Posted: 16-Nov-25
Location: Lewes, Delaware
Internal Number: 9429
Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.
Overview
The Case Management in House Physician Advisor serves as our Acute Care Throughput Champion, specifically focused on reducing excess days, length of stay, and other industry standard Key Performance Indicators. This role will spearhead initiatives to optimize resource utilization, medical necessity while educating colleagues around industry standard of documentation practices while maintaining equality of care.
This position primary focus areas:
- Reduction of excess acute care days beyond expected length of stay
- Elimination of medically unnecessary testing
- Optimization of care progression pathways
- Enhancement of evidence-based clinical decision making
This position will be asssiting in policies, processes, and education around improving Patient Care and Quality metrics including although not limited to length of stay, cost reduction, appropriate coding, and appealing denials as appropriate. This position will work in a dyad leadership with he Case Management Leadership and will work closely with utilization partners. This position will directly report to Beebe Halthcare's Chief Health Systems Design Officer. With a matrix relationship to the Physician in Chief, APC in Chief, and Surgeon in Chief.
Responsibilities
Maintains accountability for achieving favorable case management outcomes in the following objectives:
- Excess Days Reduction
- Avoidable Testing Management
- Suppoirt the MDT in the efficient progression of patient care
First-Year Objectives
- Achieve 10% reduction in excess days
- Reduce avoidable testing by 10%
- Implement daily excell day management system
- Establish testing appropriateness protocols
- Create physican scorecards
- Demonstrate ROI from iniatives
Impact Measurement -- Month reporting on:
- Excess day trends
- Testing utilization patterns
- Cost savings
- Quality metrics
- Patient satisfaction
- Provider engagement
Qualifications
Board eligibility or Board Certification in a Medical Specialty or Sub-Specialty.
M.D. or D.O. medical degree.
Minimum of 5-7 years in direct patient care.
Active or pending certification in Health Utilization Review
Competencies Skills
Essential:
* Clear Communication Skills Both Written and Verbal
* Able To Keep Confidential Information Regarding Patients, Team Members
* Able To Withstand Crisis Situations
* Has Skills to Provides Customer Service to Patients, Team Members and Visitors
* Knowledge And Experience with Electronic Health Records
Credentials
Eligibility for Beebe Medical Staff Privileges
Eligibility for State of Delaware Medical License
Education
Essential:
Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO)
Active or pending CHCQM or similar certification
Commitment to ongoing learning and education in the Physician Advisor, Utilization Review field.
Max
USD $165,949.00/Yr.