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Physician Advisor - Utilization Review & Medical Necessity

NEJM

NEJM is seeking a Physician Advisor to conduct timely, compliant medical necessity reviews and support denials management within the centralized Utilization Review (UR) process for Sentara hospital facilities. The role requires an active Virginia medical license, board-certified status, and on-site presence to collaborate with medical staff and hospital leadership. Responsibilities include peer-to-peer discussions with payers, preparing appeal letters, and education across clinical Revenue #J-18808-Ljbffr NEJM

Vacancy posted 3 days ago
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