This position is accountable for the management of all aspects of medication administration inclusive of the following processes:
* Efficiency and effectiveness of medication therapeutics and dispensing
* Evaluation of appropriateness of drug utilization
* Evaluation of drug therapy and preprinted order sheets in individualizing therapy for patient needs
* Nursing support for patient and staff education
* Interdisciplinary department support for education and monitoring patient drug therapy and education
Talent Pool: Allied Health
This position is responsible for performing perinatal and other diagnostic ultrasound exams while maintaining regulatory and professional ultrasound standards. This individual must exhibit strong decision-making skills and the ability to prioritize. A close working relationship with Maternal Fetal Care management, Radiology management, and medical staff is essential to maintain cost-effective and patient-focused care. This position is responsible to provide care for patients undergoing ultrasound procedures using approved workflows and procedural protocols for Maternal Fetal Care and Radiology. This individual must demonstrate a full knowledge of ultrasound equipment, structured reporting, and image management (PACS). Talent Pool; Allied Health
The Certified Medical Assistant provides team based patient care as directed by the Physician. They provide support to nursing, lab, clerical, and Physician staff in order to facilitate positive patient outcomes. Clinical knowledge and skills relate to newborn, pediatric, adolescent, adult, and geriatric populations.
**Participation in a Clinical Orientation and Competency Evaluation, and ability to pass a Clinical Skills Assessment and Medication Administration test within ninety (90) days of hire, and within 3 attempts.**
Talent Pool: Nursing Support
This position is accountable to administer and coordinate the technical activities of Point of Care Testing throughout Cone Health System-wide for non-laboratory personnel to ensure effective technical operation of the equipment and testing systems in accordance with established practices and regulatory requirements.
This position is accountable to work under the supervision of a registered pharmacist and assist in the various activities of the pharmacy department in order to provide quality safe patient care in a designated setting. Candidates have the ability to foster a Top-Tier Employee Engagement Culture throughout Cone Health.
Talent Pool: Allied Health
The Communication Specialist facilitates communications regarding patient transfers, referral admissions and disseminates transport requests to the transport teams as appropriate as to allow for an immediate response to the patient. In addition facilitates physician-to-physician consultation, referrals and admissions for physicians seeking services from Moses Cone Health System. The Communicator serves as a primary point of contact for Moses Cone Health System and the secondary Market for referrals.
The Communications Specialist will also be responsible for data entry for each incident into the Computer Aided Dispatch System (CAD System), communicating with other departments of Moses Cone and surrounding hospitals, coordinating activities with area public safety agencies and 911 Communications Centers to assist with dispatch and transfer of patients.
LOCATION: Moses Cone HospitalCardiovascular Division
CITY: Greensboro
JOB DETAILS:
Exempt: Yes (Salaried)
FTE: 1 (40 hours/week)
Schedule: Monday-Friday, 8a-5p and approximately 1 weekend every 6 weeks
Call: Yes
JOB SUMMARY:
To provide safe and effective evidence-based patient care.
EDUCATION:
Master’s Degree required from accredited Nurse Practitioner or Physician Assistant Program
EXPERIENCE:
Open to new graduates
LICENSURE/CERTIFICATION/REGISTRY/LISTING:
REQUIRED
BLS (CPR) | American Heart Association or American Red Cross
Current PA or NP licensure in the State of NC
DEA License
ESSENTIAL JOB FUNCTIONS:
Performs daily rounds on patients admitted into the department’s service. Consistently performs daily rounds insuch a manner that meets or exceeds patient care needs and physician satisfaction.
Responds to critical or emergency care alerts within the hospital units. Consistently responds to emergent and critical alerts. Is responsive to supervising physician directives and orders, allowing for least amount of disruption to daily rounds.
Ensures continuity of care for patients, maintaining communication with the attending physician. Manages requests and notifications by pager and by phone, including necessary new orders for medications and other patient needs. Consistently coordinates patient care and manages communications in such a manner that meets or exceeds patient care needs and physician satisfaction.
Provides assessment of patients and coordinates their care with the attending and referring physicians. Consistently performs complete and accurate patient assessments that require little to no physician rework. Consistently assesses patients in such a manner that meets or exceeds patient care needs and physician satisfaction.
