinical trials. 

Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran

About Rochester, New York

The Rochester area feature excellent public and private schools, and a variety of housing options.  As the third-largest city in New York State, Rochester offers diverse cultural including the Rochester Philharmonic Orchestra, GeVa Theater Center, Rochester International Jazz Festival, as well as easy access to Manhattan, Boston, Washington, DC and Philadelphia.  The area also offers recreational opportunities year-round with the Finger Lakes, the Adirondacks, and surrounding ski-resorts and state parks.  Greater Rochester also boasts a thriving food, brewery, and winery culture, exceptional college and universities and is one of the top golf destinations in America.

Refer code: 6641841. Rochester Regional Health - The previous day - 2023-12-03 20:20

Rochester Regional Health

Rochester, NY
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