physician advisor

Franciscan Health

<p></p><div>Franciscan Health Indianapolis Campus<p></p>
8111 S Emerson Ave Indianapolis, Indiana 46237<p></p>
At Franciscan, our Physician Advisor champions case management and utilization management activities, and acts as an extension of the VPMA medical staff office to drive care variation initiatives. In this role, you will complete secondary and extended stay utilization reviews, peer-to-peer appeals with health plans, steward interdisciplinary rounds, and act as a coach and liaison to the medical staff. This role serves as a resource to physicians, creates a strong culture of engagement, and provides education and guidance to medical staff.<br>
<br>
<b>WHO WE ARE</b><br>
Franciscan Health is a non-profit health care ministry with primary and specialty care physician groups located throughout Indiana and Illinois. Franciscan is known for our mission of caring. Our values of Respect for Life; Fidelity to Our Mission; Compassionate Concern; Joyful Service; and Christian Stewardship extend to our employees and patients. With 12 hospital ministries, Franciscan Health is one of the largest Catholic health care organizations in the Midwest. Franciscan Health includes over 1,000 employed physicians and advanced practice providers. Franciscan providers enjoy a team approach to care. Of our 260+ locations, many are nationally recognized Centers of Health Care Excellence.<br>
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<b>WHAT YOU CAN EXPECT</b><ul>
<li>Act as consultant and resource to attending physicians regarding their decisions regarding appropriateness of hospitalization, continued stay, and use of resources.</li>
<li>Conduct interdisciplinary care rounds to keep up to date on important and evolving areas of medicine and patient care standards.</li>
<li>Create a strong culture of engagement for medical staff.</li>
<li>Meet with case management and healthcare team members to discuss selected cases and make recommendations for care.</li>
<li>Provide education to physicians and other clinicians related to regulatory requirements, appropriate utilization, alternative levels of care, community resources, and end of life care.</li></ul><br>
<b>
Qualifications</b><br>
<ul><li>
Required Doctorate M.D or D.O
</li><li>3 years Medical/Surgical Required</li><li>
Healthcare Quality and Management Certification (HCQM) - American Board of Quality Assurance and Utilization Review Physicians, Inc.
</li></ul><p></p><div><div><div><div><div><div><div><p><b>TRAVEL IS REQUIRED:</b></p></div></div></div></div></div></div></div><p></p><p><b>
EQUAL OPPORTUNITY EMPLOYER</b></p><p>
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.</p><p>
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.</p><p>
Franciscan Alliance is committed to equal employment opportunity.</p><p></p><p>
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.</p></div>

