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Clinical Auditor / Utilization Reviewer
Florence, SC

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McLeod Health

Physician Advisor for Case Management Services

Job Description

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.
summersett@mcleodhealth.org