About this role
St. Joseph’s Health | New Jersey
Per Diem | Maximum 6 Hours per Week
Make an Impact Beyond the Bedside
St. Joseph’s Health is seeking an experienced, collaborative Physician Advisor to join our Utilization Management team in a flexible per-diem capacity.
This is an excellent opportunity for a practicing or experienced physician interested in using their clinical expertise to influence patient status determination, medical necessity, utilization management, denials prevention, clinical documentation, and hospital throughput —while working closely with physicians, Care Management, Social Work, hospital leadership, and payer partners.
With a commitment of up to 6 hours per week , this role is ideal for a physician looking to expand into Physician Advisor or Utilization Management work while maintaining other clinical or professional responsibilities.
- MD or DO from an accredited medical school
- Current or eligible New Jersey physician license
- Minimum of 5 years of recent clinical practice experience
- Strong clinical judgment and communication skills
Preferred Experience
- Previous Physician Advisor or utilization management experience
- Participation on a Utilization Management/Utilization Review committee
- Knowledge of CMS regulations and the Two-Midnight Rule
- Experience with medical necessity criteria, patient status determination, denials, and appeals
- Understanding of commercial payer requirements
- Familiarity with clinical documentation and documentation improvement
- Experience with length-of-stay and throughput initiatives
- Physician education, coaching, or leadership experience