Case Management

Sneak peek: Physician advisor job description

Case Management Weekly, June 20, 2012

What are the responsibilities of a physician advisor?
 
The following responsibilities offer an overview of the position: 
  • Conducts clinical review on cases referred by case management staff and/or other healthcare professionals in accordance with the hospital's objectives for ensuring quality patient care and effective, efficient utilization of healthcare services, and to meet regulatory requirements.
  • Meets with case management and healthcare team members to discuss selected cases and make recommendations for care.
  • Interacts with medical staff members and medical directors of third-party payers to discuss the patient needs 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.
Editor’s note: This article is adapted from an article that originally appeared in the June Case Management Monthly published by HCPro, Inc.

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