State Licensed Physician Advisor

Job Summary

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

Key Responsibilities

• Conducts case reviews and provides consultation on clinical issues to medical staff
• Maintains accountability for case management outcomes and improves health record documentation
• Participates in ongoing training and meets productivity and quality standards

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
• Solid foundation in utilization management, quality improvement, and patient safety
• Familiarity with MCG/InterQual criteria preferred