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Welcome to CommonSpirit Careers

The power of humankindness works here

Physician Advisor

  • CHI Health Creighton University Medical Center - Bergan Mercy
  • Omaha, Nebraska
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About Us

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

Our Mission

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values.

The posted compensation range of $1.00 is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Job ID
2026-468344
Employment Type
Full Time
Department
Physician Advisor Services
Hours/Pay Period
80
Weekly Schedule
8-5
Shift
Day
Remote
No
Category
Leadership Provider

Job Summary and Responsibilities

The On-site Physician Advisor (PA) will serve as a physician leader and advocate for the improvement of a hospital’s utilization management, regulatory compliance, quality assurance, revenue integrity, and risk management. The on-site PA will work in conjunction with the Care Coordination team to address areas of high importance and/or concern in the appropriate, effective, and efficient movement of a patient through their hospital encounter (e.g.  accurate level of care determination, extended length of stay, appropriate discharge planning). As a respected member of the Medical Staff, the on-site PA will participate in, if not Chair, the UM Committee, in addition to other key hospital committees (e.g. CDI, QA). They will also serve as a resource for, and consultant to, UM staff and attending physicians regarding decisions relative to appropriateness of hospitalization and level of care, clinical documentation, extended stays, avoidable days, readmissions, and use of healthcare resources. The PA will be a resource for the UM and Medical Staff regarding federal and state utilization and quality regulations, as well as, help to facilitate training and education sessions.

• Provide leadership and oversight of facility-based physician advisory services.  

• Understand the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS-DRG, APR-DRG, and the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations based on severity of illness, acuity, and risk of morbidity/mortality.       

• Review clinical record for medical necessity of acute hospital-based care on admission (as needed-e.g. condition code 44), as well as, throughout the hospital encounter; identifying appropriate opportunities for discharge planning and quality improvement.

• Communicate, as appropriate, medical necessity assessments with treating physicians in cooperation with the utilization team and health information personnel.

• Collaborate with Care Coordination to assist in management of extended LOS encounters, specialty cases, and high-risk cases, in addition to serving as a resource for process improvement.

• Maintain UM committee membership and support  

• Champion/advocate and support CDI, regulatory compliance, and improved utilization of hospital resources.

• Support Revenue Integrity through assistance with Denial Prevention, Denial Management (e.g. Peer to Peer Review with payors when appropriate) and Regulatory Compliance.

Champion, collaborate and support Quality Assurance, and Risk Management in the facility .  
• Provide routine education and guidance to UM, Medical Staff and residents on regulatory, quality, and/or cost of care opportunities thereby supporting value based care initiatives.

• Bridge communication between Care Coordination team and Medical Staff

• Track, trend, and analyze -decided upon-performance and process improvement metrics for facility, UM/Medical Staff, and Physician Advisor program.

• Communicate facility feedback and metrics to Executive leadership (i.e. CMO, Care Management Directors, Quality Directors etc.)

• Serve as a liaison between the National Care Coordination and Physician Advisor teams with the facility-based Care Coordination teams, Medical Staff, and Executive Leaders.

Job Requirements

Required: 

  • Graduate of an accredited medical school
  • MD or DO licensure within state of employment
  • Board Eliglbe in the area of clinical practice

Preferred:

  • Board Certification in area of clinical practice (ABMS) 
  • Minimum of  five years of clinical practice experience.
  • Three years of experience as a Physician Advisor and/or other  leadership experience in acute care settings with focus on utilization management and quality assurance and improvement.

Where You'll Work

At CHI Health Creighton University Medical Center - Bergan Mercy, our focus is patient-centered care. Our level I trauma center and academic medical center campus is designed to heal the body, mind, and spirit of every person in a more comfortable, less stressful hospital environment. Our full range of medical services includes trauma services, heart and vascular care, emergency services, surgery, maternity, cancer care, and diagnostic imaging.

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.

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