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WakeMed Health & Hospitals

Raleigh, North Carolina

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Onsite Physician Advisor
DescriptionPhysician advisor reports to the System Medical Director for Physician Advisory services and serves as a resource to the utilization review and care management staff on medical necessity, level of care, patient care progression, and denial management. This physician leader will act as consultant and resource to medical staff regarding their decisions related to appropriateness of hospitalization, continued stay, and appropriate use of resources.Key Responsibilities:Conduct status reviews, or secondary case reviews for individual patient cases or series of cases to assess medical necessity of hospitalizations or services, level of care determination and render a recommendation to attending provider.Conduct peer-to-peer co


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