Physician Advisor: Care Optimization and Compliance

Dignity Health; Phoenix (AZ); On-site; USD 227,000 - 277,000; Full time

Benefits offered by this job

Culture of excellence

Mission-driven team

Community-focused care

Job summary

Saint Joseph’s Hospital and Medical Center in Phoenix, AZ seeks a Physician Advisor to promote evidence-based medical care and appropriate hospital resource utilization, coordinating across medical, nursing, care coordination, and administrative teams.

You will advocate for efficient patient care, remove barriers, and support CMS COP compliance, with five years of clinical practice and MD/DO in AZ required; utilization management experience preferred.

Qualifications

• Five years of clinical practice experience.
• MD or DO in the state of Arizona.

Responsibilities

• Mitigate denials for payment by performing secondary medical necessity reviews.
• Provide CMS COP compliance through secondary reviews.
• Provide more cost-effective secondary reviews vs outside services.
• Align and collaborate with facility leadership.
• Understand facility history and culture to execute duties.

Skills

Clinical acumen

Communication

Leadership

Collaboration

Education

MD/DO in Arizona

Job description

Saint Joseph’s Hospital and Medical Center in Phoenix, AZ seeks a Physician Advisor to promote evidence-based medical care and appropriate hospital resource utilization, coordinating across medical, nursing, care coordination, and administrative teams.

You will advocate for efficient patient care, remove barriers, and support CMS COP compliance, with five years of clinical practice and MD/DO in AZ required; utilization management experience preferred.