Job Description

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Good Samaritan Medical Center hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.



At Good Samaritan Medical Center, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:


Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match Generous paid time off Career development and continuing education opportunities Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note

: Eligibility for benefits may vary by location and is determined by employment status


Provide ongoing education and in-service instruction programs for Hospital's medical staff (including residents and fellows in academic medical centers), nursing and ancillary personnel related to coding/clinical documentation improvement, compliance, utilization management and quality issues. Maintain communication with attending physicians relating to utilization management and clinical documentation to and discuss criteria for admission and/or continued stay and/or clinical documentation. Discuss treatment plans with attending/specialty physicians when Case Management and/or Clinical Documentation Improvement staff request assistance related to the patient plan of care or documentation. Serve as a medical resource, as needed, for Hospital's Performance Improvement Department and as a resource for securing physician engagement on issues of compliance, patient safety, quality, utilization, Risk Management and resource management.


Full Time Days

POSITION SUMMARY:

Responsible for medical staff leadership to the Utilization Management Committee (UMC) and the Case Management (CM) and Health Information Management (HIM)/Clinical Documentation Improvement Departments. Leads and promotes processes for patients to receive medically necessary and high quality care throughout the continuum of care. Stays abreast of professional best practices and community standards of care. Assists Administration in reducing financial risks associated with denials that are due to providing medically unnecessary or preventable services and extended length of stays.

EDUCATION:

Doctor of Medicine Degree (M.D.) or Doctor of Osteopathic Medicine Degree (D.O.). Prefer advanced degree in Business and/or Health Care Administration.

LICENSE:

Current State MD or DO License and an ABMS (American Board of Medical Specialties)

EXPERIENCE

:


2 years in a physician leadership role. Prefer Utilization Management and hospital committee chair. Prefer 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.


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2503031436 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship


Provide ongoing education and in-service instruction programs for Hospital's medical staff (including residents and fellows in academic medical centers), nursing and ancillary personnel related to coding/clinical documentation improvement, compliance, utilization management and quality issues. Maintain communication with attending physicians relating to utilization management and clinical documentation to and discuss criteria for admission and/or continued stay and/or clinical documentation. Discuss treatment plans with attending/specialty physicians when Case Management and/or Clinical Documentation Improvement staff request assistance related to the patient plan of care or documentation. Serve as a medical resource, as needed, for Hospital's Performance Improvement Department and as a resource for securing physician engagement on issues of compliance, patient safety, quality, utilization, Risk Management and resource management.

EDUCATION:

Doctor of Medicine Degree (M.D.) or Doctor of Osteopathic Medicine Degree (D.O.). Prefer advanced degree in Business and/or Health Care Administration.

LICENSE:

Current State MD or DO License and an ABMS (American Board of Medical Specialties)

EXPERIENCE

:


2 years in a physician leadership role. Prefer Utilization Management and hospital committee chair. Prefer 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-TR1