Physician Advisor (24 hours)

GENERAL SUMMARY OF POSITION:

Under the
general direction of the Medical Director, Director, or designee, the Physician Advisor is responsible for reviewing applicant medical
records and making a clinical determination of eligibility for applicants seeking benefits and/or long term care services based on clinical
guidelines. The Physician Advisor also provides clinical guidance reviewers and quality improvement initiatives as appropriate.

MAJOR RESPONSIBILITIES:

• Responsible for determining whether an individual applying for and/or receiving
  public assistance benefits/services meets specific clinical and functional criteria outlined in federal and state regulations
• Review
  medical records, approves or denies recommendations made by Registered Nurse Reviewers regarding the status of an applicant or
  member
• Participates in and advises review team regarding the functional capability of an applicant based upon a comprehensive review
  of all records
• Contributes to quality improvement initiatives developed within the program or department
• Participates in
  quality team case reviews
• Collaborate with department leadership in the interpretation of all applicable regulations, development of
  clinical policies and quality evaluations, and provide feedback to clinical staff regarding clinical policies and the outcomes of quality
  evaluations
• Evaluates and develops alternatives to address problems and issues as they arise on a case by case
  basis
• Participates as a member of clinical or case review teams
• Responsible for training new Physician
  Advisors
• Performs other duties as assigned.

REQUIRED QUALIFICATIONS:

• Board eligible or
  certified in area of specialty
• Minimum of 5 years of experience in direct patient care
• Proven ability to plan and prioritize
  work in order to meet position objectives or job responsibilities
• Excellent problem solving and decision making
  capabilities

UMass Chan Medical School welcomes all qualified applicants and complies with all state and federal
anti-discrimination laws.