Physician Reviewer - Physical Medicine and Rehabilitation (Utilization…
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) - Licensed by Board of Medicine and qualified to practice medicine in the state of service; board certified or board eligible upon hire
- Or Doctor of Osteopathy (DO) - Licensed by Board of Medicine and qualified to practice medicine in the state of service; board certified or board eligible upon hire
- Federal Drug Enforcement Administration (DEA) license (state and federal) 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
- Ability to work primarily days with rotating weekends and holidays
- 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
- Assess, diagnose, and treat patients according to medical staff approved protocol and acceptable standards of practice
- Provide medical services and health education to patients and family members; contribute to health education of individuals and groups to increase motivation for self-care
- Perform necessary diagnostic and therapeutic procedures
- Interpret information from diagnostic processes and formulate appropriate plans of care
- Provide quality care, demonstrating appropriate health, safety, and aseptic practices
- Recognize and react to environmental safety factors related to patient care; provide patient instruction on environment of care and safety standards
- Understand, apply, and support practice policies, procedures, goals, and standards
- Meet regularly with care team for consultation, collaboration, and quality care promotion; assure appropriate patient referrals
- Maintain patient records and accurate information
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What is the salary for this Hospitalist position?
This information is not specified in the job description.
Is this Hospitalist role remote or onsite, and where is it located?
The position is located at Avera Queen of Peace Hospital and requires onsite work with primarily day shifts including rotating weekends and holidays in the United States.
What qualifications and licenses are required for this Physician Hospitalist role?
Candidates must be a Medical Doctor or Doctor of Osteopathy, licensed and qualified to practice medicine in the state of service, board certified or board eligible upon hire, and hold state and federal DEA licenses.
What is the work environment like for this Hospitalist position?
You will be part of a multidisciplinary team built with compassion, working where you matter, with regular meetings for consultation, collaboration, and quality patient care.
What makes a strong candidate for this Hospitalist role?
Strong candidates will have the ability to assess, diagnose, treat patients, perform procedures, provide health education, maintain records, and collaborate effectively in a team while demonstrating safety practices and visual acuity for duties.
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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