Illinois Licensed Physician Advisor

Job Summary

To support a growing healthcare practice, the part-time Illinois Licensed Physician Advisor will perform case reviews, provide clinical consultations, and optimize hospital resource utilization while working remotely.

Key responsibilities

• Conduct case reviews and respond to clinical review requests from the Case Management department
• Consult with medical staff on complex clinical issues and advise on medical necessity and continued stay justifications
• Maintain accountability for case management outcomes and ensure compliance with documentation and coding standards

Required qualifications

• Board Certified and licensed to practice medicine in the US or 3+ years of active clinical experience in the US
• A minimum of 3 years working as a Physician Advisor with experience in Level of care and Peer to Peer Reviews
• Basic technical skills with Hospital EMRs
• Solid foundation in utilization management, quality improvement, and patient safety
• Familiarity with MCG/InterQual placement status criteria preferred