New Jersey Licensed Physician Advisor

Job Summary

A company is looking for a Physician Advisor - Fully Remote.

Key Responsibilities

• Perform case reviews to ensure compliance and optimize hospital services
• Consult with medical staff on clinical issues and utilization management
• Maintain accountability for achieving case management outcomes and participate in ongoing training

Required Qualifications

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