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Medical Director, Utilization Management Physician Advisor
The Medical Director, Utilization Management, reports to the Vice President of Clinical Transformation and the Vice President of Revenue Cycle Management. Working with these Vice Presidents, the Academic Department Chairs (or their designees), and the leadership of the Medical Staff, this individual will provide clinical leadership and oversight of the Utilization Management function within the Department of Case Management. Utilization Management ensures appropriate utilization of resources, effective and accurate clinical documentation, and compliance with regulatory requirements. The Medical Director will support the work of the Utilization Management Clinical Documentation Improvement Specialists, HIM Coders, and Care Managers in the review and identification of resource manageme
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