Remote Physician Advisor: Denials & Appeals Expert

A healthcare organization is seeking a remote Utilization Management Physician Advisor II to conduct clinical case reviews, manage denials, and advocate for patient care. The ideal candidate will hold an MD or DO with extensive experience in clinical practice and as a Physician Advisor. Responsibilities include medical record reviews, peer-to-peer discussions, and leading the appeals process. Strong communication and interpersonal skills are required for this role that significantly impacts patient outcomes.
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