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Utilization Review Physician Advisor

Necnic Group, LLC

Last Updated: 10/20/21

Job Description

Seeking an experienced Utilization Review Physician Advisor in eastern North Carolina. The successful applicant will be a part of the Clinical Documentation Advisor Program, with close working relationship with both Utilization Review (UR) and the Appeals staff. Responsibilities to include status determination and providing guidance for length of stay, resource utilization, compliance, provider education, and clinical documentation. The advisor must have strong interpersonal and communication skills. Productivity and compliance metric goals will be required. The Advisor will report to the UR Physician Advisor Director and will serve as a member of the UR committee. Previous training in regulatory guidance and UR is required.

Highlights include:

Employed position
Potential for partial remote work
Support by a 9-hospital healthcare system including a 974-bed level 1 trauma center
Competitive Compensation and Comprehensive Benefit Package to include: Annual CME Stipend, Relocation, Vacation, Malpractice (with tail), 401k matching program/457b, Medical, Dental & Vision & Life Insurance

Located inland off of the North Carolina coast, Greenville is 45 miles east of interstate 95, just over an hour to Raleigh, a little over an hour to the pristine beaches of the Crystal Coast of NC.
Home to East Carolina University (ECU), a vibrant university with an annual enrollment of more than 24,000 students
Numerous waterways and the Greenville Greenway System are perfect for boating, kayaking, fishing, hiking and camping
Mild climate perfect for year-round outdoor activities
Cost of living below the national average, diverse and affordable housing and excellent educational opportunities, both public and private
Investment of more than $500 million in downtown Greenville’s revitalization bringing new restaurants, shops, businesses, and residents to the area.

Company Details

Woburn, Massachusetts, United States