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Physician Advisor - SSM Health

Employer
SSM Health
Location
Oklahoma City, OK
Closing date
Apr 11, 2024

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Specialty
Other Specialty

Job Details

Presence is exceptional care that delivers exceptional outcomes. We would like to invite you to share that gift as our new Physician Advisor at SSM Health - Oklahoma (Midwest City & Shawnee).

We are seeking a well-rounded Physician Advisor who has the proven ability to engage with their medical staff and hospital leadership and who share our dedication to exceptional care and outcomes.

In addition to being a strong leader and providing support and leadership to SSM Health St. Anthony Hospital - Midwest and SSM Health St. Anthony Hospital - Shawnee, 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 as needed 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 Oklahoma
- 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

SSM Health is a nationally recognized Catholic, not-for-profit integrated health system serving Illinois, Missouri, Oklahoma, and Wisconsin.

To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact:

Brooke Byler

Director, Physician & Provider Recruitment

SSM Health - OK

brooke.byler@ssmhealth.com

Company

Leading and Healing with Presence

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Illinois                            Missouri                          Oklahoma                        Wisconsin

Practicing Here

At its core, SSM Health is a healing ministry — an integrated Catholic, not-for-profit health system that serves the comprehensive health needs of communities across the Midwest. This foundation permeates our culture from the C-suite to the surgery suite and beyond.

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About SSM Health

SSM Health has grown to be one of the largest integrated health systems in the country, because leadership and providers work closely together to find solutions to the most pressing needs in medical care for today and the future.

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Meet the Team

On the path to becoming one of the largest health systems in the nation, SSM Health has recruited an exceptional network of leaders and providers who work together with a shared commitment to building a better health care system focused on healing people — mind, body and spirit.

Discover the difference of practicing with presence at SSM Health. Connect with one of our recruitment consultants to learn more about career opportunities.

 

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Company info
Website
Telephone
844-776-1400

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