Physician Advisor

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    "ShortDescriptionStr": "The Physician Advisor (PA) is a clinical leader responsible for ensuring appropriate patient care, optimizing resource utilization, and maintaining regulatory compliance. The PA conducts medical necessity and utilization reviews, manages denials and appeals, advises providers on patient status and documentation, and collaborates with Care Management and hospital leadership to improve throughput, length of stay, and overall quality outcomes.",
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    "ExternalDescriptionStr": "<p>The Physician Advisor (PA) is a clinical leader responsible for ensuring appropriate patient care, optimizing resource utilization, and maintaining regulatory compliance. The PA conducts medical necessity and utilization reviews, manages denials and appeals, advises providers on patient status and documentation, and collaborates with Care Management and hospital leadership to improve throughput, length of stay, and overall quality outcomes.</p>\n<p><i>The Physician Advisor works primarily Monday–Friday, 8:00 AM – 4:00 PM, with occasional off-hours or weekend coverage as needed to support the Utilization Management program.</i></p>",
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    "ExternalPostedStartDate": "2026-06-03T17:26:54+00:00",
    "ExternalQualificationsStr": "<p><span style=\"font-family:'times new roman' , serif\"><strong>Minimum Qualifications:</strong></span></p><ul><li><span style=\"font-family:'times new roman' , serif\">Graduate of an accredited medical school</span></li><li><span style=\"font-family:'times new roman' , serif\">Ongoing education in quality improvement and utilization management (CME/self-study)</span></li><li><span style=\"font-family:'times new roman' , serif\">Minimum 5 years recent clinical practice experience</span></li><li><span style=\"font-family:'times new roman' , serif\">Active, unrestricted New Jersey physician license</span></li><li><span style=\"font-family:'times new roman' , serif\">Prior Utilization Management Committee or Physician Advisor experience preferred</span></li></ul><p><span style=\"font-family:'times new roman' , serif\"><strong>Preferred Qualifications &amp; Competencies:</strong></span></p><ul><li><span style=\"font-family:'times new roman' , serif\">Strong clinical judgment and medical necessity expertise</span></li><li><span style=\"font-family:'times new roman' , serif\">Knowledge of care management, utilization review, and third-party payer requirements</span></li><li><span style=\"font-family:'times new roman' , serif\">Experience with denials management and clinical documentation standards</span></li><li><span style=\"font-family:'times new roman' , serif\">Familiarity with CMS, Joint Commission, and New Jersey Department of Health regulations</span></li><li><span style=\"font-family:'times new roman' , serif\">Teaching, coaching, and presentation skills</span></li><li><span style=\"font-family:'times new roman' , serif\">Analytical, problem-solving, and process improvement abilities</span></li><li><span style=\"font-family:'times new roman' , serif\">Collaborative leadership with clinical credibility among physicians</span></li><li><span style=\"font-family:'times new roman' , serif\">Persuasive communication, strong follow-through, and accountability</span></li></ul><p><span style=\"font-family:'times new roman' , serif\"><i>Note: Candidates without some specific skills must demonstrate aptitude and willingness to learn.</i></span></p>",
    "InternalQualificationsStr": "<p><span style=\"font-family:'times new roman' , serif\"><strong>Minimum Qualifications:</strong></span></p><ul><li><span style=\"font-family:'times new roman' , serif\">Graduate of an accredited medical school</span></li><li><span style=\"font-family:'times new roman' , serif\">Ongoing education in quality improvement and utilization management (CME/self-study)</span></li><li><span style=\"font-family:'times new roman' , serif\">Minimum 5 years recent clinical practice experience</span></li><li><span style=\"font-family:'times new roman' , serif\">Active, unrestricted New Jersey physician license</span></li><li><span style=\"font-family:'times new roman' , serif\">Prior Utilization Management Committee or Physician Advisor experience preferred</span></li></ul><p><span style=\"font-family:'times new roman' , serif\"><strong>Preferred Qualifications &amp; Competencies:</strong></span></p><ul><li><span style=\"font-family:'times new roman' , serif\">Strong clinical judgment and medical necessity expertise</span></li><li><span style=\"font-family:'times new roman' , serif\">Knowledge of care management, utilization review, and third-party payer requirements</span></li><li><span style=\"font-family:'times new roman' , serif\">Experience with denials management and clinical documentation standards</span></li><li><span style=\"font-family:'times new roman' , serif\">Familiarity with CMS, Joint Commission, and New Jersey Department of Health regulations</span></li><li><span style=\"font-family:'times new roman' , serif\">Teaching, coaching, and presentation skills</span></li><li><span style=\"font-family:'times new roman' , serif\">Analytical, problem-solving, and process improvement abilities</span></li><li><span style=\"font-family:'times new roman' , serif\">Collaborative leadership with clinical credibility among physicians</span></li><li><span style=\"font-family:'times new roman' , serif\">Persuasive communication, strong follow-through, and accountability</span></li></ul><p><span style=\"font-family:'times new roman' , serif\"><i>Note: Candidates without some specific skills must demonstrate aptitude and willingness to learn.</i></span></p>",
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