Physician Advisor

🔥 3 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Perform case reviews of all case types to achieve the highest degree of compliance • Work with medical staff leadership, physicians, resident physicians, resource management, case management, social services, discharge planning, and utilization management • Recommend methods to optimize hospital service use, length of stay, resource management, and appropriate level of care • Respond promptly to clinical review assistance requests from the Case Management department • Consult with attendings, nurses, and case management staff on complex clinical issues, continued-stay justification, medical necessity, and utilization management • Apply MCG/InterQual criteria, professional judgment, and patient-specific variables • Support case management outcomes and clinical progression of patient care • Improve health record documentation affecting ICD code assignment, severity, acuity, risk of mortality, and DRG assignment • Participate in Physician Advisor, Utilization Management, Care Management, and related training • Meet productivity, quality, and performance goals • Maintain confidentiality and comply with HIPAA and information security policies • Educate and mentor physicians regarding payer requirements • Attend meetings requested by PAOC leadership • Participate in peer review as necessary or requested • Maintain medical licensure and board certification in good standing • Perform 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 and Peer to Peer Reviews • Hold and maintain an unrestricted medical license and Board Certification • Basic technical skills with Hospital EMRs • Foundation, knowledge, and/or experience in utilization management, quality improvement, and patient safety • Working knowledge of hospital organization, case management operations, and administrative standards and policies • Familiarity with MCG/InterQual placement status criteria preferred • Membership in the American College of Physician Advisors preferred • ABQAURP Board Certification preferred • ABQAURP Physician Advisor Sub-Specialty Certification preferred • Proficiency in Microsoft Office Suite • Strong analytical, interpersonal, problem-solving, creative, written, and verbal communication skills • Ability to present information effectively and exercise sound judgment • High level of integrity and dependability with a strong sense of urgency and results orientation • Minimum availability of 16 shifts per month, with each shift lasting 6–8 hours and including 2 weekend shifts per month • Smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes • Ability to follow directions, collaborate with others, and handle stress

🏖️ Benefits

• Ongoing training and education related to the Physician Advisor role • Required orientation and training • Remote work arrangement • Availability to work scheduled shifts, including 2 weekend shifts per month