VivienJDorseyMD
Internal Medicine • Albuquerque, NMHospital Medicine/Hospitalist
Utilization Management Medical Director
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Office
504 Elm St NE
Albuquerque, NM 87102Phone+1 505-724-2000Fax+1 505-796-3511
Summary
- Physician executive versed in medical management and evidence based practice.
Specialized in utilization management and concurrent, prior authorization, and long term services and support (LTSS) review.
Extensive appeals experience for concurrent and prior authorization cases in private as well as Medicaid and Medicare lines of business.
Focused in Medicare, Quality, HEDIS measures, and HCC and risk adjustment.
30 years of experience in internal medicine practice, hospitalist medicine, and utilization management. Experienced in correctional healthcare.
Education & Training
Saint Joseph HospitalResidency, Internal Medicine, 1990 - 1993
Medical College of Georgia at Augusta UniversityClass of 1990
DePauw UniversityBA, Zoology, 1986
Certifications & Licensure
CA State Medical License 1993 - Present
NM State Medical License 1995 - 2027
MI State Medical License 2017 - 2027
TN State Medical License 2024 - 2026
FL State Medical License 2017 - 2026
MD State Medical License 1994 - 2026
AZ State Medical License 2017 - 2025- American Board of Internal Medicine Internal Medicine
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