Physician Advisor

Join our Medical Group as a Physician Advisor, Advisory Services in a remote, full-time capacity. The successful physician advisor brings a strong clinical background, an investigative nature, and excellent written communication skills to write well-informed, clinically supported case reviews. You will operate across multiple states, collaborating with partner hospitals to improve services and outcomes while applying Medicare regulations and commercial payer guidelines.

Practice Info

• Operate across multiple states, including Arizona, California, Florida, Kentucky, Nevada, and West Virginia, collaborating with partner hospitals to improve services and outcomes.

Responsibilities

• Holistic Case Review: Direct review of the medical record is provided by licensed physicians, leading to all-inclusive determinations encompassing medical necessity, accuracy of documentation, and clinical documentation improvement, ensuring regulatory compliance and reinforcing best practices for care coordination.
• Level of Care (LOC) determinations.
• Peer-to-Peer reviews.

Compensation

• Productivity based (per case rate) with an estimated average of $190,000 annually depending on the number of cases.

Benefits

• Health Benefits
• 401k
• CME

Shift & Schedule

• Flex advisor who completes 10 Level of Care (LOC) shifts per month from 8:00 AM to 6:00 PM EST, and 80 Peer-to-Peers per month.
• Level of Care Determinations (LOC) for 6:00 AM to 2:00 PM ET, Monday-Friday, 20 shifts per month.
• Peer-to-Peer reviews: 8:00 AM to 5:00 PM EST, Monday-Friday, 140 Peer-to-Peers per month.

Qualifications

• MD or DO Licensure within the state of employment.
• Board Certification (base specialty) Internal Medicine - Hospital Medicine, Emergency Medicine, Critical Care recognized by ABMS or ABQAURP.
• Utilization-specific training from ABQAURP (The American Board of Quality Assurance and Utilization Review Physicians), or equivalent within 12 months of hire.
• Education on application of medical necessity criteria within 3 months of hire.
• 3 years post-residency experience as an advisor – strongly preferred.
• Authorized to work in the United States.