Physician advisor jobs in Elizabeth, New JerseyCreate job alerts

The Physician Advisor will form a collaborative partnership with local and corporate administration, the medical staff, and the case management department leadership. This partnership will provide a comprehensive clinical resource management program that includes utilization management, progression

Job Description Overview Are you an accomplished Board Certified Neurosurgeon? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a NJ license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: • Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims., • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues., • Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job., • Returns cases in a timely manner with clear concise and complete rationales and documented criteria., • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers., • Attends orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits., • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews., • Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: -Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills -Demonstrated ability to perform review services. -Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed -Managed care orientation -Knowledge of current practice standards in specialty -Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews -Ability to complete cases accompanied by a typed report in specified time frames -Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment • Concentra is committed to protect patient data and to ensure privacy of personal and medical information., • Every Concentra colleague has the responsibility to adhere to data protection principles., • If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026. Atlantic Health, one of New Jersey's largest non-profit healthcare systems, is seeking a highly motivated and experienced full-time Physician Advisor to join ou

RWJBarnabas Health, the largest integrated health system in NJ, is currently seeking Physician Advisors for part-time employment at Robert Wood Johnson University Hospital Rahway, in New Jersey. The system includes eleven acute care hospitals – Clara Maass Medical Center in Belleville, Community M

System Director, Physician Advisor Program Reports To: Chief of Hospitalist Medicine Location: System-Level Position (serving all 12 acute care hospitals within RWJBH) Position Summary The System Director, Physician Advisor Program provides strategic and operational leadership for RWJBH’s Physic

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top-quality phys

OrthoNY is seeking a highly skilled and motivated Pain Management Physician Assistant. The Pain Management Physician Assistant is responsible for examining patients, diagnosing injuries, and providing treatment. As a Pain Management Physician Assistant in our practice, you will have the chance to wo

Obstetrics Nurse Practitioner or Physician Assistant(NP). This facility is seeking an Obstetrics Nurse Practitioner or Physician Assistant(NP) for locum tenens support as they look to fill a current need. Types of Cases: Labor & Delivery, postpartum care, Obstetrics and Gynecology (OB/GYN) Physi

Opportunities for Career Growth!.SSP America is a leader in the food travel industry, specializing in bringing a "Taste of Place" to airports across the Americas.With a commitment to creating an inclusive culture of care, we ensure that our team members thrive while delivering exceptional

Treating patients via tele-health visits, including telephonic triage calls, video visit appointments, and email follow-ups Ongoing collaboration with both virtual and in-office teammates via daily huddles Utilization of your specific clinical training and opportunities to give exceptional care

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Call Center Representative Agent experience not required.Remote Work From Home Call Center Representative Agent - Part Time Market Research Panel

Customer Service / Remote] - Anywhere in U.Competitive Pay & Benefits / Flexible Schedule / Career Growth / Meaningful Impact - As a Call Center Representative (CSR) at Wellcove, you will: Provide excellent customer service via phone and email; Respond to customer inquiries and resolve issues in a t

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Customer Service / Remote] - Anywhere in U.Aggressive compensation / Comprehensive Medical-Dental-Vision / Generous paid time off / Extensive internal growth and professional development - As a Call Center Representative, you will: handle inbound and outbound calls from customers in a professional a

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Call Center Representative Agent experience not required.Remote Work From Home Call Center Representative Agent - Part Time Market Research Panel

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Call Center Representative Agent experience not required.Remote Work From Home Call Center Representative Agent - Part Time Market Research Panel

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Call Center Representative Agent experience not required.Remote Work From Home Call Center Representative Agent - Part Time Market Research Panel

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Call Center Representative Agent experience not required.Remote Work From Home Call Center Representative Agent - Part Time Market Research Panel

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Call Center Representative Agent experience not required.Remote Work From Home Call Center Representative Agent - Part Time Market Research Panel

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Customer Support / Remote] - Anywhere in U.Medical, dental & vision / 401k - As a Customer Service Rep at DGI Supply, you will: Handle customer and sales interactions via phone, email and tickets within the Customer Care Box; Process requests for quotations, order entry and product questions from cu

Customer Success / Remote] - Anywhere in U.Flexible schedule / Health insurance / On-the-job training - As a Customer Service Representative, you will: provide exceptional customer service to clients over the phone and through email; assist customers with inquiries, orders, and product information;

At Smashburger, we don't just make burgerswe create crave-worthy moments that keep guests coming back for more.We're driven by a shared commitment to excellence, working as one team and taking bold action to deliver unforgettable experiences.Here, you'll be part of a group that works hard and genuin