Reviews lab results, x-rays, and other test results with physicians, and organizes information for rounds. Consistently performs complete and accurate review of patient results. Consistently reviews and communicates results in such a manner that meets or exceeds patient care needs and physician satisfaction. Uses all electronic and computerized resources to provide timely and accurate patient care.
Under the guidelines of state and federal licensing, and according to hospital policies, performs patient procedures as ordered by the physicians. Consistently performs patient procedures with skill in such a manner that meets or exceeds patient care needs and physician satisfaction.
Serves as a point of contact for inpatient activities for nursing staff and physicians regarding admissions and discharges. Consistently coordinates admissions and discharges and manages communications in such a manner that meets or exceeds patient care needs and physician satisfaction. Actions have a positive impact on patient LOS.
Participates in cross coverage sign outs with physicians when appropriate. Consistently coordinates and communicates between shifts in such a manner that meets or exceeds patient care needs and physician satisfaction.
Assist in reviewing and collecting data for use in quality improvement and for monitoring outcomes. Consistently provides support in review and collection of data. Responds to requests for data as needed.
CONDITIONS OF EMPLOYMENT:
* Maintain licensure/certification/registry/listing
* Annual mandatory requirements (e.g., flu shot, education, employee health)
If you have any questions about this position, please contact:
RT Then
Cone Health Physician Recruitment Consultant
Rebekah.Then@conehealth.com
Cone Health is an equal opportunity employer.
Talent Pool: Advanced Practice Providers
The purpose of this position is to register all patients needing services. The role is responsible for obtaining accurate and complete demographic, financial, and medical information. The person performing this role anticipates and acts on the needs of our customers to enhance the patient experience.
Primary Responsibilities:
- Engages patients throughout the registration process to create a welcoming and positive patient experience.
- Appropriate patient identification.
- Collecting accurate and thorough patient demographic data.
- Obtaining insurance information and verifying eligibility and benefits.
- Determining and collecting patient financial liability.
- Referring patients to a Patient Financial Resource Specialist as needed for assistance with financial counseling.
- Patient Registration and Financial Clearance completed at the bedside within an emergency care setting.
Performs various vascular ultrasound procedures under the supervision of the chief technical sonographer.
Delivers excellent customer service utilizing Relationship Based Care to advocate for safety, patient preferences, and optimal communication through partnering with patients/families and colleagues, including all internal and external customers.
This position requires the following:
Registered Vascular Technologist (RVT) by ARDMS or Registered Vascular Specialist (RVS) by CCI or Registered Technologist Vascular Sonography (RT-VS) by the American Registry of Radiologic Technologists (ARRT). Talent Pool; Allied Health
The Certified Medical Assistant provides team based patient care as directed by the Physician. They provide support to nursing, lab, clerical, and Physician staff in order to facilitate positive patient outcomes. Clinical knowledge and skills relate to newborn, pediatric, adolescent, adult, and geriatric populations.
**Participation in a Clinical Orientation and Competency Evaluation, and ability to pass a Clinical Skills Assessment and Medication Administration test within ninety (90) days of hire, and within 3 attempts.**
Talent Pool: Nursing Support
The Certified Medical Assistant provides team based patient care as directed by the Physician. They provide support to nursing, lab, clerical, and Physician staff in order to facilitate positive patient outcomes. Clinical knowledge and skills relate to newborn, pediatric, adolescent, adult, and geriatric populations.
**Participation in a Clinical Orientation and Competency Evaluation, and ability to pass a Clinical Skills Assessment and Medication Administration test within ninety (90) days of hire, and within 3 attempts.**
Talent Pool: Nursing Support
This position is accountable to evaluate and treat all patients referred for Physical Therapy services, to assist in their return to optimal functional abilities, and to prevent additional disability. This includes communication with physicians and other health care personnel to assist in providing quality patient care.
This position is responsible to maintain regulatory and professional standards and exhibit strong decision-making capabilities. A close working relationship with Radiology leadership, radiologists, and the medical staff is required to maintain a cost-effective and patient-focused service. This position is responsible to provide care for patients undergoing Molecular Imaging procedures using the approved workflows and procedural protocols. Technologists in this position are able to demonstrate full knowledge of Molecular Imaging equipment. Molecular Imaging Technologists are authorized to handle and administer radiopharmaceuticals in accordance with radiology processes and procedures. Competencies are completed through the Radiology department. Talent Pool; Allied Health
This position is accountable to maintain an acceptable level of cleanliness within all assigned areas of the hospital (offices, patient rooms, treatment areas, lobbies, public rest rooms, lounges, etc.) This position will also meet and/or exceed internal and external customer expectations while adhering to the organizational environmental and infection prevention standards and standards established by external regulatory agencies.
