State Licensed Physician Advisor

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

Key Responsibilities

Conduct case reviews and provide consultations on clinical issues to ensure compliance and optimize patient care

Maintain accountability for achieving case management outcomes and improve health record documentation

Participate in ongoing training and uphold the organization's values while maintaining confidentiality

Required Qualifications

Board Certified and licensed to practice medicine in the US or 3+ years of active clinical experience in the US

3+ years of experience as a Physician Advisor performing Level of care and Peer to Peer Reviews

Basic technical skills with Hospital EMRs and Microsoft Office

Knowledge and experience in utilization management, quality improvement, and patient safety

Familiarity with MCG / InterQual criteria is preferred