Southern Ocean Medical Center
Description
Overview
Southern Ocean Medical Center is seeking a highly motivated and experienced physician to join our team as a Physician Advisor. This vital role offers a unique opportunity to combine your clinical expertise with 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 with the Chief Medical Officer and Care Management Department to ensure efficient and effective healthcare delivery.
Why Join Us?
- Competitive compensation
- Signing Bonus & Relocation Assistance
- Excellent benefits with health, dental, Rx, and vision plans
- Retirement plan with company match
- Comprehensive Malpractice Policy
- Non-Profit Health System - eligible for Federal Student Loan Forgiveness
- $4000 towards annual CME
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
- 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