The Government Audit Coordinator will oversee the Government Audit implementation and response team. Develop workflows, policies and procedures and the communication plan to prepare for audit requests, denials and appeals in accordance with our compliance plan. Evaluates and reports risk and develops workflow redesign if necessary.
This position is responsible to maintain regulatory and professional standards and exhibit strong decision-making capabilities. A close working relationship with Radiology leadership, radiologists, and the medical staff is required to maintain a cost-effective and patient-focused service. This position is responsible to provide care for patients undergoing Diagnostic Radiology procedures using the approved workflows and procedural protocols. Technologists in this position are able to demonstrate full knowledge of Diagnostic Radiology equipment. Radiologic Technologists are authorized to handle and administer contrast media in accordance with radiology processes and procedures. Competencies are completed through the Radiology department. Talent Pool; Allied Health
Plans, integrates, controls and evaluates human, material and fiscal resources required to provide patient care in specific departments. Provides leadership in establishing standards, goals, and direction. Facilitates, coordinates, and manages staff, material, and financial resources to achieve patient outcomes/care and to promote professional development/practice of staff. Incorporates the Nursing Department philosophy into leadership and clinical practice. Ensures implementation of departmental and department specific patient care standards and nurse competencies. This position serves the following patient age categories: neonatal, pediatrics, adolescent, adult and geriatric.
Assesses, plans, implements, documents, organizes prioritize, delegates, supervises and coordinates the care of neonatal, pediatric, adolescent, adult, geriatric as prescribed within parameters of the NC Nurse Practice Act. Talent Pool: Nursing
This position is responsible to maintain regulatory and professional standards and exhibit strong decision-making capabilities. A close working relationship with Radiology leadership, radiologists, and the medical staff is required to maintain a cost-effective and patient-focused service. This position is responsible to provide care for patients undergoing CT and Diagnostic procedures using the approved workflows and procedural protocols. Technologists in this position are able to demonstrate full knowledge of CT and Diagnostic equipment. Radiologic Technologists are authorized to handle and administer contrast media in accordance with radiology processes and procedures. Competencies are completed through the Radiology department. Talent Pool; Allied Health
Assesses, plans, implements, documents, organizes prioritize, delegates, supervises and coordinates the care of neonatal, pediatric, adolescent, adult, geriatric as prescribed within parameters of the NC Nurse Practice Act. Talent Pool: Nursing
This position ensures the sanitation and safe environment for all employees, residents, and visitors.
Responsible for front office operations. Verify patient demographics and insurance information. Assure completion of intake paperwork. Schedule appointments. Collect co-pays and/or outstanding balances. Other responsibilities may include charge entry, obtaining pre-authorizations and processing referrals. Serve as a liaison between clinic and patient.
Talent Pool: Administrative & Clerical
Maintain and provide accurate Medical Record Information in a confidential, efficient and professional manner to support the needs of all Health Information Management customers. Deliver excellent customer service utilizing Relationship Based Care to advocate for safety, patient preferences, and optimal communication through partnering with patients/families and colleagues, including all internal and external customers.
Assesses, plans, implements, documents, organizes prioritize, delegates, supervises and coordinates the care of neonatal, pediatric, adolescent, adult, geriatric as prescribed within parameters of the NC Nurse Practice Act.
This position is accountable to assist therapists in providing direct patient care, provide independent individual and group patient treatment following explicit directions from the licensed professional and to assist the department with numerous clerical and environmental tasks as required to efficiently run the rehabilitation department. May have access to non-controlled medication storage areas on the patient care areas if and only when their job responsibilities require that access, such as transferring non-controlled substance medications from one storage location site to another or when helping other licensed healthcare professionals retrieve non-controlled substance medications.
Assesses, plans, implements, documents, organizes prioritize, delegates, supervises and coordinates the care of neonatal, pediatric, adolescent, adult, geriatric as prescribed within parameters of the NC Nurse Practice Act.
Talent Pool: Nursing
Assesses, plans, implements, documents, organizes prioritize, delegates, supervises and coordinates the care of neonatal, pediatric, adolescent, adult, geriatric as prescribed within parameters of the NC Nurse Practice Act.
