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Trinity Health3 weeks ago
EXPIRED

Physician Advisor - Des Moines (on-site) - $50,000 Bonus

On-site · Des Moines, Iowa, United States

Type
Full Time
Level
Senior Level
Education
Doctorate Or Professional Degree
Company size
Large

Job Summary

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. Des Moines on-site role with MercyOne Central Iowa system support and collaboration across hospitals and clinics.

Required Qualifications

  • Board-certified physician
  • Inpatient experience
  • Knowledge of CMS and commercial insurance regulations
  • Team-building mindset and collaborative decision making
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Trinity Health

Physician Advisor - Des Moines (on-site) - $50,000 Bonus

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