Physician Advisor (MD/DO) - Full Time - southern Illinois
- Employer
- SSM Health
- Location
- Mt. Vernon, Illinois, United States
- Posted Date
- Jun 5, 2023
- Reference
- R43047
Job Details
In addition to being a strong leader and providing support and leadership to the Regional Chief Medical Officer across our Good Samaritan Hospital in Mt. Vernon, Illinois and St. Mary's Hospital in Centralia, Illinois the Physician Advisor will:
- The Physician Advisor directly affects hospital reimbursement, CMI, and other utilization metrics through supporting case management, close relationships with medical staff, communication and knowledge of payer practices, and responsibility for hospital utilization metrics.
- The ideal candidate will possess strong leadership skills that will play a key role in impacting the rate of observation versus inpatient care.
- Review referred medical records and addresses the clinical theory of diagnosis for admission status, continued stay and in coordination of written appeal letters to payors.
- Work with the denials/appeals team in concurrent chart review to assess denials and appropriate levels of care.
- Daily concurrent chart review on an "as needed" basis by the Case Managers to review current treatment plans, identify unnecessary delays in care, and assist the case managers in facilitating care with the health center and functioning as a liaison to the attending physicians in order to provide the highest quality of care in the most efficient manner possible.
- Participates in CDMP program, and addresses any cases referred by the Clinical Documentation Specialists.
Qualifications
- M.D. or D.O.
- Hold and maintain an unrestricted medical license in the state of Illinois
- Meet the requirements (and become a member) of the Hospital medical staff
- Strong computer skills and working knowledge of the EPIC EMR
- Must have at least 3 years of clinical experience
Qualifications
Physician - State of Work Location
Company
Thoughtful. Insightful. Purposeful.
There is something wholly unique and special about practicing medicine at SSM Health. Being here, you’ll experience a remarkable feeling of purpose, fulfillment, and connectedness. It’s all-encompassing and inspiring, and it’s what defines and drives our teams every day. We call it the healing power of presence and it touches, enhances, and advances all aspects of the care we give and the careers we offer.
For the clinicians at SSM Health, being here means being part of a heartful heritage of healing. It’s an opportunity to further a caring legacy while advancing medicine with an esteemed organization that encourages collaboration, empowers innovation, supports growth, and seeks to elevate care for everyone we serve.
Together – We Care.
Devoted care everywhere
SSM Health’s healing legacy originated in St. Louis, Missouri over 150 years ago where five nuns, known as the Sisters of St. Mary’s, were called to aid and heal in God’s name. Since those humble beginnings, SSM Health has grown to become one of the largest Catholic not-for-profit integrated health systems serving the Midwest. Today, our healing ministry includes over 13,900 providers and approximately 40,000 team members, all working together with a shared Mission to deliver exceptional health care services that reveal the healing presence of God across Missouri, Oklahoma, Illinois, and Wisconsin.
With 23 hospitals, 12 post-acute care centers, and over 650 physician offices and specialty care clinics spread across four states, SSM Health offers a world of opportunities where clinicians can do a world of good. Whether you’re seeking to heal, teach, learn, lead, connect, or discover, there’s a place within SSM Health for you to thrive.
No matter where you work within SSM Health, you can expect to be cared for personally and rewarded professionally with:
- A very comprehensive and competitive total compensation and benefits package.
- Extensive support and resources to support continued personal and professional growth.
- Strategic organizational investments in practice infrastructure and technologies to enhance our practice efficiency and increase clinician satisfaction.
- Generous paid time off and paid family leave so our team members can achieve work-life balance.
- And much more.
To learn more about our culture of care or to explore our full list of physician and advanced practice provider opportunities, visit JoinSSMHealth.com
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