Clinical Physician Advisor Opportunity in Greensboro NC

3 weeks ago


Greensboro, United States Cone Health Full time

Cone Health, a not-for-profit health system, is seeking an experienced FM/IM physician to serve as its Clinical Physician Advisor. This role is crucial in ensuring appropriate denials management and utilization of health system resources.

Key Responsibilities:

  • Develop and implement strategies to improve clinical efficiency and quality of care.
  • Collaborate with medical staff, clinical staff, and senior leadership to provide guidance on individual cases and aggregate level.
  • Review cases that indicate a need for issuance of a hospital notice of non-coverage (HINN)/Important Message from Medicare (IM).
  • Effectively present information, both formally and informally.

Qualifications:

Educational/Licensure Requirements: Doctor of Medicine (MD), Doctor of Osteopathy (DO) or equivalent degree and board certified in area(s) of specialty, NC medical license, full unrestricted DEA, Cone Health medical staff membership, and other employment requirements.

Experience Requirements: Five (5) years of progressive clinical demonstrating clinical skills, quality improvement, utilization management experience and team development.



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