oracle
Physician Advisor
Conifer Health Solutions
Memphis, USA
Full-time
Junior · 2+ years experience
Onsite
Discovered 2 weeks ago
Full Job Posting
Qualifications
- Required:
- Education: Doctor of Medicine Degree (M.D.) or Doctor of Osteopathic Medicine Degree (D.O.).
- Experience: 2 years in a physician leadership role.
- Licensure/Certification:
- Current State MD or DO License and an ABMS (American Board of Medical Specialties) Certification.
- AHA BLS.
- Preferred:
- Education: Advanced degree in Business and/or Health Care Administration.
- Experience:
- Utilization Management and hospital committee chair
- Demonstrated ability to work in a collegial role with members of the medical staff and to engage in education to hospital medical staff
- Prefer successfully conducted physician to physician discussions with payers.
- #LI-JG2
- Required: Education: Doctor of Medicine Degree (M.D.) or Doctor of Osteopathic Medicine Degree (D.O.). Experience: 2 years in a physician leadership role. Licensure/Certification: Current State MD or DO License and an ABMS (American Board of Medical Specialties) Certification. AHA BLS.
- Licensure/Certification: Current State MD or DO License and an ABMS (American Board of Medical Specialties) Certification. AHA BLS.
- Preferred: Education: Advanced degree in Business and/or Health Care Administration. Experience: Utilization Management and hospital committee chair Demonstrated ability to work in a collegial role with members of the medical staff and to engage in education to hospital medical staff Prefer successfully conducted physician to physician discussions with payers.
- Experience: Utilization Management and hospital committee chair Demonstrated ability to work in a collegial role with members of the medical staff and to engage in education to hospital medical staff Prefer successfully conducted physician to physician discussions with payers.
Responsibilities
- Provide clinical leadership and guidance to the Utilization Management Committee (UMC), Case Management (CM), and Health Information Management (HIM)/Clinical Documentation Improvement (CDI) teams to support effective patient care and resource utilization.
- Promote medically necessary and high-quality care by leading initiatives that ensure appropriate patient treatment and services throughout the continuum of care.
- Collaborate with physicians and interdisciplinary teams to improve utilization management practices, patient outcomes, and compliance with regulatory and payer requirements.
- Maintain expertise in healthcare best practices and standards of care by staying current with industry guidelines, evidence-based medicine, and community care standards, and sharing this knowledge with medical staff.
- Support denial prevention and financial stewardship efforts by assisting administration in reducing financial risks related to medical necessity denials, preventable services, and unnecessary extended lengths of stay.
- Performs other duties as assigned/required.
About Conifer Health Solutions
Hospitals & Health Systems99000 employeesFounded 1969
Diversified healthcare services company operating hospitals and outpatient centers.
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