Physician Advisor

About Us

Inspired by faith. Driven by innovation. Powered by human kindness. Common Spirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, Common Spirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 138 hospital-based locations, in addition to its home-based services and virtual care offerings.

As Common Spirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please  for more information about our mission, vision, and values.

Requisition
Employment Type Full Time Hours/Pay Period 80 Remote No Category Physician Recruiter Name Conner Rich Recruiter Email conner.rich1 Weekly Schedule Monday - Friday (8:00am - 5:00pm)
Shift Day

As a Physician Advisor, you will promote evidence-based medical care and appropriate hospital resource utilization, facilitating communication across medical, nursing, care coordination, and administrative departments. Every day you will advocate for efficient patient care, remove barriers, and collaborate with attending physicians, bolstering the Department of Care Coordination's utilization and compliance efforts. To be successful, you need exceptional clinical acumen, strong communication, and a deep understanding of hospital operations/regulations.

Your ability to influence, drive efficiency, and advocate will be paramount for optimizing care and resource allocation.

• Mitigate denials for payment from insurance payers by providing valid and effective secondary medical necessity reviews. Review and report performance measures and make recommendations to Departments and the Medical Executive Committee regarding opportunities for improvement of patient care, resource utilization, billing compliance and reduction of claims denials.
• Provide compliance element for Centers for Medicare and Medicaid Services (CMS)
  Conditions of Participation (COP) by performing secondary medical necessity reviews.
• Provide a more cost-effective delivery of secondary medical necessity reviews than what is currently provided by outside contracted services (Executive Health Resources (EHR).
• Align and collaborate with the facility leadership.
• Understand and appreciate unique elements of facility history and culture in order to effectively execute/implement job duties and functions.

Required

• Five (5) years clinical practice experience
• Doctor of Medicine (MD) or Doctor Osteopathic Medicine (DO) in the state of Arizona.

Preferred

• One (1) year of experience in Utilization Management

St. Joseph s Hospital and Medical Center is a 576 bed non-profit facility providing quality health care to patients and communities in and around Phoenix, Arizona. We are part of Common Spirit Health which operates 139 hospitals and more than 1,000 care sites across 21 states, making our services accessible to nearly 1 in 4 U.S. residents. If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us.