It's more than a career, it's a calling.

MO-SSM Health Mission Hill

Worker Type:

Regular

Job Summary:

Provides enterprise physician leadership across utilization management, clinical documentation integrity, and denial prevention to ensure care delivered is medically necessary, accurately documented, and defensible. Serves as the system physician advisor, aligning clinical decision making with regulatory, payer, and documentation requirements while supporting physicians, Clinical Documentation Integrity (CDI), and care coordination teams to reduce denials and revenue leakage.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES ​

Provides enterprise physician leadership for utilization management (UM), medical necessity, and level‑of‑care determinations, ensuring consistent, compliant decision‑making across regions.

Serves as the system physician advisor, supporting and guiding physicians, care coordination, ...