Section Chief, Physician Advisor with Carilion Clinic VTCSOM, Roanoke Virginia - Full-time / Part-time

Company Description

Carilion Clinic is a not-for-profit healthcare organization serving nearly one million people in Virginia through hospitals, outpatient specialty centers and advanced primary care practices. Led by multi-specialty physician teams with a shared philosophy that puts the patient first, Carilion is committed to improving outcomes for every patient while advancing the quality of care through medical education and research.

Job Description

Section Chief, Physician Advisor with Carilion Clinic VTCSOM, Roanoke Virginia

Carilion Clinic, headquartered in Roanoke, Virginia is recruiting for a full-time Section Chief, Physician Advisor to serve as the physician expert and leader for the IPA team, with direct reports of full and flex time IPAs.  This position is dyad paired with the Senior Director of System Care Management, collaborating with all levels of leadership in the system. Oversees program support for utilization management activities to include but not limited to second level reviews, peer to peer communications, level of care determination, continued stay and length of stay decisions. Functions as a consultant in resource management to the IPA team. Reinforces evidence-based medicine best practices and adheres to criteria-based guidelines in the Carilion Clinic Utilization Review Plan. Ensures the IPA team is applying consistent clinical judgement and review process outcomes to meet The Joint Commission and other accrediting agencies requirements specific to care coordination. Collaborates with Hospital Care Management and Quality department leadership to identify gaps in physician practice related to standards and regulations and develops action plans to address identified gaps in regulatory requirements. Supports the IPA team by serving as an administrative liaison between the hospital administrators, clinical staff, and support personnel in order to ensure regulatory compliance. Advises physicians on medical necessity and assists hospital leadership in meeting overall organizational goals related to providing efficient and safe patient care. This position is 80% administrative and 20% clinical.

Qualified candidates must have a degree from an accredited medical school with completion of an accredited residency and be board certified. Possess a strong clinical acumen. Knowledge of care management principles, utilization review processes and their practical application under current acute care InterQual guidelines. Working knowledge of third-party payer guidelines and commercial payer requirements of medical necessity criteria. Candidates must demonstrate excellent written and oral communication and presentation skills. Ten years recent experience in a hospital clinical practice with five years administrative/physician management. Previous experience as a Physician Advisor is required.

Carilion Clinic is the largest not-for-profit integrated health system in western Virginia, serving 1.5 million people.  Carilion includes seven hospitals, 220+ practice locations, and 24 GME programs with 750+ physicians in over 75+ specialties. Carilion is a physician-led, collaborative, interdisciplinary Integrated Healthcare Delivery System with a common philosophy of patients first. In 2007, Carilion partnered with Virginia Tech to create the Virginia Tech Carilion School of Medicine (VTCSOM) and the Fralin Biomedical Research Institute at VTC. The position includes the opportunity for academic appointment to VTCSOM, and research interests are supported.

Roanoke is a multicultural metropolitan area of over 300,000, located at the southern tip of Virginia's spectacular Shenandoah Valley, surrounded by the beautiful Blue Ridge Mountains and the stunning 22,000-acre Smith Mountain Lake. The area offers exceptional outdoor activities but also extensive sports and cultural activities from fine dining to multiple musical venues and playhouses, to symphonies, opera and ballets. Access to major air travel hubs is convenient through the Roanoke Blacksburg Regional Airport. The weather features mild winters, an abundance of sunshine, and extended spring and autumn seasons. The region features highly ranked schools and universities and has been coined “the best kept secret in the east.”

 

The Numbers That Make Our System Integrated.

7 Hospitals – 75 Specialties – 700+ Physicians – 220+ Practices -- 280+ Resident/Fellows – 26 GME Programs

 

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

 

Carilion Clinic is a drug-free workplace.

 

 

 

Qualifications

Qualified candidates must have a degree from an accredited medical school with completion of an accredited residency and be board certified. Possess a strong clinical acumen. Knowledge of care management principles, utilization review processes and their practical application under current acute care InterQual guidelines. Working knowledge of third-party payer guidelines and commercial payer requirements of medical necessity criteria. Candidates must demonstrate excellent written and oral communication and presentation skills. Ten years recent experience in a hospital clinical practice with five years administrative/physician management strongly preferred. Previous experience as a Physician Advisor is required.

Additional Information

About Carilion

At Carilion, our employees know they can depend on each other to give their all every day, working together to do the job right. Our sense of family is what makes us a strong, growing organization. If you're looking for a place where talents are embraced, discoveries are made and care makes a real difference, this is where it all happens.

Together we have been recognized with designations, awards, and honors, accreditation by The Joint Commission, magnet designation by the American Nurses Credentialing Center, accreditation with commendation from the Commission on Cancer, American College of Surgeons, and five-star Excellence in Healthcare Awards for patient experience by Professional Research Consultants just to name a few.

Excellent Compensation, Bonuses, Benefits, Pension, Retirement Savings Plan, Time Off, Relocation Assistance, Signing Incentives, Student Loan Reimbursement, and more

About the Roanoke Valley

The Roanoke Valley is a metro area of 300,000 and has consistently been rated among the “best places to live” in the nation and features exceptional schools, low cost of living, inexpensive real estate, and abundant outdoor activities in an exceptional setting along the Blue Ridge Parkway, Appalachian Trail, Smith Mountain Lake, and surrounding areas.

The Roanoke Valley was named one of the ten most bike-friendly areas in the United States by USA Today Travel and our mountain biking has been featured by internationally known outlets such as Pinkbike, Singletracks, Men's Journal, and Mpora. The popular Carvins Cove is regarded as a bucket list trail system for mountain bikers from around the world.

Interested in hiking? Roanoke is the largest city on the Appalachian Trail, and the local trio of Dragon's Tooth, McAfee Knob, and Tinker Cliffs has become collectively known as the Triple Crown of Virginia - showcasing three of the most beautiful summits of the A.T.

The region is home to the Blue Ridge Parkway, regarded as "America's Favorite Drive" because of its spectacular beauty, Smith Mountain Lake - the "Jewel of the Blue Ridge," and four amazing Virginia State Parks.

Located at the southern tip of Virginia’s Shenandoah Valley, easy interstate access allows for driving distance to the Atlantic Ocean beaches and major metropolitan areas.