Physician Advisor

Xsolis

<div><div><b>Position Summary Details</b></div>
<div></div>
<div><div><div>Physician Advisors provide concurrent review and appeal support services for XSOLIS&rsquo;s XPAS client base. Physician Advisors should possess professional expertise and the desire to be a part of an organization with proven experience to innovate, execute and deliver. Experience with utilization management and understanding of state and federal regulations, knowledge about the denials and appeals process, and experience with physician documentation and electronic health records is key. Physician Advisors apply practical working knowledge as a Physician Advisor to a solution that will change the way hospitals solve their administrative challenges.</div>
</div></div><div><b>Essential Duties &amp; Responsibilities</b><br>
<br>
The essential functions include, but are not limited to the following:</div>
<div><ul><li>Provide clinical reviews in accordance with Managed Care and CMS Regulatory Requirements to:
<ul><li>Assist with level of care and length of stay management on a case-by-case basis</li><li>
Assist with the denial management process</li><li>
Determine if professionally recognized standards of quality care are met</li><li>
Participate in the concurrent and retrospective appeal peer-review process&quot;</li></ul>
</li></ul><ul><li>Provide feedback to internal and external partners regarding level of care, length of stay and quality issues, which may also include joining client meetings to review observations and trends in physician behavior and/or documentation. Recommend and request additional, more complete, medical record documentation. Provide guidance to internal and external staff regarding status issues and alternatives to acute level of care when such care is not warranted. Provide education to internal and external staff related to regulatory requirements, appropriate utilization, and alternative levels of care.</li><li>
Ensure appropriate documentation of patient care reviews, decisions, and other pertinent information. Be able to review cases with screening criteria, such as InterQual, MCG or other appropriate platforms. Develop and apply protocols related to evidence-based medicine and criteria.</li><li>
Work with internal and external Care Management staffs to ensure appropriate continuity of care and provide education to assist in reducing readmissions.</li><li>
Educate internal and external staff about ICD coding guidelines (e.g., co-morbid conditions, outpatient vs. inpatient) and clinical terminology to improve their understanding of severity, acuity, risk of mortality, and DRG assignments on their individual patient records.</li><li>
Provide insight into the development of the XSOLIS appeal operations and technology platform. Work with the Data Analytics team and assist in the enhancement of clinical analytics.</li><li>
Maintain current knowledge of federal, state, and payer regulatory and contract requirements.</li><li>
Additional functions as deemed appropriate and warranted.</li><li>
Full-time physician advisors are required to complete peer to peer reviews</li></ul>
</div><div><b>Minimum Qualifications (Knowledge, Skills, and Abilities)</b></div>
<div><div><div>Education:</div>
<ul><li>Graduate of an accredited medical school</li><li>
Additional education in quality and utilization management through continuing medical education programs and self-study</li></ul>
<div>Experience:</div>
<ul><li>5 years recent experience in clinical practice</li></ul>
<div>Other:</div>
<div><ul><li>Utilization management experience as a member of the UM oversight committee or past physician advisor experience preferred</li><li>
Licensed physician without restrictions</li><li>
Knowledge of federal, state, and payer regulatory and contract requirements</li><li>
Verbal and written communication skills</li><li>
Basic computer skills, including typing, navigating browsers, etc.</li><li>
MS Office Suite</li><li>
Professional demeanor and interpersonal skills</li></ul>
</div><div><b>Supervisory Responsibilities</b></div>
</div>
</div><div><br>
This role does not have any direct reports and is a single contributor role.</div>
<div></div>
<div><b>Working Environment and Travel Requirements</b></div>
<ul><li>Work is typically in a normal office administrative environment involving minimal exposure to physical risks.</li><li>
Position requires little to moderate physical activity. Mostly sedentary work exerting up to 10 pounds of force occasionally or a negligible amount of force to lift, carry, push, pull, or otherwise move objects. Work involves sitting most of the time, but may involve walking or standing for brief periods of time. No significant stooping is usually required.</li><li>
This role requires travel to our home offices in TN for training.</li></ul>
<div><b>Physical Demands &amp; Work Environment</b><br>
<br>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position.</div>
<div></div>
<div>Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.</div><div><b>
About Us</b></div>
<div></div>
<div>Xsolis is an AI-driven technology company with a human-centered approach, fostering collaboration between healthcare providers and payers through real-time transparency, objective data for increased accuracy and alignment of medical necessity decisions, and more efficient outcomes. Dragonfly&reg;, its AI-driven proprietary platform, is the first and only solution to use real-time predictive analytics to continuously assign an objective medical necessity score and assess the anticipated level of care for every patient, enabling more efficiency across the healthcare system. Xsolis is headquartered in Franklin, Tennessee.
<div></div>
<div><b>Our Values:</b></div>
<ul><li>Team First</li><li>
Client Passionate</li><li>
Always Curious</li><li>
Deliver Excellence</li></ul>
Xsolis has been ranked on the Inc. 5000 and Deloitte Technology Fast 500 lists in both 2022 and 2023 as a fastest-growing private company, and was named 2022 Best in Business among private companies by the Nashville Business Journal. Xsolis executives have been featured in Becker's Hospital Review, Becker's Payer Issues, Chief Healthcare Executive, CIO Review, Managed Healthcare Executive, Medical Economics, HIT Consultant, Healthcare IT Today, among other leading publications.
<div></div>
For more information, visit www.xsolis.com.
<div></div>
<div><div><b>Where We&rsquo;ll Go Together</b><br>
<br>
Our company will become the new standard for utilization management. You&rsquo;ll be a core part of realizing that goal and a valued contributor to the culture and climate we wish to create. Our wins are your wins, and we&rsquo;re dedicated to making you feel your work matters (it truly does).</div>
<div></div>
<div>If any of this speaks to you, let&rsquo;s get in touch.</div>
</div>
<div></div><div><div><b>Candidates must successfully pass a background check and drug screen prior to beginning employment with XSOLIS.</b></div>
<div><br>
<b>XSOLIS is an equal opportunity employer that is committed to hiring based upon merit, skills, experience, and qualifications. We recognize the importance of an inclusive and diverse workforce that celebrates all individuals from all walks of life. We encourage everyone to apply regardless of gender identity, race, veteran status, age, sexual orientation, or any other protected class.</b></div>
<div><br>
<b>All employees of XSOLIS fall under the same security role, which includes access to sensitive information, including proprietary data and PHI.</b></div>
<div></div>
<div>All official communications from our recruitment team come from emails ending in @xsolis.com or @echo.newtonsoftware.com. Job offers are only extended after a formal interview process, and any offer will come through official channels. You can verify postings on our official careers page: https://www.xsolis.com/about/careers.</div></div></div></div>

