Physician Reviewer-Internal, Family, Physical & Rehab, Occupational, S…
Blank StreetSalary not specified
Full Time
Expert & Leadership (9+ years)
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
- Medical Doctor (MD) - Board of Medicine Licensed and qualified to practice medicine in the state that services are provided and board certified or board eligible Upon Hire
- Doctor of Osteopathy (DO) - Board of Medicine Licensed and qualified to practice medicine in the state that services are provided and board certified or board eligible Upon Hire
- Federal Drug Enforcement Administration (DEA) - US Department of Justice Drug Enforcement Admin State and federal DEA license based on state of practice Upon Hire
- Visual acuity adequate to perform position duties
- Ability to communicate effectively with others, hear, understand and distinguish speech and other sounds
- Commitment to Avera’s mission, vision, core values, and social principles
- Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE)
- Maintain confidentiality
- Work effectively in a team environment
- Comply with safety principles, laws, regulations, and standards (e.g., CMS, The Joint Commission, DHHS, OSHA)
Responsibilities
- Assesses, diagnoses, and treats patients according to medical staff approved protocol and acceptable standards of practice
- Provides medical services and health education to patients and family members, contributing to health education of individuals and groups to increase motivation for self-care
- Performs necessary diagnostic and therapeutic procedures
- Interprets information gathered during the diagnostic process and formulates appropriate plan of care
- Provides quality care for patients, demonstrating appropriate health, safety, and aseptic practices
- Recognizes and reacts appropriately to environmental safety factors related to patient care and provides patient instruction on environment of care and safety standards
- Understands, applies, and supports practice policies, procedures, goals, and standards
- Meets regularly with the care team for consultation and collaboration, as well as with personnel to promote quality care, and assures appropriate referrals are made
- Maintains patient records and accurate information
- Work the hours specified, including primarily days with night, weekend, and holiday on-call involvement
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What is the work schedule like for this position?
The role involves primarily days with night, weekend, and holiday on-call involvement.
What are the required qualifications and licenses for this role?
Candidates must be a Medical Doctor or Doctor of Osteopathy, licensed and qualified to practice medicine in the state, board certified or board eligible upon hire, and hold state and federal DEA licenses.
What does the team environment look like at Avera?
You will be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients, meeting regularly for consultation and collaboration to promote quality care.
Where is this position located?
The position is located at Avera McKennan Hospital in the United States of America.
What makes a strong candidate for this Physician role?
A strong candidate will have the required medical licensure, board certification or eligibility, DEA licenses, visual acuity, effective communication skills, and the ability to perform essential functions like patient assessment, diagnosis, procedures, and collaboration with the care team.
Abarca Health
Pharmacy Benefit Management services provider
About Abarca Health
Abarca Health provides Pharmacy Benefit Management (PBM) services, focusing on flexible and user-friendly solutions for health plans, employers, and government programs like Medicare and Medicaid. Its main product, the Darwin platform, allows clients to quickly implement and modify benefit designs while ensuring compliance with regulations. Abarca Health manages over $5.3 billion in drug spend and processes 100 million prescription claims annually, offering additional services like home delivery for prescriptions. The company's goal is to deliver exceptional service and innovative solutions in the PBM market.
Aventura, FloridaHeadquarters
2005Year Founded
VENTURE_UNKNOWNCompany Stage
HealthcareIndustries
501-1,000Employees
Benefits
PTO
Parental leave
Work flexibility
Health insurance
Wellness stipend
401k
Tuition reimbursement
Leadership development programs
Risks
Increased competition from Amazon Pharmacy and Mark Cuban's Cost Plus Drug Company.
Growing focus on specialty drugs may require platform adaptation.
Shift towards price transparency could pressure Abarca's pricing models.
Differentiation
Abarca Health's Darwin platform is highly adaptable and user-friendly.
The company offers innovative programs like Triple S en Casa for home delivery.
Abarca Health ensures compliance with ever-changing healthcare regulations.
Upsides
Abarca transitioned two million members to Darwin in 18 months, showing operational efficiency.
Collaboration with Blue Shield of California boosts Abarca's reputation in the PBM sector.
Recognition as a top IT workplace attracts top talent, driving innovation.
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