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University of Maryland Medical System
Largo, Maryland
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Cary, North Carolina
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Physician Advisor
Job Summary: The Physician Advisor is responsible for developing positive relationships with both employed and affiliated medical staff members in order to fulfill strategic business growth and objectives. This position plays an important role in ensuring physician support and execution of for Utilization Management and Documentation strategies and processes. Responsibilities: Reviews inpatient cases when clinical determinations cannot be made by initial clinical review. Discusses determinations with requesting physicians or ordering providers when available within the regulatory timeframe of the request. Provides clinical rational for standard and expedited appeals. Par
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