Talent Pool: Nursing
Performs clerical and receptionist duties. Serves as the communication liaison for patients/family, nursing staff, physicians and other hospital departments. Maintains department inventory. Monitors cardiac rhythms under RN supervision; reports changes in cardiac rhythms immediately; documents rhythm information and maintains telemetry equipment. May have access to non-controlled medication storage areas on the patient care units if and only when their job responsibilities require that access, such as transferring non-controlled substance medications from one storage location site to another or when helping other licensed healthcare professionals retrieve non-controlled substance medications.
Provides basic patient care according to the skills and competency guidelines set by the N.C. Division of Facility Services and the North Carolina Board of Nursing, Nurse Aide Central Registry. Provides patient care under the supervision of the Nurse, reporting observations, and documenting within the scope of practice into the EMR. May have access to non-controlled medication storage areas on the patient care areas if and only when their job responsibilities require that access, such as transferring non-controlled substance medications from one storage location site to another or when helping other licensed healthcare professionals retrieve non-controlled substance medications.Talent Pool: Nursing Support
This position is accountable to evaluate and treat all patients referred for Physical Therapy services, to assist in their return to optimal functional abilities, and to prevent additional disability. This includes communication with physicians and other health care personnel to assist in providing quality patient care.
The purpose of this position is to register all patients needing services. The role is responsible for obtaining accurate and complete demographic, financial, and medical information. The person performing this role anticipates and acts on the needs of our customers to enhance the patient experience.
Primary Responsibilities:
- Engages patients throughout the registration process to create a welcoming and positive patient experience.
- Appropriate patient identification.
- Collecting accurate and thorough patient demographic data.
- Obtaining insurance information and verifying eligibility and benefits.
- Determining and collecting patient financial liability.
- Referring patients to a Patient Financial Resource Specialist as needed for assistance with financial counseling.
- Patient Registration and Financial Clearance completed at the bedside within an emergency care setting.
The purpose of this position is to register all patients needing services. The role is responsible for obtaining accurate and complete demographic, financial, and medical information. The person performing this role anticipates and acts on the needs of our customers to enhance the patient experience.
Primary Responsibilities:
- Engages patients throughout the registration process to create a welcoming and positive patient experience.
- Appropriate patient identification.
- Collecting accurate and thorough patient demographic data.
- Obtaining insurance information and verifying eligibility and benefits.
- Determining and collecting patient financial liability.
- Referring patients to a Patient Financial Resource Specialist as needed for assistance with financial counseling.
- Patient Registration and Financial Clearance completed at the bedside within an emergency care setting.
The purpose of this position is to register all patients needing services. The role is responsible for obtaining accurate and complete demographic, financial, and medical information. The person performing this role anticipates and acts on the needs of our customers to enhance the patient experience.
Primary Responsibilities:
- Engages patients throughout the registration process to create a welcoming and positive patient experience.
- Appropriate patient identification.
- Collecting accurate and thorough patient demographic data.
- Obtaining insurance information and verifying eligibility and benefits.
- Determining and collecting patient financial liability.
- Referring patients to a Patient Financial Resource Specialist as needed for assistance with financial counseling.
- Patient Registration and Financial Clearance completed at the bedside within an emergency care setting.
This position is accountable for meal service for all patients on a daily basis. Responsibilities include obtaining patients' menu selection; processing tray tickets and nourishments according to the patients' diet prescription; accurately serving food and beverages to patients in accordance with diet; and verbally communicating patient concerns to clinical dietitian (education needs, inadequate meal consumption, etc.). Serves as the point of contact for patient care units. May have access to non-controlled medication storage areas on the patient care areas if and only when their job responsibilities require that access, such as transferring non-controlled substance medications from one storage location site to another or when helping other licensed healthcare professionals retrieve non-controlled substance medications.
Talent Pool:Environmental & Nutritional Services
This position is accountable for the management of all aspects of medication administration inclusive of the following processes:
* Efficiency and effectiveness of medication therapeutics and dispensing
* Evaluation of appropriateness of drug utilization
* Evaluation of drug therapy and preprinted order sheets in individualizing therapy for patient needs
* Nursing support for patient and staff education
* Interdisciplinary department support for education and monitoring patient drug therapy and education
Talent Pool: Allied Health
Certified Phlebotomists collect blood samples in order to provide assistance in physician diagnosis to provide quality patient care.
