Serve as a clinical consultant for hospital systems to optimize utilization review and denial management processes. Partner with executive leadership to improve authorization workflows, reduce denials, and ensure regulatory compliance.
HURC
2 Remote Job Openings at HURC
The Physician Advisor conducts physician-to-physician reviews focusing on medical necessity, level of care, and denial prevention, while also supporting utilization review teams with complex clinical decisions. This role ensures appropriate admission status determinations and provides clinical oversight regarding length of stay and discharge planning.
