About this role
PRN Medical Director BH UM at Verawholehealth. Location: California, United States. Role: conducting reviews, collaborating clinicians, providing consultations Requirements: Conduct clinical reviews for medical necessity using evidence-based criteria (MCG, InterQual, CMS), collaborate with care teams, provide peer-to-peer consultations, participate in appeals and quality improvement, and ensure regulatory compliance. Category: Healthcare Services - Advanced Practice Seniority: Senior Level Tools: MCG, InterQual Commitment: Part Time Workplace: Onsite Languages: English