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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 and collaborate with MercyOne leadership to design interventions; review cases to determine appropriate level of care based on medical necessity and guidelines; serve as a resource for physicians regarding medical necessity, level of care, and clinical documentation; foster effective communication within care teams and establish peer-to-peer protocols. On-site role in Des Moines, IA, with a focus on utilization management, denials review, and cross-functional collaboration to improve patient care and regulatory compliance.

Required Qualifications

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

Desired Qualifications

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

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

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