Community Medical Center, an affiliate of RWJBarnabas Health System, is a 592-bed, fully accredited acute care hospital offering area residents world-class medical treatment with the comforts of hometown care. Opened in 1961, CMC has evolved into the state's largest non-teaching hospital and Ocean County's largest and most active health care facility caring for over 24,200 inpatients, 142,500 outpatients and 81,400 emergency department patients each year. Community Medical Center is dedicated to advancing the quality of life and health of our community while delivering compassionate care for our patients. Our core values include: Compassion, Quality, Accountability, Integrity, Diversity and Teamwork.
The Physician Advisor is responsible for providing medical leadership for administering the facility's utilization management program. Acts as a liaison between the leadership, medical staff, case management staff, payors, and managed care organizations to support the efficient use of resources for inpatients and the coordination of services during transitions of care to the community.
Position requirements: Current NJ license as MD or DO. Respected for clinical practice with a minimum of five (5) years clinical practice. Minimum one (1) year experience as a Physician Advisor. Participated in successful collaborative projects, or multidisciplinary committees. Experience in acute care case management-related functions is preferred.
Medical necessity criteria, managed care business models, risk arrangements, peer review, performance profiling with data, outcome management strategies, practice guideline development and application, risk management principles
Utilization-specific training from ABQAURP (The American Board of Quality Assurance and Utilization Review Physicians), ACPE (American College of Physician Executive's Physician in Management course), or CPUR (Certification Program in Utilization Review), Institute for Healthcare Improvement courses, or equivalent may be an asset.
Informal and formal teaching methods
Excellent communication skills with meetings, taskforces, and individual
Diplomacy and conflict resolution
Data and computer skills
Medical Necessity Criteria application
Laws and regulations regarding acute care standards, processes, payments
Rapid cycle change or clinical performance improvement expertise
At Community Medical Center, you will find a progressive health care organization offering a comprehensive array of wellness and medical services including world-class cancer, diabetes, emergency, and cardiac care. We are one of the area's most trusted providers of maternal and child health services, offering superior obstetric services, a Level 2 special care nursery, and a dedicated pediatric unit. We maintain award-winning centers of excellence for women, children and seniors. The centers offer support groups in addition to fitness and wellness programs, to enhance the overall health of every member of our community.