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Job Summary:Provides clinical leadership and strategic support in utilization management (UM) and clinical documentation improvement (CDI), ensuring regulatory compliance, optimizing resource use, and enhancing patient outcomes.

Job Description:

MaineGeneral Medical Center is seeking an experienced physician, (MD or DO) for the role of Physician Advisor.

In this role, the individual will:

+ Provide clinical leadership and strategic support in utilization management (UM) and clinical documentation improvement (CDI), ensuring regulatory compliance, optimization of resources, and enhancement of patient outcomes.

+ Conduct clinical reviews of cases to assess medical necessity, collaborate with care teams on appropriate levels of care, and provide guidance on transitions, discharge planning, and post-acute care options. Monitor care inefficiencies and resource overutilization.

+ Lead or actively participate in the Utilization Review Committee, ensuring compliance with regulatory requirements, reviewing utilization data, and recommending process improvements. Resolve disputes with third-party payers and advocate for appropriate reimbursement.

+ Collaborate with CDI and HIM teams to improve documentation for accurate coding and DRG assignment, educate medical staff on best practices, and assist with denial management and appeals processes.

+ Provide ongoing education to staff on utilization review, documentation, and compliance, while promoting interdepartmental collaboration to improve care coordination, reduce avoidable days, and address ethical and legal considerations in discharge planning.

In addition to traditional employment benefits, as a member of medical staff, you can also enjoy the following:

Generous Time Away: At MaineGeneral, we recognize the importance of time for rest and rejuvenation. Enjoy generous time off, ensuring you have opportunity to recharge and achieve work-life balance.

Continuing Medical Education (CME): Your growth and development are essential to us. We provide additional CME time and support to empower you to expand your skill sets and stay at the forefront of medical advancements.

Educational Loan Assistance Program: We understand the financial burden of education and are committed to supporting your career journey with a substantial educational loan assistance benefit.

At MaineGeneral Medical Center, we take pride in offering an exceptional work environment that empowers our teams to thrive. When you join, you will become an integral part of a team committed to providing quality, compassionate patient care.

Certifications: Doctor of Medicine (MD) - American Board of Medical Specialties (ABMS), Doctor of Osteopathic (DO) - American Board of Medical Specialties (ABMS)

Scheduled Weekly Hours: 40

Scheduled Work Shift:

Benefits:

Supporting all aspects of our employees’ wellness – physical, emotional and financial – is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future.

Physical Wellness:

+ We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.

+ Employees have access to industry-leading leave for new parents.

+ A generous earned time/paid time off plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.

Emotional Wellness:

When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household.

Financial Wellness:

+ An employee discount program is available to all employees for services provided by MaineGeneral Medical Center.

+ Tuition Reimbursement is available to all employees to further develop skills and career.

+ Educational Loan Reimbursement is available to pay down outstanding eligible medical education debt.

+ Eligible medical staff receive both leave days, as well as reimbursement amounts for Continuing Medical Education.

+ We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan. Eligible physicians are also provided the opportunity to participate in a 457(b) retirement plan should they meet their contribution limits of their 403(b) plan.

+ Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.

+ Malpractice is provided, to include tail coverage to all eligible medical staff.

+ We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.

Career Mobility:

Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource – they’re how we grow our business and care for our community.

Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440 .

MaineGeneral Medical Center has an internal referral bonus program for all employed medical staff. Please contact physician recruitment for more details of this program.

Equal Opportunity Employer M/F/Vet/Disability: In furtherance of MaineGeneral's policy regarding Equal Employment Opportunity, MaineGeneral has developed a written Affirmative Action Program which sets forth the policies, practices and procedures that MaineGeneral is committed to in order to ensure that its policy of nondiscrimination and affirmative action is accomplished.

The Affirmative Action Plan for Veterans and Individuals with Disabilities is available for inspection by any employee or candidate for employment upon request, during normal business hours, in the Human Resources Department. Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440 . EEO is Law (https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf)