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Physician Leadership Opportunity in Utilization Management

3 weeks ago


Goodyear, Arizona, United States Tenet Healthcare Full time

Overview

Tenet Healthcare, a leading healthcare provider, seeks an experienced Physician Advisor to join our medical staff and provide leadership to the Utilization Management Committee (UM), Case Management (CM) and Health Information Management (HIM)/Clinical Documentation Improvement Departments.

About the Role

The Physician Advisor will lead processes for patients to receive medically necessary and high-quality care throughout the continuum of care. This includes staying abreast of professional best practices and community standards of care. Additionally, the Physician Advisor will assist Administration in reducing financial risks associated with denials that are due to providing medically unnecessary or preventable services and extended length of stays.

Responsibilities

  • Lead and promote processes for patients to receive medically necessary and high-quality care.
  • Stay current on professional best practices and community standards of care.
  • Assist in reducing financial risks associated with denials.

Requirements

  • MINIMUM EDUCATION: Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.).
  • PREFERRED EDUCATION: Advanced degree in Business and/or Health Care Administration preferred, but not required.
  • MINIMUM EXPERIENCE: 2 years in a physician leadership role. Prefer Utilization Management and hospital committee chair. Prefer demonstrated ability to work in a collegial role with members of the medical staff and to engage in education to hospital medical staff.
  • REQUIRED CERTIFICATIONS/LICENSURE: Current State MD or DO License and an ABMS (American Board of Medical Specialties) Certification.

About the Salary

The estimated salary for this position is $200,000 - $250,000 per year, based on national averages for similar positions in the United States. This salary range may vary based on factors such as location, experience, and qualifications.