This position is accountable to work under the supervision of a registered pharmacist and assist in the various activities of the pharmacy department in order to provide quality safe patient care in a designated setting. Candidates have the ability to foster a Top-Tier Employee Engagement Culture throughout Cone Health.
Talent Pool: Allied Health
Administer anesthesia services to patients of all ages and physical conditions for a variety of surgical and medically related procedures.
"Talent Pool: Allied Health"
Responsible for handling, performing, evaluating and releasing results on laboratory specimens received for analysis. Includes performing all requirements relating to specimens and generating accurate, timely results and reporting.
This position is accountable to maintain an acceptable level of cleanliness within all assigned areas of the hospital (offices, patient rooms, treatment areas, lobbies, public rest rooms, lounges, etc.) This position will also meet and/or exceed internal and external customer expectations while adhering to the organizational environmental and infection prevention standards and standards established by external regulatory agencies.
Administer anesthesia services to patients of all ages and physical conditions for a variety of surgical and medically related procedures.
"Talent Pool: Allied Health"
The Swim Instructor is responsible for providing quality instruction for all levels of American Red Cross swim lessons to participants of all ages and ability. You will work closely with the Manager of Recreation and Aquatics to determine lesson schedules, emergency procedures, lesson procedures/protocols, paperwork, certificates, and registration. You will help to maintain the cleanliness and order of the Aquatics Facilities. Hours may include nights and weekends.
Cone Health and The Center for Children is in search of a patient-oriented Pediatrician to join our collaborative, quality-driven team which consists of 10 general Pediatricians, a Pediatric Geneticist, a Developmental/Behavioral Pediatrician, an Adolescent Medicine Pediatrician, 4 NPs, Adolescent Medicine specialists, Behavioral Health clinicians, Parent Educators, and a Dietitian.
The Tim and Carolynn Rice Center for Child and Adolescent Health serves patients from birth to age 21, providing well visits, sick-child care and a wide range of services for children with complex medical, developmentally delayed or affected by mental health issues.
The Center for Children is a teaching site for the UNC Pediatric Residency program. We provide evidence-based care that includes integrated behavioral health and learning opportunities for residents and other health professionals.
The Center for Children is also one of three community partners in the Healthy Tomorrow Alliance, a grant project which aims to reduce teen pregnancy rates and increase reproductive health education among teens in Greensboro. The providers of the Adolescent Medicine Subspecialty Clinic have a vested interest in this initiative, as they care for teens in Greensboro and surrounding areas.
Cone Health is a 501c(3), not-for-profit hospital system serving people in Guilford, Forsyth, Rockingham, Alamance, Randolph, Caswell and surrounding counties with (6) Hospitals, (5) Ambulatory Care Centers, (3) Outpatient Surgery Centers, (7) Urgent Care Centers, a Retirement Community, more than 145 physician practice sites and multiple Centers of Excellence.
Greensboro is centrally located in North Carolina’s picturesque heartland and was ranked as the 14th “Best Big City” in the US for having high salaries, affordable cost of living and a great job market for physicians. Our growing community has more than 530,000 people with a referral base greater than one million. Greensboro offers excellent schools along with numerous parks, multi-cultural and sporting events, plus much more including a fabulous selection of over 150 attractions and more than 500 restaurants. For weekend getaways, Greensboro is an easy driving distance to the Blue Ridge Mountains as well as, the pristine beaches of NC, SC, and VA.
If you are interested in practicing with one of the region’s largest, most innovative healthcare organizations, please contact me.
Donna Talbert
CONE HEALTH | Medical Group Development
Talent Pool: Physicians
Assesses, plans, implements, documents, organizes prioritize, delegates, supervises and coordinates the care of neonatal, pediatric, adolescent, adult, geriatric as prescribed within parameters of the NC Nurse Practice Act. Talent Pool: Nursing
LOCATION: Triad Cardiac & Thoracic Surgery
CITY: Greensboro
JOB DETAILS:
Exempt: Yes (Salaried)
FTE: 1 (40 hours/week)
Schedule: Monday-Friday, 7a-4p
Call: Yes
JOB SUMMARY:
To provide safe and effective evidence-based patient care.
