Physician Advisor

🔥 1 hour ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Med-Metrix

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

🏥 Healthcare

☁️ SaaS

🔥 Funding within the last year

💰 Private equity on 2025-09

Healthcare • SaaS

Med-Metrix is a company for which only a minimal web presence was provided (the page only displayed "Loading application... Your web browser must have JavaScript enabled... "). No product, market, or mission details were included in the supplied text. Based on the company name alone, it plausibly focuses on medical or clinical metrics, analytics, or healthcare software, but that is speculative and not confirmed by the provided information. Further public details would be required to be more specific.

📋 Description

• Performs case reviews of all case types in a knowledgeable and conscientious manner to achieve the highest degree of compliance • Works closely with the Client's medical staff leadership, the entire medical staff, including resident physician house staff • Identifies opportunities to optimize length of hospital stay and efficient management of resources • Ensures patients are in the appropriate level of care, supporting documentation, coding improvements and compliance • Responds to requests for assistance on clinical reviews for medical necessity • Provides consultation to attendings, nurses, and case management staff regarding complex clinical issues • Applies professional judgment and patient specific variables as may be necessary or justifiable • Maintains accountability for achieving case management outcomes • Describes ways to provide improved health record documentation that specifically affect ICD code assignment capture of severity, acuity, risk of mortality, and DRG assignment • Participates in ongoing training and education related to the Physician Advisor role • Meets productivity and quality standards within established time requirements • Achieves performance goals as outlined in employment agreement • Maintains confidentiality of patient care and business matters • Demonstrates behavior that supports the organization's mission • Facilitates, mentors, and educates other physicians regarding payer requirements • Attends all meetings as requested by PAOC leadership • Participates in the peer review process as may be necessary or requested • Maintains medical licensure and board certification in good standing • Commits full attention to Physician Advisory and execution of outlined tasks • Other duties as assigned

🎯 Requirements

• Board Certified and licensed to practice medicine in the US or 3+ years active clinical experience in the US • 3+ years working as a Physician Advisor performing Level of care reviews as well as Peer to Peer Reviews • Basic technical skills with Hospital EMRs a must • Hold and maintain an unrestricted medical license and Board Certification • Possess or acquires a solid foundation, knowledge, and/or experience in the areas of utilization management, quality improvement, and patient safety • Possess a working knowledge of (Hospital) organization & case management operations and administrative standards and policies • Familiarity with MCG/InterQual placement status criteria is preferred • Member of the American College of Physician Advisors (ACPA) preferred • Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred • Physician Advisor Sub-Specialty Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred • Able to effectively present information, both formal and informal • Strong analytical skills • Proficiency in Microsoft Office Suite • Strong interpersonal skills, ability to communicate well at all levels of the organization • Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses • High level of integrity and dependability with a strong sense of urgency and results oriented • Excellent written and verbal communication skills required

🏖️ Benefits

• Confidentiality of patient care and business matters • Required orientation and training related to the Physician Advisor role