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.
Doctor of Medicine Degree (M. D. ) or Doctor of Osteopathic Medicine Degree (D. O. ). Prefer advanced degree in Business and/or Health Care Administration.
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.
Current State MD or DO License and an ABMS (American Board of Medical Specialties) Certification.
Primary Location: Harlingen, Texas
Facility: Valley Baptist Medical Center - Harlingen
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��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.
Internal Number: 2005035429
About Valley Baptist Medical Center - Harlingen
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.