Physician Advisor

7 days ago

Prescott, Arizona, United States Dignity Health Full time
About the Role

We are seeking a highly skilled Physician Advisor to join our team at Dignity Health. As a key member of our clinical leadership team, you will play a critical role in promoting evidence-based standards of medical care while maintaining appropriate utilization of hospital resources.

Key Responsibilities
  • Facilitate Communication: Collaborate with the Department of Care Coordination, Medical Staff, Nursing Staff, and Administration to ensure seamless communication regarding systems-based practice, regulatory and quality considerations in the delivery of medical care.
  • Medical Necessity Reviews: Perform secondary medical necessity reviews to mitigate denials for payment from insurance payers and provide valid and effective secondary medical necessity reviews.
  • Compliance and Quality: Provide compliance element for Centers for Medicare and Medicaid Services (CMS) Conditions of Participation by performing secondary medical necessity reviews and champion good stewardship of resources.
  • Clinical Leadership: Act as a resource for work teams that align with facility utilization initiatives, provide education to medical staff colleagues regarding best practices, and optimize revenue capture and cost of care.
Requirements
  • Minimum Experience: Minimum of five years clinical practice experience.
  • Active Medical Staff Membership: Active member in good standing of Hospital's medical staff and participating member of various medical committees.
  • Education and Licensure: Doctor of Medicine (MD or DO) and licensed to practice medicine without restrictions in the State where performing Physician Advisor duties.
What We Offer
  • Competitive Compensation: $123.07/hour.
  • Comprehensive Benefits: Medical/Dental/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, and annual incentive pay based on company performance.

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