Cardiology Physician
Not Specified, AZ, USA
- Healthcare
- Cardiology Physician
- utilization management
- clinical review
The Cardiology Physician performs utilization management by reviewing clinical documentation to ensure medical appropriateness of various healthcare services. This role supports evidence-based decision-making to promote high-quality and cost-effective patient care. The position requires strong clinical judgment, managed care experience, and application of national medical guidelines.
Overview
We are seeking a Board-Certified Physician to support utilization management activities by reviewing clinical documentation and determining the medical appropriateness of inpatient, outpatient, and pharmacy services. This role plays a critical part in ensuring evidence-based, high-quality, and cost-effective care decisions.
The ideal candidate brings strong clinical judgment, experience within managed care, and the ability to apply nationally recognized medical guidelines in a fast-paced, collaborative environment.




