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Clinical Auditor / Utilization Reviewer
Florence, SC
Find & Apply For Clinical Auditor / Utilization Reviewer Jobs in Florence, South Carolina
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Physician Advisor for Case Management Services - Florence McLeod Health is seeking a BC/BE Physician Advisor for Case Management Services at our flagship 565-bed tertiary care center. Responsibilities include, but are not limited to:
Monday-Friday, on-site with no-call
Provide clinical leadership and expert guidance to the case management and utilization review teams
Educate and collaborate with medical staff on documentation, length of stay, level of care and resource utilization
Serve as liaison between hospital and payer medical directors to resolve clinical and reimbursement issues
Participate in quality improvement initiatives around readmission rates, mortality and compliance
Review admissions, discharges and transfers for medical necessity per CMS and payer guidelines
Support policy development and drive evidence-based care pathways What to expect:
Competitive compensation, Full Benefits, Retirement, Sign on Bonus, Relocation Allowance, CME Days, CME Allowance and Paid Malpractice
Position qualifies for PSLF (Public Service Loan Forgiveness)
EPIC EMR
A Physician-led non-profit system that supports leadership and development growth with the McLeod Health Leadership Academy missy.