Physician Advisor – (P2P) Medical Reviewer (1099 Contractor)

About this job

Position Summary The Physician Advisor (1099 Contractor) is a licensed physician responsible for conducting clinical discussions with treating providers regarding utilization management determinations. The physician applies Medicare/CMS requirements, applicable medical necessity criteria, health plan policies, and clinical judgment to determine the appropriate level of care and/or medical necessity of requested services. The role supports timely, consistent, evidence-based utilization management while providing treating physicians an opportunity to discuss relevant clinical information before or following an adverse determination, as applicable.…

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Most-requested skills in the United States

Based on 945 United States vacancies that list requirements, these are the skills employers ask for most often.

• Patient Care71% of postings
• Nursing61% of postings
• Documentation39% of postings
• Medication38% of postings
• Vital Signs15% of postings
• Palliative Care5% of postings
• Hygiene4% of postings
• ICU/Intensive Care3% of postings

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