California Licensed Physician Advisor

Job Summary

A company is looking for a Physician Advisor, Utilization Management (CA License Required).

Key Responsibilities

• Process second level reviews in compliance with Medicare/CMS guidelines for various levels of care
• Act as a liaison between medical staff, utilization review, and third-party payers to promote appropriate medical care levels
• Oversee assigned staff, including recruitment, training, and performance management

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
• Utilization management experience is required
• Preferred experience as a Physician Advisor