Physician Advisor

MercyOne is seeking a dynamic, board-certified Physician with Inpatient experience for a newly opened but established role as a Physician Advisor . The ideal candidate will have served on Hospital committees or strong working knowledge of CMS and commercial insurance regulations. The Physician Advisor must possess a team-building mindset and a collaborative approach to decision making. MercyOne offers a competitive base salary plus nonproduction incentives, paid malpractice, and a 403B match. Essential Job Details : Lead physician-driven clinical resource utilization program, and work with MercyOne Leadership team to design interventions when necessary Review cases to determine appropriate level of care based on medical necessity, and apply regulatory, health plan, and clinical guidelines in the review of denials Serve as a resource for physicians regarding medical necessity, level of care, and clinical documentation Foster effective communication between members of the care team Establish and maintain peer-to-peer protocol Establish peer-to-peer protocol This is an onsite position MercyOne Central Iowa operates four not-for-profit, Catholic medical centers, as well as two specialty hospitals, providing a total of 965 licensed beds. With more than 7,000 colleagues and a medical staff of more than 1,000 physicians and allied health professionals, MercyOne Central Iowa is one of Iowas largest employers. MercyOne Medical Group - Central Iowa is one of Iowas largest multispecialty clinic systems, made up of more than 50 primary care, pediatric, internal medicine and specialty clinics located throughout Dallas, Polk and Warren counties. MercyOne Central Iowa has several additional ministries including Mercy College of Health Sciences, MercyOne Des Moines Foundation, MercyOne Health & Fitness Center and MercyOne Population Health Service Organization. MercyOne has long history in training the next generation of Physicians. MercyOne sponsors residencies in Internal Medicine, Family Medicine, General Surgery and Psychiatry. Additionally, MercyOne offers a Cardiology Fellowship as well as numerous educational opportunities for Medical Students. In addition, 14 of Iowas community hospitals - from Bloomfield and Webster City to Greenfield and beyond - have chosen to affiliate with MercyOne Central Iowa. Through contracted relationships, MercyOne provides management and support services to these community hospitals, who work together to share best practices and process improvements, improve quality and service, and lower the cost of care. MercyOne Central Iowa is a member of MercyOne, which was founded in 1998. The MercyOne system has more than 20,000 colleagues in Iowa and surrounding states. Greater Des Moines is consistently ranked nationally among the best places to live with a low cost of living and strong job market. It is also known for top-notch schools, clean and safe neighborhoods. Spend Saturdays at the nationally-renowned Downtown Farmers' Market and afternoons strolling in the Pappajohn Sculpture Park. Bike to the job you love and come home to the community of friends and family. Enjoy abundant trails for walking, running and biking. Cultural events, music and art festivals, the Iowa State Fair and Iowa Cubs games at Principal Park are just a few attractions Des Moines has to offer. This is a place where culture flourishes and opportunities can grow, where a work/life balance can be achieved, where education is unmatched and award-winning arts and entertainment is always just around the corner. Live life without compromise in a city with no limits. For more of what Des Moines has to offer check out www.catchdesmoines.com and www.dsmpartnership.com To learn more contact: Roger McMahon, Regional Director, Physician Recruitment (515) 358-6923 rmcmahon@mercydesmoines.org