. Job Description The Physician Advisor/Medical Director, Utilization Management works in conjunction with the CMO, Medical Directors, Care... (CDI), utilization management, quality, and statewide population health initiatives. May serve as Chair or physician lead...
. Along with the Manager of Utilization Management, serves as the central resource to the Director of Care Management to develop... operational budget. Partners with physicians and the Physician Advisor (s) for effective relationships with physicians, services...
department to include Care Management, Discharge and Transition Planning, and Utilization Management in accordance... while trying to assure reimbursement for hospital services. Meets regularly with the Physician Advisor to exchange information...
problems/issues to the Physician Advisor or Medical Director. Advise the physician of appropriate commercial insurer... review, regardless of payor source, in accordance with the Utilization Management Plan and State of Maryland Regulations...