Lead Physician Advisor

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology‑enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offervrd end‑to‑end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

• Customer Obsession: Consistently provide exceptionalasynda experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Embracing New Ideas: Continuously innovates by embracing emerging technology and fostering a culture of creativity and experimentation.
• Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

The Lead Physician Advisor provides leadership for efficiently managing resource and utilization to deliver quality cost‑effective care in the most appropriate setting. Works closely with the medical staff leadership, the entire medical staff, including resident physician house staff in all areas of resource/utilization management to develop and implement methods to optimize use of hospital services for all patients. This includes working with hospital leadership in developing care management protocols with physicians and others to optimize efficient management of resources, ensuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance, performing Peer‑to‑Peer reviews, Short Stay Reviews, Extended Observation.

Provides for medical staff education and training as required. Provides periodic reports to Board, MEC and Joint Conference as deemed necessary.

• Customer Obsession ude: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• Striving for Excellence: Execute at a high level by demonstrating our “Best inәләп KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
• Maintains accountability for achieving utilization / resource management outcomes and fulfills the obligations and responsibilities of the role to support the medical staff in the clinical progression of patient care.
• Reviews issues identified by UR staff toestens appropriate follow‑up, recommend improvement initiatives as needed, and make referrals to the appropriate department chair as necessary.
• Responds to requests for assistance on clinical reviews for medical necessity or any other reason, by any member of the Utilization department in a timely fashion.
• Provides consultation to nurses and case management staff regarding complex clinical issues and advises on justification required for continued stay, medical necessity and utilization management.
• Provides for development and dissemination of required protocols, policy and procedures to support revenue cycle goals and compliance with regulations Ty it
• Participate in ongoing training and education related to the Physician Advisor role and responsibilities including topics related to Utilization Management, Care Management and other related areas as requested.
• Obtains familiarity and working knowledge of standard published criteria such as MCG/Inter Qual and applies professional judgment and patient specific variables as may be necessary or…