Job Description

DescriptionRevenue Cycle Physician AdvisorLocation: UCHealth Leprino Building Anschutz Campus, US:CO:AuroraDepartment: UCHlth Revenue Cycle ClinicalFTE: Part Time, 0.6, 48.00 hours per pay period (2 weeks)Shift: DaysPay: $0.01 - $500.00 / hour. Pay is dependent on applicant\'s relevant experienceSummary:
Provide support services to utilization management, care management, denials management, and the organization\'s evolving needs.Responsibilities:

• Focus in either Utilization Management/Care Management/Denials Management and expected to be cross trained to allow critical coverage for all areas as needed, including but not limited to: UM case review, peer-to-peer review for medical necessity, appeal writing/supervision.
• Interfaces with treatment teams, serving as the physician leader/educator regarding medical necessity, denial mitigation strategies, access, throughput and discharge planning, with responsibility for achieving agreed upon KPIs.
• Serves on local/regional Utilization Management and specialty committees and may be asked to Chair these committees.
• Lead the preparation of the strategic and financial plans for the area. Oversee capital budget requests.
• Actively promotes a culture of patient safety in a collaborative practice environment and serves as a role model to colleagues and staff.
• Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.

Requirements:

• Graduate of an accredited medical school and residency program.
• Unrestricted Colorado Board of Medical Examiners physician license.
• Unrestricted DEA permit to prescribe all medications commonly prescribed in the course of practice.
• Board certification or eligibility for Board certification by American Board of specialty.
• Unrestricted medical staff membership at a system hospital, with appropriate practice privileges. If primary practice facility is not a system hospital, then appropriate documentation must be submitted showing privileges at the primary practice facility. Appropriate credentialing through Medical Staff Services office required. Eligible to provide reimbursable Physician services and maintain provider status with Medicare and Medicaid.
• 5 years\' experience in area of specialty.

We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.UCHealth invests in its Workforce.UCHealth offers a Five Year Incentive Bonus to recognize employee\'s contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of five years\' employment.UCHealth offers their employees a competitive and comprehensive total rewards package:

• Full medical, dental and vision coverage
• Retirement plans to include 403(b) matching
• Paid time off. Start your employment at UCHealth with PTO in your bank
• Employer-paid life and disability insurance with additional buy-up coverage options
• Tuition and continuing education reimbursement
• Wellness benefits
• Full suite of voluntary benefits such as identity theft protection and pet insurance
• Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may also qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year

Loan Repayment:

• UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual\'s race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UCHealth does not discriminate against any "qualified applicant with a disability" as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.AF123Who We Are (uchealth.org)

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