Physician Advisor (PT)

Dane Street

<div><p>Dane Street is expanding our physician panel! Dane Street is a national Independent Review Organization and we have a very robust legal clientele. As our business has expanded, we have need to add experts to our physician panel to support Texas Contra-Affidavit and exert witness requests. This is an excellent opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.</p><p>
A Texas medical license, active practice, and board certification in Diagnostic Radiology is required.</p><p><b>
Requirements</b></p><p>
As Physician Reviewer/Advisor supporting Dane Street Legal Services IMEs, the physician reviews medical records and may address clinical questions, medical necessity of treatment, and usual and customary charges for services. The expert will support the Counter-Affidavit process and be available for deposition and trial expert. Counter affidavit/testimony/deposition work experience preferred. Experience and expertise in analyzing the application of CPT codes in combination with usual and customary rates and state fee schedules in addition to clinical expertise is essential.</p><p></p><p>
MAJOR DUTIES AND RESPONSIBILITIES:</p><ul><li><ul><li><ul>
<li>On a contract basis as individual schedule permits, accepts cases, reviews all medical records, and completes the counter-affidavit process addressing each question and all clinical concerns as well as any charges/fee concerns based upon the expertise as a clinician and standards and norms in terms of fees/charges in Texas practice.</li>
 <li>Provides copies of any criteria utilized in a review with the report in a timely manner</li>
 <li>Returns cases on or before the due date and time specified</li>
<li>Performs other duties as assigned, including addressing any necessary clarification, providing addenda as required (with additional compensation), and identifying and responding to client questions as necessary
</li></ul></li></ul></li></ul><p><b>Benefits</b></p><ul>
<li>Robust opportunity for supplemental income</li>
<li>Schedule flexibility and predictable work hours - You set the volume, and conduct exams based on your schedule availability</li>
<li>No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions.</li>
<li>Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise</li>
<li>Expanded credentials as an expert in Independent Medical Exams and physician advisor services</li>
<li>No-show fees and late cancellation fees are established to protect your time.</li>
<li>Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal</li>
</ul><p>Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.</p></div><p></p>

Radiologist - Texas Contra-Affidavit

Greys Specialist Recruitment

<p>Low Case Load </p><p>Senior Occupational Health Advisor - In-House - Site Based/Hybrid</p><p>Hertfordshire</p><p>Full Permanent </p><p>Our client is looking to recruit a Senior Occupational Health Advisor to work at their site in Hertfordshire combined with remote working.</p><p>Variety of medicals and case management.</p><p>Working as part of a multi-disciplinary inhouse team you will manage your own case load along with lead responsibilities. </p><p>The main focus for this role is case management however you will also be involved in performing a full remit including:</p><p>-Case Management (4 cases per day)</p><p>-Complex Case Management</p><p>-Return to Work</p><p>-Sickness Absence</p><p>-Health Surveillance</p><p>-Fit to Work</p><p><strong>What they offer:</strong></p><p>Clinical supervision<br>EAP service<br>Excellent pension<br>Dynamic Occupational Health team who are very friendly and supportive.</p><p> </p><p>To apply please email your resume to (url removed) (phone number removed)</p><p> Greys is a leading Specialist Occupational Health Recruitment Company who work with many leading organisations within the UK. If you are an Occupational Health Technician, Occupational Health Nurse, Occupational Health Advisor, Occupational Health Manager or Occupational Health Physician looking for Permanent, Contract, Ad-Hoc or Sessional work please contact us.<strong> </strong></p>

