Qualifications

Doctor of Medicine Degree (M.D.) or Doctor of Osteopathic Medicine Degree (D.O.) requiredAdvanced degree in Business and/or Health Care Administration preferredCurrent, Active, and Unrestricted California Medical Doctor or D.O. LicenseABMS (American Board of Medical Specialties) CertificationAHA BLS2 years in a physician leadership role required5+ years experience preferredKnowledge and understanding of Healthcare Regulations, coding guidelines and utilization management practicesUtilization Management and hospital committee chair experience preferred. 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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Description

Welcome to Doctors Medical Center

Doctors Medical Center Modesto is a full-service, comprehensive health care facility, dedicated to Doctors Medical Center Modesto is a full-service, comprehensive health care facility, dedicated to providing the finest medical care for the community. From preventative and diagnostic services to expertise in some of the world's leading technologies, DMC's multidisciplinary team of physicians and healthcare professionals is dedicated to your good health and well-being. Recognized for innovative cardiac and neonatal intensive care to advanced stroke and trauma treatment, the outstanding doctors at DMC represent most major medical specialties and are committed to being there for you, when you need them most.

We offer competitive salaries and benefits including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions.

Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including employee assistance program (EAP) Time away from work programs for paid time off, long- and short-term plan coverage Savings and retirement including a 401(k) Plan with a 50% match up to 6% of pay, employee stock purchase plan, flexible spending accounts, retirement readiness tools, rollover support, and financial well-being counseling Education support through tuition assistance, student loan assistance, certification support, and online educational program Additional benefits life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection, and employee discount program Registered nurses – Retirement medical benefit account (RMBA) – 2% of annual eligible income set aside in accordance with program guidelines Benefits may vary by location and role

www.dmc-modesto.com/teams

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.

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