Medical Care Consultant
6 days ago
Dignity Health, part of CommonSpirit Health, is a leading healthcare provider with a strong commitment to quality care and community involvement. Our organization offers a comprehensive range of inpatient and outpatient services, including cutting-edge treatments and innovative technologies.
We are proud to have earned numerous awards for quality and patient satisfaction, including the Stroke Care Excellence Award and America's 100 Best Hospitals for Stroke Care Awards. Our dedicated team of medical professionals works tirelessly to provide exceptional care to our patients, and we are committed to making a positive impact in our community.
We offer a competitive salary ranging from $76.92 to $123.07 per hour, depending on experience and qualifications. Additionally, we provide a comprehensive benefits package, including medical, dental, and vision insurance, flexible spending accounts, and a matching 403(b) retirement program.
The ideal candidate will be a highly skilled and experienced physician with a strong background in clinical practice and medical management. The successful candidate will possess excellent communication and interpersonal skills, as well as the ability to work effectively in a fast-paced environment.
In this role, you will have the opportunity to make a meaningful contribution to our organization and help us achieve our goal of providing exceptional patient care. If you are a motivated and dedicated professional looking for a challenging and rewarding opportunity, we encourage you to apply.
Responsibilities
This Physician Advisor will play a critical role in promoting evidence-based standards of medical care while maintaining appropriate utilization of hospital resources. Key responsibilities include:
* Mitigating denials for payment from insurance payers by providing valid and effective secondary medical necessity reviews
* Reviewing and reporting performance measures and making recommendations to departments and the Medical Executive Committee regarding opportunities for improvement of patient care, resource utilization, billing compliance, and reduction of claims denials
* Providing compliance elements for Centers for Medicare and Medicaid Services (CMS) Conditions of Participation by performing secondary medical necessity reviews
* Championing good stewardship of resources
Qualifications
The successful candidate will possess the following qualifications:
* A minimum of five years of clinical practice experience
* Active membership in good standing of Hospital's medical staff and participating member of various medical committees
* Doctor of Medicine (MD or DO) degree
* Licensed to practice medicine without restrictions in the State where performing Physician Advisor duties: MD:AZ or DO:AZ
Benefits
We offer a comprehensive benefits package, including:
* Medical, dental, and vision insurance
* Flexible spending accounts
* Matching 403(b) retirement program
* Fully funded pension plan
* Paid time off (PTO)
* Tuition reimbursement
* Mental health benefit
* Employee life insurance
Location
The ideal location for this role is Prescott, AZ, which offers a unique blend of small-town charm and modern amenities. With its natural beauty and outdoor recreation opportunities, Prescott is an attractive destination for those seeking a relaxed lifestyle and easy access to nature.
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