Administration - Management Physician Job with Northeast Georgia Health System in Gainesville, GA

Physician Advisor for Utilization Review

Northeast Georgia Health System Gainesville, GA 30501
  • Part-Time
  • Not Specified
  • Not Specified
  • Hospital Employee
  • No
  • No
  • 03/01/2023
  • 1114962
  • 03012023AK

Northeast Georgia Health System (NGHS) is an expanding and busy four hospital health system with close to 800 beds and a service area spanning 19 counties, covering 1.3 million lives. Our Gainesville campus is a newly designated Level I Trauma Center located about 45 minutes north of Atlanta. We provide thorough and compassionate care to our patients through primary care and an array of specialists ranging from cardiothoracic surgery to pediatrics. In addition to a strong provider team, NGHS also home to several residency and fellowship programs including residencies in Internal Medicine, Family Medicine, General Surgery, Emergency Medicine, Psychiatry, and Transitional Year; and fellowships in Cardiovascular Disease, Hospice & Palliative Medicine, Pulmonary & Critical Care, Infectious Disease, and Simulation.

Are you ready to join our elite team?

NGHS is looking for physician two advisors to join our Revenue Cycle team to help meet our organization’s goals and objectives for assuring effective, efficient, and complaint utilization of health care services.

Do you have what is takes?

  • Medical Degree
  • Ability to obtain an unrestricted  Georgia medical license
  • Maintain membership of NGHS medical staff
  • 5 to 7 years’ experience as practicing physician
  • Experience as Physician Advisor preferred
  • Understanding of and knowledge in healthcare Federal and State regulations required
  • Strong computer skills and working knowledge of Epic EMR
  • Functions well in a team environment, contributing to and supporting organizational goals and initiatives

Position Overview:

Participates in the Utilization Review Committee to include review of data related to utilization and presentation of findings with recommendations for improvement

  • Location: Remote
  • Schedule: 20 hours a week
  • Provides educational and supportive services, working with providers and hospital staff
  • Attends meetings either in person or virtually
  • Develops expertise on physician practice patterns, over/under utilization of resources, and documentation requests
  • Works closely with entire medical staff, including resident physicians, in all areas of resource management, utilization management, and case management to develop and implement methods to optimize services for all patients
  • Supports the Utilization Review process through second level reviews as needed and in a timely fashion
  • Assists in governmental regulation compliance through research, reviews, and education
  • Develops and maintains successful relationships within the payor community
  • EMR Platform – EPIC

Your next career move is a click away: contact April Knowles, physician recruiter with NGPG