RFP | February 28, 2013
New Jersey Seeks Appeals Management and Physician Advisor Services
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New Jersey's University of Medicine and Dentistry (UMDNJ) seeks a contractor to provide management and oversight of adverse utilization determination made by both commercial and governmental entities. UMDNJ would also like to outsource the current role of physician advisor. The physician advisor would work in collaboration with clinical integration leadership and, in particular, case managers to address issues of medical services utilization and safe patient care progression. The physician advisor offers guidance to the staff and medical staff regarding steps to ensure timely progression of care leading to safe discharge home or alternative sites of care placement . . .