California Licensed Physician Advisor

Job Summary

A company is looking for a Utilization Management Physician Advisor, CA Licensed (Part Time).

Key Responsibilities

• Perform medical necessity utilization reviews for inpatient and post-acute cases
• Lead concurrent review activities and serve as a clinical leader for the care management team
• Process claims reviews and act as a liaison between medical staff and utilization review teams

Required Qualifications, Training, and Education

• Minimum of 3 years of experience in clinical care, quality management, or utilization management
• Completion of medical school and specialty residency (preferably in internal medicine)
• Current, non-restricted licensure for clinical practice in California
• Preferred experience as a Physician Advisor or Medical Director
• Board-certification is preferred