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
• $ 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.