EDUCATION:
Master’s Degree required from accredited Nurse Practitioner or Physician Assistant Program
EXPERIENCE:
1 year of clinical experience specific to practice as a ACNP or PA strongly preferred
Operationg room experience strongly preferred
Endoscopic vein harvesting (EVH) experience strongly preferred
LICENSURE/CERTIFICATION/REGISTRY/LISTING:
REQUIRED
BLS (CPR) | American Heart Association or American Red Cross
Current PA or NP licensure in the State of NC
DEA License
ESSENTIAL JOB FUNCTIONS:
Performs daily rounds on patients admitted into the department’s service. Consistently performs daily rounds insuch a manner that meets or exceeds patient care needs and physician satisfaction.
Responds to critical or emergency care alerts within the hospital units. Consistently responds to emergent and critical alerts. Is responsive to supervising physician directives and orders, allowing for least amount of disruption to daily rounds.
Ensures continuity of care for patients, maintaining communication with the attending physician. Manages requests and notifications by pager and by phone, including necessary new orders for medications and other patient needs. Consistently coordinates patient care and manages communications in such a manner that meets or exceeds patient care needs and physician satisfaction.
Provides assessment of patients and coordinates their care with the attending and referring physicians. Consistently performs complete and accurate patient assessments that require little to no physician rework. Consistently assesses patients in such a manner that meets or exceeds patient care needs and physician satisfaction.
Reviews lab results, x-rays, and other test results with physicians, and organizes information for rounds. Consistently performs complete and accurate review of patient results. Consistently reviews and communicates results in such a manner that meets or exceeds patient care needs and physician satisfaction. Uses all electronic and computerized resources to provide timely and accurate patient care.
Under the guidelines of state and federal licensing, and according to hospital policies, performs patient procedures as ordered by the physicians. Consistently performs patient procedures with skill in such a manner that meets or exceeds patient care needs and physician satisfaction.
Serves as a point of contact for inpatient activities for nursing staff and physicians regarding admissions and discharges. Consistently coordinates admissions and discharges and manages communications in such a manner that meets or exceeds patient care needs and physician satisfaction. Actions have a positive impact on patient LOS.
Participates in cross coverage sign outs with physicians when appropriate. Consistently coordinates and communicates between shifts in such a manner that meets or exceeds patient care needs and physician satisfaction.
Assist in reviewing and collecting data for use in quality improvement and for monitoring outcomes. Consistently provides support in review and collection of data. Responds to requests for data as needed.
CONDITIONS OF EMPLOYMENT:
* Maintain licensure/certification/registry/listing
* Annual mandatory requirements (e.g., flu shot, education, employee health)
If you have any questions about this position, please contact:
RT Then
Cone Health Physician Recruitment Consultant
Rebekah.Then@conehealth.com
Cone Health is an equal opportunity employer.
"Talent Pool: Advance Practice Provider"
Assist physician in the performance of endoscopic procedures. Provide professional nursing care for patients during admission process, endoscopic examination and recovery phases following established procedures and standards.
This position is responsible to maintain regulatory and professional standards and exhibit strong decision-making capabilities. A close working relationship with Radiology leadership, radiologists, and the medical staff is required to maintain a cost-effective and patient-focused service. This position is responsible to provide care for patients undergoing Mammography procedures using the approved workflows and procedural protocols. Technologists in this position are required to assist with quality assurance related to MQSA, FDA, ACR accreditation. Technologists in this position are able to demonstrate full knowledge of Mammography equipment. Talent Pool; Allied Health
JOB SUMMARY
This leadership position acts to ensure the appropriate and efficient execution of Cone Health’s Physician Advisor program, including management of cases while assuring the quality of care is consistent, as related to the primary and secondary review process. The role will be accountable for leading the Clinical Revenue Cycle Work and to help educate clinical staff on issues related to appropriate documentation and coding. This medical director will continually develop and train the physician advisors and ensure appropriate denials management and utilization of system resources. The Physician Advisor medical director will chair the Utilization Management Committee and will serve as a thought partner and resource to members of the medical staff, clinical staff, utilization management team members, CDI team members, and Transitions of Care team members and higher-level leadership. This role will develop relationships with medical and clinical staff in order to understand and address their concerns and potential opportunities for improvement.
