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