Physician Advisor - F/T

At Houston Methodist, the Physician Advisor is responsible for teaching, consulting, and advising the case management department, clinical documentation specialists, medical staff and the hospital on matters regarding medical necessity; compliance rules and regulations; collaboration and relationships with payers; physician practice patterns; documentation and over- and under-utilization of resources. The Physician is a key member and leader of the hospital's utilization review/management committee, which is charged with regulatory goals of ensuring high levels of healthcare quality and acceptable levels of cost. The Physician Advisor will conduct clinical reviews on cases referred by case management and/or other healthcare professionals in accordance with hospital objectives related to quality care of patients.  

EDUCATION

• Graduate of accredited medical school

WORK EXPERIENCE

• Five years recent experience in clinical practice.

LICENSES AND CERTIFICATIONS - REQUIRED

• MD - Physician - State Licensure -- Unrestricted medical license in the State of Texas AND
• Active practitioner