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California Licensed Physician AdvisorVirtualVocations • Saint Charles, Missouri, United States
California Licensed Physician Advisor

California Licensed Physician Advisor

VirtualVocations • Saint Charles, Missouri, United States
1 day ago
Job type
  • Part-time
Job description
To enhance patient care quality, the part-time California Licensed Physician Advisor will manage clinical reviews for medical necessity and compliance, collaborating with healthcare teams remotely. Key responsibilities Processes second level reviews in compliance with Medicare/CMS guidelines for various levels of care Acts as a liaison between medical staff, utilization review, and third-party payers to ensure appropriate medical care classifications Oversees case management protocols and provides clinical leadership for quality improvement projects Required qualifications Minimum of 3 years of experience in clinical care, quality management, or utilization and case management Completion of medical school and specialty residency, preferably in internal medicine Current, non-restricted licensure for clinical practice in California Knowledge of healthcare delivery systems and reimbursement issues Ability to communicate effectively and build rapport with medical staff and management
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California Licensed Physician Advisor • Saint Charles, Missouri, United States

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