evicore healthcareJacksonville, FL
Physician / Oncology - Radiation / Nationwide / Permanent / Associate Medical Director - Radiation Oncology - 100% Remote Job Job
Physician / Oncology - Radiation / Nationwide / Permanent / Associate Medical Director - Radiation Oncology - 100% Remote Job Job
Physician / Oncology - Radiation / Nationwide / Permanent / Associate Medical Director - Radiation Oncology - 100% Remote Job Job
evicore healthcareJacksonville, FL
Apply for this role (opens in a new tab)17 days ago
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs evi Core of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management
Also on the board Same function, level within a rung
Level
Manager
Location
Jacksonville, FL
Occupation
Physicians, All Other
Industry
Offices of Physicians
Posted
17 days ago