Physician Advisor
US-NJ-Neptune
Hackensack Meridian Health
Req #: 167934
Type: Full Time with Benefits
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Overview: Physician Advisor at Jersey Shore University Medical Center NEPTUNE CITY, NJ - Jersey Shore University Medical Center, a leading academic medical center and part of the Hackensack Meridian Health network, is seeking a highly motivated and experienced physician to join our team in the vital role of Physician Advisor. This unique opportunity allows you to leverage your clinical expertise and leadership skills to optimize patient care and resource utilization within our dynamic healthcare environment. As a key member of the leadership team, you will collaborate closely with the Chief Medical Officer and the Care Management Department to ensure the delivery of efficient and effective healthcare. This role is perfect for a physician leader passionate about shaping healthcare systems and driving clinical excellence. Why Join Us? At Jersey Shore University Medical Center, we are committed to investing in our team. We offer a highly competitive and comprehensive package, including: * Competitive Compensation: Minimum starting base salary of $216,675 annually. * Excellent Benefits: Comprehensive health, dental, prescription (Rx), and vision plans. * Retirement Savings: A robust retirement plan featuring a company match. * Comprehensive Coverage: A full malpractice policy is provided for your peace of mind. * Loan Forgiveness Eligibility: As a non-profit health system, employment with us makes you eligible for the Federal Student Loan Forgiveness program. * Professional Development: We provide financial support towards your annual Continuing Medical Education (CME) to foster your growth. Responsibilities: Responsibilities: * Lead and mentor the Care Management team to optimize resource utilization and patient care. * Ensure compliance with payer regulations and medical necessity criteria (e.g., MCG, InterQual). * Conduct utilization reviews and manage denials/appeals. * Collaborate with physicians and staff to promote appropriate utilization of hospital services. * Participate in interdisciplinary rounds and utilization committees. * Educate medical staff on utilization guidelines and documentation best practices. Qualifications: Qualifications: * Unrestricted medical license in the State of New Jersey. * Minimum 5 years of clinical practice experience. * Strong interpersonal, analytical, written, and verbal communication skills. * Excellent organizational skills and ability to multitask. * Proven ability to drive results and produce outcomes. * Board Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) preferred. * Membership in the American College of Physician Advisors (ACPA) encouraged.
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