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Medical Director of Utilization Management
The Medical Director participates in administrative decision-making, makes recommendations and participates in clinical utilization and clinical documentation review. Serves as a liaison between Utilization Management, Physician Support, Payor Contracting, Clinical Documentation, Medical Staff, and Administration to create a culture that is proactive in ensuring accurate clinical utilization and documentation to reflect quality patient care and positive outcomes. Provides formal direction and oversight of Clinical Documentation Improvement Physicians Advisors. Works collaboratively to devise strategies for reducing length of stay and resource utilization The Medical Director serves as a resource to hospital staff to share information regarding clinical documentation, reimbursement pract


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