Physician Advisor

About the role

St. Joseph's Health is seeking a Physician Advisor to support physicians, Care Management, and hospital leadership in ensuring appropriate utilization of healthcare resources, regulatory compliance, and optimal patient outcomes.

Responsibilities

• Conduct medical necessity and utilization reviews.
• Provide guidance on patient status determinations and documentation requirements.
• Support denials management, appeals, and payer communications.
• Participate in observation, throughput, and length-of-stay meetings.
• Educate providers on utilization management, regulatory requirements, and best practices.
• Collaborate with Care Management, Social Work, and hospital leadership to improve patient outcomes and operational efficiency.

Qualifications

• Graduate of an accredited medical school.
• Active New Jersey physician license.
• Minimum five (5) years of clinical practice experience.
• Experience with utilization management, denials, medical necessity reviews, or quality improvement preferred.
• Strong communication, leadership, and collaborative skills.

About Us

St. Joseph’s Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.

Benefits

• Competitive salary*
• Robust benefits with health, dental, Rx and vision plans
• 403b retirement plan options with company match**
• Health & Wellness*
• Non-Profit Health System – eligible for Federal Student Loan Forgiveness
• PTO, and paid holidays
• Tuition reimbursement
• Employee Assistance Program
• LTD : Long Term Disability
• Life Insurance Options
• Onsite Day care Program
• Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
• 403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.

Pay Transparency

St. Joseph’s Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc.” The salary range does not include incentives, differential pay or other forms of compensation.