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SSM Health - Illinois

Mount Vernon, Illinois

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Sevierville, Tennessee

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Clinical Review Unit Physician, 0.5 FTE
Summary Kaiser Permanente-Washington Permanente Medical Group is seeking a part-time 0.5 FTE Clinical Review Unit Physician to join our WPMG HQ team in Renton, Washington. General Summary Clinical reviewer unit physicians ensure that requests for coverage are adjudicated using professionally recognized standards and criteria. Requests are reviewed for clinical indications, appropriateness, and compliance with contract language. This is achieved through well documented case review, the consistent application of decision tools, criteria and data collection, and feedback to regional medical directors, program chiefs, individual physicians and care management related to clinical review outcome trends. Pr


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