The Physician Advisor is responsible for reviewing medical records and making a determination of disability for applicants seeking benefits based on disability. The Physician Advisors also provide clinical guidance to disability and vocational reviewers; oversee the quality of reports and documentation produced by other physicians and psychologists; and determine quality improvement initiatives as appropriate.
- Responsible for determining whether an individual applying for public assistance as a result of disability meets specific clinical and functional criteria established by federal and state law and regulation.
- Review medical records, approves or denies recommendations made by Registered Nurse Reviewers regarding the disability status of an applicant.
- Advises disability review staff regarding case development, and determines the functional capability of an applicant based upon a comprehensive review of all records.
- Contributes to quality improvement initiatives developed within the Disability Evaluation Services program.
- Participate in quality team case reviews.
- Collaborate with DES clinical leadership in the interpretation of disability regulations, development of clinical policies and quality evaluations, provide feedback to PA’s and other DES staff regarding clinical policies and the outcomes of quality evaluations, and assist in the development and training for PA’s.
The employee plans and prioritizes work in order to meet position objectives or job responsibilities.
Problem Solving and Decision Making:
- Board eligible or certified in area of specialty and have had at least 5 years of experience in direct patient care.
- Experience in the application of federal disability rules and regulations.
Activities, procedures and decisions are varied in nature, requiring independent action and judgment in solving both commonly encountered and unusual problems. The analytical skills include evaluating and developing alternatives to address problems and issues.
SUPERVISION RECEIVED :
The Physician Advisor reports to the Medical Director.
ENVIRONMENTAL WORKING CONDITIONS:
Normal office environment. Must be able to carry out the essential functions of this position, with reasonable accommodation if disabled.