... part of a physician team, ensures that utilization management responsibilities are performed in ... all times. In addition to utilization review, the incumbent participates as the physician member of ...

... needed to interact/ communicate with the primary care physician as necessary for appropriate medical care. The role will provide oversight of physician services by complementing the primary care physician ...

... implements physician, pharmacy, account, and member educational initiatives that promote the Organization’s ... review and decisions for physician and member appeals and participates on cross-functional committees to ...

... to meet patient’s needs and in accordance with physician orders. Physician orders are accurately ... patients. Direct physician contact (i.e., patient care communications, marketing). Coordinate ...

... to meet patient’s needs and in accordance with physician orders. Physician orders are accurately ... patients. Direct physician contact (i.e., patient care communications, marketing). Coordinate ...

... physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key ...