Senior Occupational Health Advisor

Raytex IT Services

<p>Company Name: G1 Global</p><p>Work Location: Ahmedabad (On-site)</p><p><b>Job Description: Primary Care Physician (PCP)</b></p><p><b>Role &amp; responsibilities: </b>We are seeking an <b>MBBS-qualified Primary Care Physician/General Practitioner</b> to provide premium medical concierge support to patients, ensuring personalized, prompt, comprehensive healthcare services and timely intervention during emergencies. This is a <b>Fulltime role</b> requiring a blend of clinical expertise, empathetic communication, coordination with health assistants &amp; other staff members.</p><p>&middot; Conduct home visits for the enrolled patients as per scheduled appointments</p><p>&middot; Prepare and share a Personal Medical History Summary Sheet within 2 days of the visit.</p><p>&middot; Coordinate patient care in line with Chief Medical Advisor</p><p>&middot; Delivering full medical assistance in line with company scope, ensuring high patient satisfaction.</p><p>&middot; Provide post-service updates and medical feedback to the Health Assistant</p><p>&middot; Respond promptly to staff &amp; patient calls, including 24x7 emergency response.</p><p>&middot; During emergencies, act as the central coordinator between treating doctors, patients, and families, while keeping the health assistant informed.</p><p>&middot; Maintain accurate documentation of all patient interactions.</p><p>&middot; Ensure two standby medical concierge physicians are nominated for coverage in your absence.</p><p><b>Candidate Profile:</b></p><p>&middot; MBBS degree (mandatory); additional specialization is an advantage.</p><p>&middot; Around 2 Years of Patient engagement experience in Multispecialty Hospital</p><p>&middot; Proficient with email, mobile apps, and telehealth tools.</p><p>&middot; Attributes: Alert, empathetic, passionate, polite, punctual, and prompt.</p><p>Languages: English, Hindi, Gujarati</p><p>Job Types: Full-time, Permanent</p><p>Pay: &#8377;700,000.00 - &#8377;1,000,000.00 per year</p><p>Benefits:</p><ul><li>Health insurance</li><li>Provident Fund</li></ul><p>Work Location: In person</p>

Primary Care Physician (PCP)

Memorial Hospital at Gulfport

<div><p>Coordinates the efforts of patient, family, and healthcare professionals to develop a plan of care across the continuum based on identified needs. Reviews and assesses the appropriateness of patient admissions and continued stays in accordance with established policies and procedures.</p></div>
<br><div><ul><li>Ensures implementation of the prescribed plan of care in collaboration with patient/family and healthcare providers.
<ul><li>Coordinates care and services across the continuum working directly with patient/ family, healthcare providers, staff, and payers.
</li><li>Evaluates and communicates patient progress towards established outcomes.
</li><li>Coordinates multi-disciplinary discharge planning to assess current and discharge needs.
</li><li>Evaluates patient satisfaction and quality of care provided.
</li><li>Provide post-discharge follow-up to ensure the progress of the discharge plan.
</li></ul></li><li>Promotes quality and cost-effective interventions, resources, and outcomes utilizing a multidisciplinary team approach.
<ul><li>Reviews and determines necessity and appropriateness of hospitalization using established criteria to prevent denials of payment.
</li><li>Refers appropriate cases to the physician advisor for intervention.
</li><li>Serves as a liaison with healthcare providers, admissions, and medical records staff to assure continuity of patient care, discharge planning, and effective communications.
</li><li>Arranges appropriate referrals for counseling, financial assistance, and discharge planning assistance as needed.
</li><li>Assists in the collection, delivery, and tracking of information for Performance Improvement, Risk Management, and Infection Control.</li></ul></li></ul></div>
<br><div><p>Education:
</p><ul><li>Associate's Degree
</li><li>Bachelor's Degree
</li><li>Graduate of an accredited program in nursing
</li><li>Bachelor of Science in Nursing (BSN)
</li></ul><p>Experience:
</p><ul><li>3
</li><li>Clinical experience as a registered nurse in an acute care facility
</li><li>Advanced quality management, utilization management, case management and/or DRG documentation compliance principles
</li></ul><p>Skills:
</p><ul><li>Excellent customer service and communication skills
</li><li>Strong organizational and problem-solving skills
</li><li>Advanced statistical and spreadsheet/database application skills</li></ul></div>

