Med Dir Care Mgmt Il
advocate Health Care
Position Requirements: Doctorate Degree in Medicine.Typically requires 7 years of experience in Clinical Documentation Improvement and Utilization Management as a member of the UM oversight committee or past Physician Advisor experience preferred. Additional education in Quality Utilization Management and documentation improvement/integrity through continuing medical education programs and self~study. Knowledge of national medical necessity criteria and ICD~10 coding. Prior clinical experience. Uses diplomacy and negotiation skills in peer interactions regarding utilization issues.Willing to be accountable for Key Result Areas related to but not limited to managing length of stay resource utilization (cost) readmissions mortality and the balancing of organization goals related to finance and quality Utilizes computer based medical record and other electronic tools in conduction reviews reviewing data and documenting as appropriate to role.Ability to travel to various hospitals and Advocate Aurora locations.Basic computer skills typing 25~20 wpm preferredMust have strong analytical and decision making skillsMust be motivated and self~directed and possess qualities of leadership interpersonal skills and the ability to communicate effectively. Medicine and Surgery MD~DO license issued by the state in which the team member practices andPhysician board certification issued by an appropriate board recognized by the American Board of Medical Specialties or the American Osteopathic Association. This position requires travel therefore will be exposed to weather and road conditions. Operates all equipment necessary to perform the job.Exposed to a normal office environment.This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.Purpose: Accountabl
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