Medical Director – Cardiology – Evicore - Remote
Remote
Core
Deliver evidence-based medical reviews and conduct peer-to-peer physician consultations to determine medical necessity for cardiology cases.
Role type
Senior clinical decision-maker (Cardiology)
Builds
Medical necessity determinations for patient care
Domain
Healthcare / Utilization Management
Deliverable
client delivery
Required skills
Clinical judgment, Evidence-based decision making, Physician consultation, Regulatory knowledge, Technology proficiency
Preferred skills
Utilization Review Accreditation Commission standards, National Committee for Quality Assurance standards
Responsibilities
Review medical cases for medical necessity, Conduct peer-to-peer calls with referring providers, Recommend alternative services or treatments, Collaborate with physician colleagues
Seniority
Senior, hands-on IC