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Bc​/be physician Utilization Review Medical Director anderson sc

Job in Anderson, Anderson County, South Carolina, 29622, USA
Listing for: ESR Healthcare
Full Time position
Listed on 2026-01-17
Job specializations:
  • Doctor/Physician
    Healthcare Consultant, Medical Doctor
Job Description & How to Apply Below

bc/be physician Utilization Review Medical Director
Anderson, SC

The Utilization Review Medical Director supports operations and direction of the Care Coordination, Clinical Documentation, and Utilization Management programs. The Medical Director ensures the program and associated physicians work collaboratively with and provide consultation to the leadership and staff who perform the functions of Utilization Management (UM), Case Management (CM), Transition Planning/Discharge Planning, and Clinical Documentation Integrity.

Qualifications:
  • Physician with current SC licensure.
  • Boarded as a Fellow or Diplomat by accrediting body of practice preferred.
  • Minimum of five years post-residency medical practice experience with hospital, managed care, or long-term care experience preferred.
  • Must possess excellent interpersonal communication and negotiation skills, problem-solving skills, strong organizational and time management skills, and the ability to work independently and as a collaborative team member.
  • Leadership roles/experience preferred.
  • Experience in utilization management or case management preferred.
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