The Clinical Case Management Physician Advisor serves as a medical management resource that ensures health care services are delivered in the most cost effective manner and within the quality standards of care as established at Robert Wood Johnson University Hospital. Educates Medical Staff on quality assessment and resource management issues through daily interaction and planned formal presentations. Provides assistance to case managers, social workers and other members of the healthcare team to ensure care is appropriate, in the right setting and timely manner. Participates in the Appeal Process as Required to Respond to Payors, Educate Staff and Recommend System Changes. Creates a proactive team environment for the medical management of patient care; appropriate utilization of resour
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