Physician

• Oversee clinical operations and facilitate patient engagement through visit flow, clinical triage, EMR clinical intelligence tools, pre-visit planning, transitions-of-care follow-up, and patient-focused initiatives
• Assume clinical and administrative responsibilities in the absence of the Director/Manager
• Complete end-of-day tasks, including reports, no-show identification and communication, daily batching, and office close procedures
• Prepare daily charts and maintain medical files and electronic medical records
• Obtain policy clarification when necessary and use resources from other departments
• Assess clinical staff competencies and provide remediation in collaboration with Clinical Services
• Coordinate care across settings for a designated population and ensure labs, studies, and referrals are completed and discussed with patients
• Provide regular feedback and involve colleagues in quality improvement workflow development
• Foster staff accountability for adherence to policies, procedures, and professional practice
• Participate in and apply research in practice and support practice and hospital goals and objectives

Clinical Coordinator, RN – Physician Practice

• Work closely with patient navigators, clinicians, hospital staff, referring physicians, and insurance carriers
• Provide administrative and scheduling support throughout the practices
• Obtain all necessary information required to maintain provider schedules
• Coordinate provider availability for office hours, inpatient and outpatient services, scheduled meetings and conferences, and vacation or time off
• Monitor and update schedules throughout the day and distribute changes to affected parties
• Anticipate patients’ expectations and educational needs
• Understand basic requirements for procedures to answer basic patient inquiries or direct inquiries appropriately
• Monitor use of scheduled time and identify schedule conflicts
• Update patient charts and electronic health record information with pertinent patient and insurance information
• Attend and participate in contract, committee, and all-staff meetings

Scheduling Coordinator, Physician Practice

• Oversee clinical operations and facilitate patient engagement through visit flow, clinical triage, EMR clinical intelligence tools, pre-visit planning, transitions-of-care follow-up, and other patient-focused initiatives
• Assume clinical and administrative responsibilities in the absence of the Director/Manager
• Complete end-of-day tasks, including running reports, identifying no-show patients, communicating with appropriate personnel, batching tasks, and office close procedures
• Prepare daily charts and maintain medical files and electronic medical records
• Obtain policy clarification when necessary and use resources from other departments
• Assess clinical staff competencies and provide remediation in collaboration with Clinical Services
• Coordinate care across settings for a designated population and ensure labs, studies, and referrals are completed and results discussed with patients
• Provide regular feedback and involve colleagues in quality-improvement workflow development
• Foster staff accountability for adherence to policies, procedures, and professional practice
• Participate in and apply research in practice and support practice and hospital goals and objectives
• Handle scheduling, reception, front-end revenue cycle, medical assistant duties, and other physician-office tasks
• Serve as a clinical resource for practice staff and support staff orientation, education, competency, clinical operations, and remediation

• Provide clinical expertise and guidance to the Clinical Analysis and Appeals team
• Act as physician advisor for medical necessity appeals and Pennsylvania Medical Assistance (PAMA) utilization reviews
• Serve as a physician resource for regulatory and revenue cycle denial and appeals processes
• Provide utilization review for all PAMA cases and all utilization management denials and appeals

Physician Advisor

• Practice Emergency Medicine and Pediatric Emergency Medicine across Northeast Pennsylvania
• Manage emergencies in infants and children
• Interview patients to obtain symptoms, medical histories, and family histories
• Perform and/or interpret diagnostic tests as needed
• Diagnose injuries and illnesses and design treatment plans
• Prescribe or administer medications
• Prepare, maintain, and review patient records, including histories, examination findings, treatment plans, and outcomes
• Work in a clinical and office environment
• Satisfy job-specific obligations and comply with organizational policies and procedures

Physician, Emergency Medicine

• Provide compassionate, comprehensive pediatric neurology care to children across central and northeastern Pennsylvania
• Deliver balanced inpatient and outpatient care
• Provide advanced neuromuscular care
• Participate in the comprehensive epilepsy program, specialized headache care, pediatric sleep medicine, and genetic testing and counseling
• Cover inpatient services for eight weeks annually
• Conduct telemedicine visits
• Care for patients in a Level IV NICU
• Teach residents and medical students
• Participate in research
• Collaborate with a team of 12 physicians and 5 advanced practice providers
• Potentially serve as core faculty for the pediatric neurology residency

Pediatric Neurologist

• Lead the Physician Advisor team and mentor and teach internal and external stakeholders
• Maintain quality across the Physician Advisor team and manage PAOC client relationships
• Perform case reviews of all case types to achieve a high degree of compliance
• Respond to clinical review requests regarding medical necessity and other case management matters
• Consult with attending physicians, nurses, and case management staff on complex clinical issues, continued stay, medical necessity, and utilization management
• Apply MCG/InterQual criteria and professional judgment to patient-specific situations
• Support case management outcomes and clinical progression of patient care
• Recommend improvements to health record documentation affecting ICD code capture, severity, acuity, mortality risk, and DRG assignment
• Participate in Physician Advisor, Utilization Management, Care Management, and related training and education
• Meet production, quality, and performance standards
• Maintain patient and business confidentiality and comply with HIPAA and information security policies
• Facilitate, mentor, and educate physicians regarding payer requirements
• Attend meetings and participate in peer review as requested
• Manage PAOC client relationships, quarterly reports, and JOCs
• Contribute to PAOC’s quality program and continuous Physician Advisor development
• Educate client-facility staff on relevant topics
• Mentor and train new and existing Physician Advisors
• Serve as Team Lead for Physician Advisor dashboard management when scheduled
• Perform additional duties as assigned

Physician Advisor II

• Develop and maintain strategic relationships with community providers, practice administrators, office managers, and clinical staff
• Conduct regular provider outreach visits to educate providers and patients about US Digestive Health providers, clinical services, access pathways, and patient care resources
• Analyze referral patterns, market opportunities, and provider engagement data to identify growth opportunities and execute outreach strategies
• Serve as the primary liaison between community physicians, patients, and US Digestive Health locations
• Facilitate communication and resolve operational or patient access concerns
• Investigate and manage service recovery opportunities and escalate issues as appropriate
• Coordinate educational programs, community outreach events, lunch-and-learns, and marketing initiatives
• Monitor competitive activity, market conditions, and referral patterns and communicate insights to leadership
• Maintain documentation of outreach activities, access intelligence, and provider interactions
• Prepare regular reports and recommendations
• Collaborate with physicians, practice managers, operations leaders, and clinical staff to improve intake and access processes and enhance provider and patient experience

Physician Liaison

• Join Geisinger Women’s Health Northeast in Scranton, Pennsylvania
• Provide a balance of obstetrics and gynecology care
• See 15–20 patients per day
• Work within a large group of 10 physicians and 21 advanced practice providers
• Participate in a practice with 24-hour laborist coverage
• Collaborate with midwives available 12 hours per day
• Participate in teaching opportunities

OBGYN Physician

• Join a robust team of OBGYN physicians, Laborists, Midwives and Advanced Practice Providers
• Provide a balance of obstetrics and gynecology care
• Participate in clinic every other business day, approximately 11 days per month
• Complete five days of on-call per month with 24-hour shifts and a recovery day following call
• Work alongside midwives available 12 hours per day
• Provide care in a setting averaging 2,000 deliveries per year, supported by a level III NICU
• Serve patients at Geisinger Community Medical Center in Scranton, Pennsylvania