Case Manager - Registered Nurse - Care Coordination - FT - Days

Millennium Physician Group

<div><p>Formed in 2008 and headquartered in Fort Myers, Florida, with offices in Florida, North Carolina, and Texas, Millennium Healthcare is the largest independent physician group in the state of Florida and one of the largest in the United States. At Millennium Physician Group, our employees are the foundation of our success. Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual and help you grow in your role.</p><p><br>
AVP, Human Resources, Millennium</p><p><br>
The AVP, Human Resources will serve as the HR POC for the business unit, partnering directly with the CEO and the executive leadership team. This role will act as a strategic business partner and consultant to leadership and employees, aligning people initiatives with business objectives. This role will support the Millennium business by leading the development and execution of enterprise-wide HR programs, policies, and initiatives in areas such as strategy, culture, employee relations, talent management, talent acquisition, change management, performance management, organizational development, and total rewards in partnership with Mosaic HR Centers of Excellence. The AVP serves as a trusted advisor to senior leadership, influencing business decisions through data-driven insights and fostering a culture of excellence, engagement, and continuous improvement. Ensuring alignment of HR strategies with organizational objectives and key initiatives. Additionally, this role manages and mentors HR business partners and HR teams, promoting professional growth and operational excellence.</p><p></p><p><b><br>
Key Responsibilities</b></p><ul><li>
Lead the development, implementation, and evaluation of comprehensive HR strategies and programs that align with organizational goals and support business unit objectives.</li><li>
Provide strategic consultation and partnership to senior leadership and business unit leaders on strategies including workforce planning, talent management, organizational design, succession planning, and culture transformation.</li><li>
Provide data-driven insights to solve problems and drive business outcomes.</li><li>
Partner with the HR leadership team on planning and delivering HR solutions.</li><li>
Act as a trusted advisor to executives on people and organizational issues.</li><li>
Partner and drive enterprise-wide talent acquisition, onboarding, training, development, and retention initiatives, ensuring alignment with business needs and inclusion goals.</li><li>
Lead, direct, and mentor a team of HR business partners and HR professionals, fostering a high-performance culture and enhancing their capabilities to meet evolving organizational demands.</li><li>
Lead organizational assessments and change management efforts for large-scale transformation projects, ensuring effective communication, stakeholder engagement, and alignment across all levels.</li><li>
Establish and monitor key HR metrics and analytics to assess organizational health, identify trends, and provide actionable recommendations that drive business outcomes.</li><li>
Manage complex employee relations issues, including performance management, disciplinary actions, and conflict resolution, ensuring compliance with employment laws and organizational policies.</li><li>
Develop and support HR policies and procedures, ensuring regulatory compliance and mitigating organizational risk.</li><li>
Collaborate cross-functionally with other Mosaic HR functions to ensure consistent and effective HR practices across the enterprise.</li><li>
Represent the HR function in executive meetings, regional leadership forums, and external partnerships, advocating for HR strategies that support business objectives and enhance employer brand.</li><li>
Oversee and partner on HR budgets, resource allocation, and vendor relationships within the HR function.</li><li>
Support initiatives related to mergers and acquisitions, particularly in integrating HR practices and culture into the broader organizational portfolio.</li><li>
Demonstrate excellent service to internal executives, peers, team members, and patients.</li><li>
Perform other related duties as assigned.</li></ul><p><b><br>
Qualifications</b></p><ul><li>
Bachelor's degree in human resources, Business Administration, Healthcare Administration, or a related field required; Master's degree or MBA preferred.</li><li>
7+ years of progressive HR experience with at least 5 years in a managerial or leadership role, preferably within healthcare or a large complex organization.</li><li>
Advanced HR certifications such as SHRM-SCP or SPHR strongly preferred.</li><li>
Proven experience in developing and executing enterprise-wide HR strategies, managing HR teams, and influencing senior leadership.</li><li>
Deep knowledge of employment law, HR best practices, regulatory compliance, and risk management, particularly in healthcare settings.</li><li>
Demonstrated ability to analyze HR data and metrics to inform strategic decision-making and improve organizational performance.</li><li>
Exceptional communication, interpersonal, and stakeholder management skills.</li><li>
Strong business acumen with the ability to align HR initiatives with organizational goals and financial considerations.</li><li>
Expertise in change management, organizational development, and workforce planning.</li><li>
Experience managing HR budgets, policies, and vendor relationships.</li><li>
Willingness and ability to travel up to 40% to support business units and organizational initiatives.</li><li>
Ability to work independently in a fast-paced, cross-functional environment while leading teams and driving results.</li></ul></div>

Associate Vice President, Human Resources

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