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Texas Licensed Physician Advisor
A company is looking for a Physician Advisor. Key Responsibilities Conducts medical record reviews for medical necessity of hospital admissions and continued stays Communicates with case management and medical staff regarding patient care and appropriate levels of care Engages in Peer to Peer discussions with payers as needed Qualifications MD or DO required Unrestricted license in Texas required Minimum of 5 years of clinical practice required Utilization management experience preferred In-depth knowledge of CMS regulations and the 2-midnight rule
A company is looking for a Physician Advisor.
Key Responsibilities
Conducts medical record reviews for medical necessity of hospital admissions and continued stays
Communicates with case management and medical staff regarding patient care and appropriate levels of care
Engages in Peer to Peer discussions with payers as needed
Qualifications
MD or DO required
Unrestricted license in Texas required
Minimum of 5 years of clinical practice required
Utilization management experience preferred
In-depth knowledge of CMS regulations and the 2-midnight rule
