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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
Mid Level
Education
Doctorate Or Professional Degree
Company size
Large

Job Summary

Lead physician-driven clinical resource utilization program for MercyOne Des Moines Medical Center as a Physician Advisor. Responsibilities include reviewing cases to determine appropriate level of care based on medical necessity and applying regulatory, health plan, and clinical guidelines in denials reviews; serving as a resource for physicians regarding medical necessity, level of care, and clinical documentation; fostering effective communication within the care team; and establishing/maintaining peer-to-peer protocol. On-site role based in Des Moines, IA. Describes MercyOne Central Iowa system and its wide network, with emphasis on physician training and program growth in oncology care strategy within Central Iowa.

Required Qualifications

  • board-certified physician
  • inpatient experience
  • served on hospital committees
  • strong working knowledge of CMS regulations
  • strong working knowledge of commercial insurance regulations
  • team-building mindset
  • collaborative approach to decision making
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Trinity Health

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

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