Physician Advisor II - MD Licensed

To enhance patient care and optimize hospital services, the remote Physician Advisor II - MD Licensed will manage clinical reviews, mentor staff, and maintain quality standards while ensuring compliance and effective resource management. Key responsibilities Conducts case reviews and provides consultation on medical necessity and utilization management to clinical staff Mentors and educates Physician Advisors and client facility staff on relevant topics and best practices Manages client relationships and contributes to the execution of quality programs within the Physician Advisor team Required qualifications Specialty Board Certified and licensed to practice medicine in the US Minimum of 3 years of experience as a Physician Advisor or UR/UM Medical Director Proficient in Hospital EMRs and Microsoft Office Suite Strong knowledge of utilization management, quality improvement, and patient safety Familiarity with MCG/InterQual criteria preferred