Physician Advisor: Utilization Management & Denials

St. Joseph's Health in New Jersey is seeking a Physician Advisor to provide clinical expertise for utilization management, medical necessity reviews, and denials management. You will collaborate with physicians, Care Management, and leadership to ensure appropriate level of care and timely transitions of care.

The role supports compliance with CMS and payer requirements and offers opportunities to educate clinical staff while improving throughput and patient outcomes.