Medical Director, Physician Advisor Services, Care Progression

Job description

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: Provides strategic and operational leadership with a focus on optimizing performance in care progression, clinical documentation integrity (CDI), utilization review/management, and clinical revenue cycle management. Ensures alignment with organizational goals, regulatory compliance, and the delivery of high-quality, cost-effective care. Oversees individual physician advisors in each domain, fostering collaboration, accountability, and continuous improvement. Success will be measured by improvements in care efficiency, documentation accuracy, denial rates, revenue integrity, and provider engagement. EDUCATION: - Doctorate: Graduate of an accredited medical school CERTIFICATION & LICENSURE: - MD-Doctor of Medicine TYPICAL EXPERIENCE: - 12 years recent relevant experience. SKILLS AND KNOWLEDGE: - Excellent interpersonal communication and negotiation skills. - A broad knowledge base of health care delivery and case management within a managed care environment. - Comprehensive knowledge of Utilization Review, levels of care, and observation status. - Post-...