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Physician Advisor

🕒 September 19

🏖️ New Jersey – Remote

infoinfo

⏰ Full Time

🟡 Mid-level

🟠 Senior

Where this job comes from

Posted on Med-Metrix's careers page, not through a job board

First seen by Remote Rocketship September 19

Still open on Med-Metrix's site. Checked 54 minutes ago.

Logo of Med-Metrix

Med-Metrix

1001 - 5000 employees

Founded 2010

🏥 Healthcare

☁️ SaaS

💰 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, residents, resource management, case management, social services, discharge planning, and utilization management • Recommend methods to optimize hospital service use and patient care resource management • Identify opportunities to optimize length of stay and ensure appropriate level of care • Support documentation, coding improvements, and compliance • Monitor appropriate use of diagnostic and therapeutic modalities • Respond to clinical review requests for medical necessity and other case management needs • Advise attendings, nurses, and case management staff on complex clinical issues, continued-stay justification, medical necessity, and utilization management • Apply MCG/InterQual criteria with professional judgment and patient-specific variables • Support case management outcomes and clinical progression of patient care • Improve health record documentation affecting ICD code capture, severity, acuity, risk of mortality, and DRG assignment • Participate in training, education, meetings, and peer review processes • Facilitate, mentor, and educate physicians regarding payer requirements • Meet productivity, quality, and performance goals • Maintain patient and business confidentiality and protect PHI in accordance with HIPAA • 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 • Unrestricted medical license and Board Certification • Solid 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 • Basic technical skills with hospital EMRs • Familiarity with MCG/InterQual placement status criteria preferred • Membership in the American College of Physician Advisors (ACPA) preferred • Board Certification by ABQAURP preferred • Physician Advisor Sub-Specialty Certification by ABQAURP preferred • Proficiency in Microsoft Office Suite • Strong analytical, interpersonal, problem-solving, creative, written, and verbal communication skills • Ability to present information effectively, collaborate, handle stress, exercise sound judgment, and make timely decisions • High integrity, dependability, urgency, and results orientation • Must maintain medical licensure and board certification in good standing • Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes • Must comply with HIPAA and information security policies

🏖️ Benefits

• Minimum of 16 shifts per month, with each shift 6–8 hours and including 2 weekend shifts per month • Required smartphone or electronic device allowance/requirement for multifactor authentication and security purposes

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