The Physician Advisor medical director will provide guidance on both an individual case and aggregate level to cultivate efficiency related to patient care delivery providing medical case review, utilization and quality review and submit recommendations, advice and liaison services concerning quality and cost-effective patient care.
EDUCATION REQUIREMENTS
Minimum education required:
Required:
MD or DO degree (or equivalent)
Board certified in areas of specialty
Preferred:
Physician Advisor Certification
Graduate of Physician Leadership Academy (Cone Health) or equivalent degree with education/preparation in healthcare administration and/or leadership development.
EXPERIENCE REQUIREMENTS
Required:
5 years of progressive clinical and administrative leadership demonstrating clinical skills, quality improvement, utilization management experience and team development.
Preferred:
1-3 years Quality Improvement
1-3 years Utilization Management
LICENSURE/CERTIFICATION/LISTING
REQUIRED
Licensed Physician MD/DO credential from the North Carolina Medical Board. License required and tracked by the local credentialing office
• A bachelor’s degree in chemistry or any related field.
• A four-year degree from an accredited medical school.
• Three to eight years of residency or internship programs.
PREFERRED Physician Advisor Certification from the American College of Physician Advisors preferred
ESSENTIAL JOB FUNCTIONS
• Identifies and leads utilization management/clinical revenue cycle improvement efforts for the enterprise. This includes:
• Developing and implementing best practices for denials management and utilization management efforts.
• Accountability for meeting/exceeding quality and financial goals set forth by the enterprise.
• Leading financial improvement efforts that decrease denials and improve revenue by educating clinical staff on documentation requirements.
• Reviews medical records of identified patients to assist with the level of care and length of stay determination.
• Interacts with medical staff members and medical directors of third-party payers to discuss the patient needs and alternative levels of care.
• Provides education to physicians and other clinicians on regulatory requirements, appropriate utilization of alternate levels of care, community resources and end of life care.
• Develops strategy and processes to reduce denials and audits. Assists with appeals. Reviews and offers suggestions related to resources and service management.
• Utilizes hospital data sources to identify and analyze patterns of over or under-utilization of services, quality metrics and makes recommendations towards achievement of those goals.
• Suggests recommendations of treatment of specific cases and discusses about the same to the health care team.
• Acts as consultant and resource to attending physicians regarding their decisions relative to appropriateness of hospitalization, continued stay, and use of resources.
• Reviews cases retroactively to determine appropriateness of Part B billing versus appeal.
KNOWLEDGE, SKILLS AND ABILITIES
Required:
-Knowledge of CMS/commercial insurance rules and regulations regarding medical necessity and appropriate use of resources.
-Strong communication, organizational, planning, problem-solving, technology, analytical, judgement and research skills.
-Build positive constructive relationships with physicians, nursing staff, TOC members, CDI team members and others.
-Proven past leadership accomplishments and experience in the field of physician advisory roles and/or clinical quality improvement.
-Demonstrate effective communication styles. Able to gain and sustain trust, hold accountability, while being comfortable with conflict.
-Strong self-awareness and able to listen deeply.
-Diplomacy while being decisive.
-Ability to command respect from medical staff, administration, and hospital staff.
-Results-oriented while being flexible and open-minded.
-Ability to understand, comply and advance Cone Health strategic priorities, commitments and values.
-Ability to work with and develop teams focused on driving outcomes related to financial performance, quality, and clinical excellence.
• Must be up-to-date on latest technologies and medical procedures.
• Excellent communication, problem solving and people skills
• Good knowledge in medical treatment methods.
• Documentation as required in EMR and/or revenue cycle software system
Responsible for supervision and patient care management for a select program and/or a defined workgroup. Identifies and accomplishes program goals and outcomes. Maintains regulatory and professional standards/requirements. Supports and maintains a cost effective, progressive and customer-focused service. This role will provide leadership in the areas of training, clinical oversight, completion of competencies and acts as a resource to management in daily operations.
Provides basic patient care according to the skills and competency guidelines set by the N.C. Division of Facility Services and the North Carolina Board of Nursing, Nurse Aide Central Registry. Provides patient care under the supervision of the Nurse, reporting observations, and documenting within the scope of practice into the EMR. May have access to non-controlled medication storage areas on the patient care areas if and only when their job responsibilities require that access, such as transferring non-controlled substance medications from one storage location site to another or when helping other licensed healthcare professionals retrieve non-controlled substance medications.
Talent Pool: Nursing Support
