Physician Advisor II - PA Licensed

To support a growing Physician Advisor team, the full-time remote Physician Advisor II - PA Licensed will manage client relationships, perform case reviews, and mentor other advisors while ensuring compliance and quality of care across the spectrum of services. Key responsibilities Conducts case reviews and provides consultation on medical necessity and utilization management to clinical staff Mentors and trains new and existing Physician Advisors to uphold quality standards and consistency in determinations Maintains accountability for achieving case management outcomes and supports documentation and coding improvements Required qualifications Specialty Board Certified and licensed to practice medicine in the US 3+ years of experience as a Physician Advisor or in a similar role performing case reviews Basic technical skills with Hospital EMRs and proficiency in Microsoft Office and Teams Solid foundation in utilization management, quality improvement, and patient safety Familiarity with MCG/InterQual criteria is preferred